State of the science of health literacy measures: Validity implications for minority populations

Tam H. Nguyen, Hyunjeong Park, Hae-Ra Han, Kitty S. Chan, Michael K. Paasche-Orlow, Jolie Haun, Miyong T. Kim
2015 Patient Education and Counseling  
Objectives-To review the evidence supporting the validity of health literacy (HL) measures for ethnic minority populations. Methods-PubMed, CINAHL, and PsycINFO databases were searched for HL measures between 1965 and 2013. Results-A total of 109HL measures were identified; 37 were non-English HL measures and 72 were English language measures. Of the 72 English language measures, 17 did not specify the racial/ethnic characteristic of their sample. Of the remaining 55 measures, 10 (18%) did not
more » ... nclude blacks, 30 (55%) did not include Hispanics, and 35 (64%) did not include Asians in their validation sample. When Hispanic and Asian Americans were included, they accounted for small percentages in the overall sample. Between 2005-2013, a growing number of REALM and TOFHLA translations were identified, and new HL measures for specific cultural/linguistic groups within and outside the United States were developed. Conclusions-While there are a growing number of new and translated HL measures for minority populations, many existing HL measures have not been properly validated for minority groups.
doi:10.1016/j.pec.2015.07.013 pmid:26275841 pmcid:PMC4732928 fatcat:75ncsuk5mfe75mljo4s46rspx4