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Measuring Maternal Health Literacy in Adolescents Attending Antenatal Care in Uganda: Exploring the Dimensionality of the Health Literacy Concept Studying a Composite Scale

Guttersrud, Øystein; Naigiga, Desire Alice Sandra Mpolampola; Pettersen, Kjell Sverre
Journal article, Peer reviewed
The final publication is available at springer via http://dx.doi.org/10.1891/1061-3749.23.2. e50
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Embargo 2016-08 (440.1Kb)
URI
https://hdl.handle.net/10642/3243
Date
2015-08-01
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  • HV - Institutt for sykepleie og helsefremmende arbeid [1576]
Original version
Guttersrud, Ø., Naigaga, D.A.S.M. & Pettersen, K.S. (2015). Journal of Nursing Measurement, 23(2), 50E-66E(17)   http://dx.doi.org/10.1891/1061-3749.23.2.E50
Abstract
Background and Purpose: The purpose of this article is to test the requirement of “local independence” in the newly developed “Maternal Health Literacy” (MaHeLi) composite scale measuring health literacy in pregnant adolescents attending antenatal care. Methods: The 20-item scale was administered to 384 adolescents aged 15–19 years attending antenatal care in Uganda during the period July–December 2013. Rasch analysis was conducted using RUMM2030. Results: Differential item functioning was observed for 3 items. One item had disordered response categories. One subscale brought substantial multidimensionality into the MaHeLi scale. Conclusions: Results support the use of a 12-item version of the MaHeLi scale. The article shows how Rasch analyses help us to identify violations of local independence in scales.
Publisher
Springer
Series
Journal of Nursing Measurement;23(2)

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