Concordância entre dois instrumentos para avaliação do letramento em saúde

Luana Resende  Cangussú; Eduardo Antonio Sartori  Alho; Felipe Esdras Lucas  Cardoso; Adirlene Pontes de Oliveira  Tenório; Romero Henrique de Almeida  Barbosa; Johnnatas Mikael  Lopes; Matheus Rodrigues  Lopes

doi:10.1590/s1679-49742021000200004

##article.authors##

Luana Resende Cangussú Universidade Federal do Vale do São Francisco
Eduardo Antonio Sartori Alho Universidade Federal do Vale do São Francisco https://orcid.org/0000-0001-7146-7298
Felipe Esdras Lucas Cardoso Universidade Federal do Vale do São Francisco https://orcid.org/0000-0001-9445-2996
Adirlene Pontes de Oliveira Tenório Universidade Federal do Vale do São Francisco
Romero Henrique de Almeida Barbosa Universidade Federal do Vale do São Francisco https://orcid.org/0000-0001-6386-8550
Johnnatas Mikael Lopes Universidade Federal do Vale do São Francisco https://orcid.org/0000-0002-9679-5287
Matheus Rodrigues Lopes Universidade Federal do Vale do São Francisco https://orcid.org/0000-0002-3719-4131

DOI:

https://doi.org/10.1590/s1679-49742021000200004

Keywords:

Health literacy, Public health, Reproducibility of Tests, Self Care, Noncommunicable Diseases, Health Education

Abstract

Objective: To determine the agreement between short test of functional health literacy in adults (S-TOFHLA) and short assessment of health literacy for Portuguese-speaking adults (SAHLPA-18) measurement instruments as a strategy to estimate concurrent validity. Methods: Cross-sectional study conducted with users of the Unified Health System. To test concurrent validity, an agreement approach with a weighted Kappa test for qualitative data was applied. Results: 372 individuals participated. It was found that 66% and 62% of these did not have an adequate level of literacy through SAHLPA-18 and S-TOFHLA, respectively. There was a strong correlation between the instruments (p<0.001; r=0.60), however 65.3% agreement, considered weak (Kappa=0.35; p<0.001). Conclusion: SAHLPA-18 and S-TOFHLA instruments have different constructs and poor agreement. The use of different instruments is indicated in research to measure the level of literacy and the development of instruments specific to health conditions that allow obtaining results close to the real context of individuals.