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Table 2 Descriptive results of the HLS19-Q12 instrument (N = 14,184)

From: Measuring General Health Literacy in Chinese adults: validation of the HLS19-Q12 instrument

Item number

Question: “On a scale from very easy to very difficult, how easy would you say it is…”

Mean (± SD) / n (%)

Percentages of “very difficult” or “difficult” responses (%)

1

to find out where to get professional help when you are ill? (e.g., doctor, pharmacist, psychologist)

1.7 (± 0.7)

9.0

2

to understand information about what to do in a medical emergency (e.g., fainting, coma, trauma)?

2.1 (± 0.7)

29.5

3

to judge the advantages and disadvantages of different treatment options (e.g., surgery, Western medicine, Chinese medicine)?

2.3 (± 0.8)

40.3

4

to act on advice from your doctor or pharmacist? (e.g., eat less fried food, exercise more)

1.7 (± 0.7)

9.5

5

to find information on how to handle mental health problems? (e.g., stress, depression, anxiety)

2.1 (± 0.8)

26.9

6

to understand information about recommended health screenings or examinations (e.g., colorectal cancer screening, blood sugar test)?

1.8 (± 0.7)

12.6

7

to judge if information on unhealthy habits, such as smoking, low physical activity or drinking too much alcohol, are reliable (e.g., smoking causes cancer)?

1.7 (± 0.7)

9.8

8

to decide how you can protect yourself from illness using information from the mass media? (e.g., Newspapers, TV, Internet)

1.9 (± 0.7)

16.1

9

to find information on healthy lifestyles such as physical exercise, healthy food or nutrition?

1.8 (± 0.7)

9.8

10

to understand advice concerning your health from family or friends (e.g., healthy diet, regular exercise)?

1.8 (± 0.6)

8.4

11

to judge how your housing conditions may affect your health and well-being (e.g., light, ventilation)?

1.8 (± 0.7)

12.7

12

to make decisions to improve your health and well-being?

1.8 (± 0.7)

10.6

Total

HLS - Q12 score (continuous)

81.6 (23.0)

-

HLS - Q12 score (categorical)*

  

 Excellent

2940 (20.7)

-

 Sufficient

5216 (36.8)

-

 Problematic

4958 (35.0)

-

 Inadequate

1070 (7.5)

-

  1. HLS, health literacy survey; SD, standard deviation. * (a) Excellent: “very easy” ≥ 50 and “very difficult” + “difficult” < 8.334, the number of answers with “very easy” should be above ½ and the answers for “very difficult” + “difficult” should be no more than 1/12; (b) Sufficient: “very easy” + “easy” > 83.33, at least 10 out of the 12 items should be answered with “very easy” or “easy” and not more than 2 out of 12 with “very difficult” or “difficult”; (c) Problematic: all respondents who were not in groups of “excellent”, “sufficient”, or “inadequate”; and (d) Inadequate: “very easy” < 8.334, “very difficult” and “difficult” ≥ 50, the number of answers with “very difficult” + “difficult” should be above ½ and for “very easy” should be no more than 1/12