Resumen
Objetivo: Investigar los datos de estandarización de la versión en portugués brasileño del instrumento para medir la alfabetización en salud European Health Literacy Survey Questionnaire short-short form (HLS-EU-Q6) en adultos brasileños. Métodos: Se trata de un estudio metodológico en el que se evaluó la estandarización de los puntajes HLS-EU-Q6 en una muestra de 783 usuarios adultos del sistema público de salud (SUS) brasileño. El análisis de estandarización pasó por tres etapas: análisis descriptivo de los ítems y puntuación del instrumento; análisis de la distribución de la puntuación y la confirmación de que los pontos de cortes establecidos en la distribución lograron identificar efectivamente a los participantes en cada rango. Resultados: Se observó que todos los ítems del instrumento tuvieron una mediana de 3 y la mediana de la puntuación total fue de 17 puntos. Los resultados mostraron que un modelo con 3 rangos de corte y con puntajes diferentes a los propuestos por los autores del estudio original hizo más precisa la capacidad de clasificación del instrumento para esta población. Conclusion: Se concluye que los criterios de clasificación HLS-EU-Q6 a ser utilizados en adultos brasileños deben ser diferentes a los propuestos por los autores del estudio original, para no generar sesgos en la medición de los niveles de alfabetización en salud en esta población.
Referencias
AMOAH PA, et al. Health literacy and self-perceived health status among street youth in Kumasi, Ghana. Cogent Medicine 2017; 1: e1275091.
BOEDEKER P, KEARNS NT. Linear discriminant analysis for prediction of group membership: a user-friendly primer. Advances in Methods and Practices in Psychological Science 2019; 2(3): 250-263.
BORGES DO NASCIMENTO IJ, et al. Infodemics and health misinformation: a systematic review of reviews. Bulletin of the World Health Organization, 2022; 100(9): 544-561.
HAIR JR, et al. Multivariate Data Analysis. 7th ed. Upper Saddle River. NJ: Pearson Prentice Hall; 2019; 816p.
KICKBUSCH I, et al. Health literacy: the solid facts. Copenhagen (DK): WHO Regional Office for Europe; 2013. Available in: https://apps.who.int/iris/bitstream/handle/10665/128703/e96854.pdf. Accessed on: 05 Feb. 2023.
LIU C, et al. What is the meaning of health literacy? A systematic review and qualitative synthesis. Family Medicine and Community Health, 2020; 8(2): e000351.
LORINI C, et al. Florence Health Literacy Research Group. Measuring health literacy in Italy: a validation study of the HLSEU-Q16 and of the HLS-EU-Q6 in Italian language, conducted in Florence and its surroundings. Annali dell Istituto Superiore di Sanita, 2019; 55(1): 10-8.
MIALHE FL, et al. Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form. Revista Latinoamericana de Enfermagem, 2021; 2; 29: e3436.. Erratum in: Revista Latinoamericana de Enfermagem. 2022; 30: e3645.
MORAES KL. Validation of the Health Literacy Questionnaire (HLQ) to Brazilian Portuguese. Acta Paulista de Enfermagem, 2021; 34: eAPE02171.
OSBORNE RH, et al. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health, 2013; 13(1): 658–74.
PEDRO AR, et al. Version of the HLS-EU-Q6 and HLS-EU-Q16 Questionnaire: Psychometric Properties. International Journal of Environmental Research and Public Health, 2023; 7; 20(4): 2892.
PELIKAN JM, et al. Measuring comprehensive health literacy in general populations - the HLS-EU instruments. International Conference of Health Literacy and Health Promotion; Taipei/Taiwan 2014. Available in: https://www.bumc.bu.edu/healthliteracyconference/files/2014/06/Pelikan-et-al-HARC-2014-fin.pdf. Accessed on: 05 Feb. 2023.
PELIKAN JM, GANAHL K. Measuring health literacy in general populations: Primary findings from the HLS-EU Consortium’s health literacy assessment effort. Studies in Health Technology and Informatics, 2017; 240. 34-59.
PINO FA. A questão da não normalidade: Uma revisão. Revista de economia agrícola, 2014; 61(2): 17-33.
ROUQUETTE A, et al. Validity and measurement invariance across sex, age, and education level of the French short versions of the European Health Literacy Survey Questionnaire. PLoS One, 2018; 13(12): e0208091.
SCHINCKUS L, et al. When knowing is not enough: Emotional distress and depression reduce the positive effects of health literacy on diabetes self-management. Patient Education and Counseling, 2018; 101(2): 324-30.
SØRENSEN K, et al. HLS-EU Consortium. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health, 2015; 25(6): 1053-8.
SØRENSEN K, et al. Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health, 2013; 13: 1-10.
TAVOUSI M, et al. Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021. PLoS One 2022; 17(7): e0271524.
VANDENBOSCH J, et al. The impact of health literacy on diabetes self-management education. Health Education Journal, 2018; 77(3): 349-62.
VERMA JP, ABDEL-SALAM ASG. Testing statistical assumptions in research. 1st ed. New York: J. Willey. 2019; 224p.
WORLD HEALTH ORGANIZATION. The WHO special initiative for mental health (2019-2023): universal health coverage for mental health. World Health Organization. Available in: https://apps.who.int/iris/handle/10665/310981. Accessed on: 29 Mar. 2023.
WORLD HEALTH ORGANIZATION. Health promotion glossary of terms 2021. Geneva. Available in: https://www.who.int/publications/i/item/9789240038349. Accessed on: 29 Mar. 2023.
