作者：
周安國(本院健管所博士生)、Chun-Hua Liao、陳端容(本所教師及通訊作者)
期刊名稱：BMC Public Health
發表日期：2023.12.04
發表文章：
摘要/Abstract
這篇論文《台灣青少年健康識能評估量表的驗證》旨在驗證青少年健康識能評估量表（HAS-A）中文版的信效度。研究對象包括2312名台灣五、六年級學生。研究結果確認量表具有良好信效度。青少年健康識能包括區辨健康資訊和功能性健康識能，溝通性健康識能。家庭社經地位和收入較低的青少年，在溝通性健康識能（代表與醫師溝通的能力）表現更不理想，顯示一定程度的健康不平等。相較其他國家，台灣青少年在溝通性健康識能方面表現較差，但區辨健康資訊的健康識能則表現較佳。本研究為青少年健康識能的評估提供了一個可靠的工具。
Background
This study aimed to validate the Chinese version of the Health Literacy Assessment Scale for Adolescents (HAS-A) and conduct a comparative analysis of adolescent health literacy between Taiwan and other countries.
Methods
The Chinese version of the HAS-A was completed by 2,312 adolescents in the fifth and sixth grades of a primary school. Psychometric properties were examined using consistent internal reliability and confirmatory factor analysis. These assessments were compared with the results from different regions to explore health literacy inequality.
Results
Construct validity was good, and internal consistency was acceptable. The scale, particularly regarding communication health literacy, was associated with parents’ socioeconomic status, and family income had a more significant impact on children’s health literacy than community income. Health literacy disparities appear in different countries, with Taiwan exhibiting the lowest level of communication health literacy.
Conclusion
The results indicate that the HAS-A is a valuable tool for assessing the health literacy of 10–11-year-old adolescents and can uncover health literacy inequality among different regions.
