Health literacy in Peru: Transcultural adaptation and validation of a brief instrument adapted from HLS-EU-Q47
OBJECTIVE: To analyze the psychometric properties of the abbreviated version of HLS-EU-Q47 in the Peruvian population. DESIGN: Cross-sectional analytical design. SETTING: Two capital cities in the northern region of Peru. PARTICIPANTS: 1196 male and female residents aged 18-59. INTERVENTIONS: The tr...
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| Formato: | Artículo |
| Lenguaje: | español |
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2026
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| author | William De Borba Willy Jhon Medina Bacalla Angel J. Campos Adanaque Jhonel G. Salazar Alvarado Salomón Huancahuire‐Vega |
| author_browse | Angel J. Campos Adanaque Jhonel G. Salazar Alvarado Salomón Huancahuire‐Vega William De Borba Willy Jhon Medina Bacalla |
| author_facet | William De Borba Willy Jhon Medina Bacalla Angel J. Campos Adanaque Jhonel G. Salazar Alvarado Salomón Huancahuire‐Vega |
| author_sort | William De Borba |
| collection | Producción científica |
| description | OBJECTIVE: To analyze the psychometric properties of the abbreviated version of HLS-EU-Q47 in the Peruvian population. DESIGN: Cross-sectional analytical design. SETTING: Two capital cities in the northern region of Peru. PARTICIPANTS: 1196 male and female residents aged 18-59. INTERVENTIONS: The translation and back-translation processes into the local language of the instrument under study were carried out. It was subsequently tested with a focus group, after which the final version was finalized. MAIN OUTCOME: Both exploratory and confirmatory construct validation of an abbreviated version of the HLS-EU-Q47 were conducted. RESULTS: The abbreviated version showed adequate internal consistency (McDonald's Omega) and a well-defined three-factor structure. Exploratory factor analysis yielded 12 items grouped into functional literacy, critical literacy, and health promotion/action, explaining 68% of the total variance, with strong factor loadings (0.58-0.95) and adequate communalities (0.58-0.82). Confirmatory factor analysis supported the three-factor correlated model showing adequate goodness-of-fit indices and confirming the structural validity of the instrument (Comparative Fit Index, CFI=0.970; Tucker-Lewis Index, TLI=0.961; Standardized Root Mean Square Residual, SRMR=0.056); although Root Mean Square Error of Approximation, RMSEA was elevated (0.096), consistent with parsimonious models. Additionally, factorial invariance across sex and age groups was confirmed (ΔCFI≤0.001; ΔRMSEA≤0.006), supporting the stability and comparability of the instrument. CONCLUSION: The short version of 12 items of the HLS-EU is a valid and reliable tool for the Peruvian population and is theoretically more powerful for integrating the functional and critical levels of health literacy. |
| format | Article |
| id | openalex:W7167054865 |
| institution | UPeU |
| language | Spanish |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| record_format | dspace |
| spelling | openalex:W7167054865Health literacy in Peru: Transcultural adaptation and validation of a brief instrument adapted from HLS-EU-Q47William De BorbaWilly Jhon Medina BacallaAngel J. Campos AdanaqueJhonel G. Salazar AlvaradoSalomón Huancahuire‐Vegahealth literacyHLS-EU-Q47cross-cultural adaptationpsychometric validationshort-form questionnairefunctional literacycritical literacyfactor structuremeasurement invariancePeruHealth Literacy and Information AccessibilityHealth Education and ValidationPsychometric Methodologies and TestingOBJECTIVE: To analyze the psychometric properties of the abbreviated version of HLS-EU-Q47 in the Peruvian population. DESIGN: Cross-sectional analytical design. SETTING: Two capital cities in the northern region of Peru. PARTICIPANTS: 1196 male and female residents aged 18-59. INTERVENTIONS: The translation and back-translation processes into the local language of the instrument under study were carried out. It was subsequently tested with a focus group, after which the final version was finalized. MAIN OUTCOME: Both exploratory and confirmatory construct validation of an abbreviated version of the HLS-EU-Q47 were conducted. RESULTS: The abbreviated version showed adequate internal consistency (McDonald's Omega) and a well-defined three-factor structure. Exploratory factor analysis yielded 12 items grouped into functional literacy, critical literacy, and health promotion/action, explaining 68% of the total variance, with strong factor loadings (0.58-0.95) and adequate communalities (0.58-0.82). Confirmatory factor analysis supported the three-factor correlated model showing adequate goodness-of-fit indices and confirming the structural validity of the instrument (Comparative Fit Index, CFI=0.970; Tucker-Lewis Index, TLI=0.961; Standardized Root Mean Square Residual, SRMR=0.056); although Root Mean Square Error of Approximation, RMSEA was elevated (0.096), consistent with parsimonious models. Additionally, factorial invariance across sex and age groups was confirmed (ΔCFI≤0.001; ΔRMSEA≤0.006), supporting the stability and comparability of the instrument. CONCLUSION: The short version of 12 items of the HLS-EU is a valid and reliable tool for the Peruvian population and is theoretically more powerful for integrating the functional and critical levels of health literacy.Articlehttps://doi.org/10.1016/j.aprim.2026.103568W7167054865esAtención Primaria0212-65671578-12751885-85702026-07-02 |
| spellingShingle | health literacy HLS-EU-Q47 cross-cultural adaptation psychometric validation short-form questionnaire functional literacy critical literacy factor structure measurement invariance Peru Health Literacy and Information Accessibility Health Education and Validation Psychometric Methodologies and Testing William De Borba Willy Jhon Medina Bacalla Angel J. Campos Adanaque Jhonel G. Salazar Alvarado Salomón Huancahuire‐Vega Health literacy in Peru: Transcultural adaptation and validation of a brief instrument adapted from HLS-EU-Q47 |
| title | Health literacy in Peru: Transcultural adaptation and validation of a brief instrument adapted from HLS-EU-Q47 |
| title_full | Health literacy in Peru: Transcultural adaptation and validation of a brief instrument adapted from HLS-EU-Q47 |
| title_fullStr | Health literacy in Peru: Transcultural adaptation and validation of a brief instrument adapted from HLS-EU-Q47 |
| title_full_unstemmed | Health literacy in Peru: Transcultural adaptation and validation of a brief instrument adapted from HLS-EU-Q47 |
| title_short | Health literacy in Peru: Transcultural adaptation and validation of a brief instrument adapted from HLS-EU-Q47 |
| title_sort | health literacy in peru transcultural adaptation and validation of a brief instrument adapted from hls eu q47 |
| topic | health literacy HLS-EU-Q47 cross-cultural adaptation psychometric validation short-form questionnaire functional literacy critical literacy factor structure measurement invariance Peru Health Literacy and Information Accessibility Health Education and Validation Psychometric Methodologies and Testing |
| topic_facet | health literacy HLS-EU-Q47 cross-cultural adaptation psychometric validation short-form questionnaire functional literacy critical literacy factor structure measurement invariance Peru Health Literacy and Information Accessibility Health Education and Validation Psychometric Methodologies and Testing |
| url | https://doi.org/10.1016/j.aprim.2026.103568 |
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