부산대학교 도서관

Objective: To explore a multidimen­sional measure of health literacy that incorporates skills necessary to manage one's health environment. Methods: We designed a questionnaire to assess varia­tion in an expanded understanding of health literacy among publicly insured adolescents in California (N = 1208) re­garding their health care experiences and insurance. Results: Factor loading and item clustering patterns reflected in the exploratory principal components factor analysis suggest that the data are parsimoniously described by 6 domains. Conclusion: This multidimensional mea­sure becomes relevant in an era of health care reform in which many will for the first time have health insurance requir­ing them to navigate a system that uses a managed care model.