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Developing and Validating the Health Literacy Scale for Migrant Workers: Instrument Development and Validation Study.

Soo Jin Kang1, Hye-Kyung Oh1, Hae-Ra Han2

  • 1Department of Nursing, Daegu University, Daegu, Republic of Korea.

JMIR Public Health and Surveillance
|November 13, 2024
PubMed
Summary

A new health literacy scale for migrant workers in South Korea (HLS-MW) was developed and validated. This reliable tool assesses health literacy in migrant populations, aiding in identifying those needing support.

Keywords:
Rasch modelhealth literacypsychometricsscale developmenttransients and migrantsvalidation study

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Area of Science:

  • Public Health
  • Health Communication
  • Sociomedical Sciences

Background:

  • Limited research exists on health literacy among migrant workers in South Korea.
  • Existing instruments lack validation and cultural diversity focus for this population.

Purpose of the Study:

  • To develop and validate a culturally relevant health literacy scale for unskilled migrant workers in South Korea.
  • To address the specific needs and challenges faced by migrant workers in understanding health information.

Main Methods:

  • Item generation through literature review and interviews with migrant workers.
  • Content validity testing by experts and psychometric testing on 334 unskilled migrant workers.
  • Analysis using exploratory factor analysis, Rasch analysis, and descriptive statistics.

Main Results:

  • The final 13-item Health Literacy Scale for Migrant Workers (HLS-MW) has two factors: prose and documents.
  • The HLS-MW demonstrated good internal reliability (KR-20=0.88) and test-retest reliability (r=0.74).
  • Health literacy scores significantly correlated with Korean language proficiency.

Conclusions:

  • The HLS-MW is a reliable and valid instrument for assessing health literacy in South Korea's migrant worker population.
  • Further research should validate the HLS-MW across diverse migrant groups and establish clinical cutoffs for support identification.