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Development of a Health Literacy Assessment Scale for Asian Immigrant Women in South Korea
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Ji Sook An, Sook Ja Yang
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J Korean Acad Community Health Nurs. 2015;26(4):330-341. Published online December 31, 2015
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DOI: https://doi.org/10.12799/jkachn.2015.26.4.330
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This study developed a self-report measure for easy assessing of the health literacy of Asian immigrant women in South Korea. METHODS After a literature review, focus group interviews, and content validity evaluation, 14 preliminary items were generated. These were translated into Chinese, Vietnamese, and English. Data were collected from 229 Asian immigrant women. Validity and reliability tests were conducted. RESULTS Factor analysis yielded final 10 items in three factors: primary functional and interactive health literacy, secondary functional and interactive health literacy, and critical health literacy, which explained 61.90% of the total variance of health literacy. In known-group comparisons, health literacy was significantly lower in recent immigrants, those with a low education level, and those with low Korean language proficiency. For convergent validity, health literacy was positively associated with health specific self-efficacy and maternal health knowledge. For criterion-related validity, health literacy was positively associated with the REALM-SF. The overall reliability coefficient (Cronbach's alpha) of the instrument was .773. CONCLUSION The Health Literacy Assessment Scale for Asian Immigrant Women (HLAS) represents a multidimensional construct which encompasses functional, interactive, and critical health literacy. This self-report HLAS can be a useful and convenient method for appraising the health literacy of Asian immigrant women.
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Citations
Citations to this article as recorded by 
- Definitions and measurement of health literacy in health and medicine research: a systematic review
Kristin Hjorthaug Urstad, Marit Helen Andersen, Marie Hamilton Larsen, Christine Råheim Borge, Sølvi Helseth, Astrid Klopstad Wahl BMJ Open.2022; 12(2): e056294. CrossRef - Health literacy measures in South Korea: A scoping review
Heeran Chun, Su Hyun Kim, Eunja Park Korean Journal of Health Education and Promotion.2022; 39(4): 39. CrossRef - A Study on the Reliability and Validity of the Korean Health Literacy Instrument for Late School-Aged Children
Sook-Kyoung Park, Eun-Gyeong Kim International Journal of Environmental Research and Public Health.2021; 18(19): 10304. CrossRef - Trends and Level in Health Literacy Research on Immigrants in Korea: A Literature Review
Soo Jin Kang, Na Kyum Hyung Journal of Korean Academy of Community Health Nursing.2020; 31(3): 322. CrossRef - Associations of health belief and health literacy with Pap smear practice among Asian immigrant women
Yong-Sook Eo, Ji-Soo Kim European Journal of Oncology Nursing.2019; 42: 63. CrossRef - Concept Analysis of Health Literacy for Patients with Cardiovascular Disease using Hybrid Model
Jeong Eun Sim, Seon Young Hwang Journal of Korean Academy of Community Health Nursing.2019; 30(4): 494. CrossRef
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Factors related with Health Literacy in Asian Immigrant Women in Korea
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Ji Sook An, Hye Ryun Kim, Sook Ja Yang
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J Korean Acad Community Health Nurs. 2013;24(4):377-387. Published online December 31, 2013
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DOI: https://doi.org/10.12799/jkachn.2013.24.4.377
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137
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1
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8
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Abstract
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- PURPOSE
The purpose of this study is to identify health literacy levels of Asian immigrant women in Korea and factors related with health literacy in them among other sociodemographic characteristics. METHODS Data were drawn from 671 immigrant women who came from China, Vietnam, the Philippines, and other Asian countries (M age=28.1+/-5.89) using REALM-R, which consisted of 8 medical words and was translated into Korean (score range: 0~8). Data were analyzed using SPSS/WIN 20.0 program for descriptive statistics, t-test, ANOVA, Scheffe test and multiple regression. RESULTS The average score of health literacy was 5.0+/-2.61. Time since immigration, country of origin, education level, and Korean language proficiency significantly predicted levels of health literacy in Asian immigrant women (adjusted R square=.200, p<.001). CONCLUSION When health care professionals provide health care services and health education, they should consider levels of health literacy and factors related with health literacy in Asian immigrant women.
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Citations
Citations to this article as recorded by 
- Influence of Perceived Health Status, Perceived Barrier, Cultural Acculturation on Empowerment in Married Migrant Women
Yong-Sook EO, Yeon Hee LEE JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(5): 1308. CrossRef - Health literacy among Saudi population: a cross-sectional study
Mohamed M M Abdel-Latif, Sherif Y Saad Health Promotion International.2019; 34(1): 60. CrossRef - Associations of health belief and health literacy with Pap smear practice among Asian immigrant women
Yong-Sook Eo, Ji-Soo Kim European Journal of Oncology Nursing.2019; 42: 63. CrossRef - Effectiveness of Psychosocial and Educational Prenatal and Postnatal Care Interventions for Married Immigrant Women in Korea: Systematic Review and Meta-analysis
Sun Kyung Kim, Seyeon Park, Sukhee Ahn Asia Pacific Journal of Public Health.2017; 29(5): 351. CrossRef - Analysis of Validity and Reliability of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI)
Sook Ja Yang, Yeon Kyung Chee, Jisook An, Min Hee Park, Sunok Jung Asia Pacific Journal of Public Health.2016; 28(4): 368. CrossRef - Evidence-based health literacy improvements: trends on health literacy studies in Korea
Soo Jin Kang, Mi Sook Lee Korean Journal of Health Education and Promotion.2015; 32(4): 93. CrossRef - Health Literacy and Its Associated Factors in Korean-Chinese and Other Asian Immigrant Women in Korea
Sook Ja Yang, Yeon Kyung Chee, Jisook An, Min Hee Park, Sunok Jung Journal of Korean Public Health Nursing.2014; 28(2): 211. CrossRef - A Study on Health Education Needs of the Multicultural Family as Perceived by Visiting Nurses
Young Sil Kang, Eunyoung Hong Journal of Korean Public Health Nursing.2014; 28(3): 445. CrossRef
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