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Gaceta Sanitaria

Print version ISSN 0213-9111


NOLASCO, Andreu et al. Health literacy: psychometric behaviour of the HLS-EU-Q16 questionnaire. Gac Sanit [online]. 2020, vol.34, n.4, pp.399-402.  Epub Feb 15, 2021. ISSN 0213-9111.


To describe the psychometric properties and the level of understanding of the health literacy questionnaire HLS-EU-Q16 in Spanish, implemented in the Health Survey of the Valencian Region (Spain) of 2016.


Descriptive cross-sectional study to describe understanding, reliability, structure and internal consistency of the questionnaire on a sample of 5485 subjects, aged 15 or over, who participated in the survey.


The percentages of understanding without much difficulty were high. Reliability was high (intraclass correlation coefficient:.923; kappa:.814). The factorial analysis suggested a unifactorial structure (79.1% of variability explained by the common factor), with high factorial loads. The consistency was high (Cronbach's alpha: 0.982).


The HLS-EU-Q16 in Spanish is a short, adequate and valid instrument to measure the level of health literacy in the population.

Keywords : Health literacy; Sanitary surveys; Validity of tests; Health status indicators; Spain.

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