Validity and Reliability of the Parental Health Literacy Questionnaire for Caregivers of Children Aged 0 to 3 Years in China

Anxin Yin, Guannan Bai, Hong Jiang (), Xia Xiao, Xinwen Zhang, Huaiting Gu, Min Zheng and Mu Li
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Anxin Yin: School of Public Health, Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China
Guannan Bai: Department of Child Health Care, The Children’s Hospital, and National Clinical Research Center for Child Health, Zhejiang University School of Medicine, Hangzhou 310052, China
Hong Jiang: School of Public Health, Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China
Xia Xiao: School of Public Health, Kunming Medical University, Kunming 650500, China
Xinwen Zhang: Xi’an People’s Hospital, Xi’an 710004, China
Huaiting Gu: School of Public Health, Jining Medical University, Jining 272067, China
Min Zheng: Yunnan Maternal and Child Health Care Hospital, Kunming 650051, China
Mu Li: School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia

IJERPH, 2022, vol. 19, issue 23, 1-12

Abstract: Caregivers’ health literacy plays a vital role in the quality of parenting and significantly impacts children’s physical and psychological health. However, the instruments to assess the health literacy of caregivers of children aged 0 to 3 years are lacking. This study aimed to evaluate the reliability and validity of the Chinese Parental Health Literacy Questionnaire (CPHLQ) in China. We conducted a cross-sectional study. Six hundred and thirty-four caregivers of children aged 0 to 3 years were recruited from Shandong, Yunnan, and Shaanxi Provinces, representing the eastern, central, and western regions of China, between November 2020 and January 2021. The reliability was evaluated by internal consistency reliability and split-half reliability. The construct validity was determined by confirmatory factor analysis. Social determinants of parental health literacy were assessed by multivariate linear regression model. Results showed that CPHLQ had satisfactory reliability and acceptable construct validity. Mothers compared to other types of caregivers, higher education levels, and nuclear or extended families compared to other family compositions were significantly associated with higher parental health literacy. The study further demonstrated that CPHLQ is a reliable and valid instrument to measure the health literacy of caregivers of children aged 0 to 3 years in the Chinese population. It can be used as an evaluation tool for intervention research, to inform policy-making and future health education interventions of improving caregivers’ health literacy.

Keywords: early childhood; caregivers; health literacy; anticipatory guidance; reliability; validity; physical health; psychological health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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