Health literacy in Taiwan: A population-based study

Van Tuyen Duong, I. Feng Lin, Kristine Sorensen, Jürgen M. Pelikan, Stephan Van Den Broucke, Ying Chin Lin, Peter Wushou Chang

Research output: Contribution to journalArticlepeer-review

89 Citations (Scopus)


Data on health literacy (HL) in the population is limited for Asian countries. This study aimed to test the validity of the Mandarin version of the European Health Literacy Survey Questionnaire (HLS-EU-Q) for use in the general public in Taiwan. Multistage stratification random sampling resulted in a sample of 2989 people aged 15 years and above. The HLS-EU-Q was validated by confirmatory factor analysis with excellent model data fit indices. The general HL of the Taiwanese population was 34.4 ± 6.6 on a scale of 50. Multivariate regression analysis showed that higher general HL is significantly associated with the higher ability to pay for medication, higher self-perceived social status, higher frequency of watching health-related TV, and community involvement but associated with younger age. HL is also associated with health status, health behaviors, and health care accessibility and use. The HLS-EU-Q was found to be a useful tool to assess HL and its associated factors in the general population.

Original languageEnglish
Pages (from-to)871-880
Number of pages10
JournalAsia-Pacific Journal of Public Health
Issue number8
Publication statusPublished - Nov 1 2015


  • age
  • health literacy
  • health-related TV
  • HLS-EU-Qs
  • Taiwan

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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