Development and Validation of A Scale Measuring Health Literacy for Breast and Cervical Cancer Prevention with Women’s Reproductive in Bangkok Metropolitan
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Abstract
Objective: The purposes of this study were to develop and validate a Thai-version scale measuring of health literacy for breast cancer and cervical cancer prevention (HLM-BCC). Applying the health literacy by Sorensen’s framework that covered validated and reliability.
Methods: The samples were 592 Women’s Reproductive living in Bangkok Metropolitan using cluster random sampling such as suburb, urban fringe, and inner city. The HLM-BCC was examined for content validity by five experts, then it was tried out for reliability with Cronbach’s alpha. The HLM-BCC was examined by descriptive statistics, Pearson’s correlation coefficient, and confirmatory factor analysis.
Results: The results showed that the most participants aged average 43.24 years old, 56.10% of the participants has been breast self-examination and 37.20% of the participants has been cervical cancer screening. The mean of total health literacy was 4.27. The final version of the HLQFSC had 15 items, with the Cronbach’s alpha coefficient of 0.905. The confirmatory factor analysis showed that the fit statistics on fit indices were acceptable: χ2= 266.37, df = 79, CFI = 0.98, GFI = 0.94, TLI = 0.98, RMSEA = 0.062, and the 4-factors model was confirmed as well: 1) Assess health information 2) Understand health information 3) Appraise health information, and 4) Apply health information.
Conclusion: The Thai-version of the HLM-BCC has a good psychometric property. It can use for screening health literacy for breast and cervical cancer prevention with women’s reproductive.
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