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Findings Toward a Multidimensional Measure of Adolescent Health Literacy

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Abstract:

Objective: To explore a multidimensional measure of health literacy that incorporates skills necessary to manage one's health environment. Methods: We designed a questionnaire to assess variation in an expanded understanding of health literacy among publicly insured adolescents in California (N = 1208) regarding their health care experiences and insurance. Results: Factor loading and item clustering patterns reflected in the exploratory principal components factor analysis suggest that the data are parsimoniously described by 6 domains. Conclusion: This multidimensional measure becomes relevant in an era of health care reform in which many will for the first time have health insurance requiring them to navigate a system that uses a managed care model.

Keywords: ADOLESCENT HEALTH; HEALTH LITERACY; HEALTH PROMOTION; MANAGED CARE; MEASURE- MENT DEVELOPMENT; PREVENTIVE HEALTH

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.37.3.7

Affiliations: 1: Doctoral Candidate, Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA;, Email: pmassey@ucla.edu 2: Professor, Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA 3: Doctoral Student, Department of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA 4: Professor and Dean Emeritus, Department of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA 5: Project Manager, Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA 6: Quality Consultant, Health Education/Cultural and Linguistics Services, Health Net, Inc., Woodland Hills, CA 7: Director, Health Education/Cultural and Linguistics Services, Health Net, Inc., Woodland Hills, CA

Publication date: May 1, 2013

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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