Figure 1

Figure 2

Figure 3

The number and percentage of the HL level based on the 3 level of learning
| Categories | Level of HL | Result | n (persons) | % of tota samples |
|---|---|---|---|---|
| Basic level | Poor | Persons having a low level of cognitive skill | 1,196 | 27.2 |
| Fair | Persons having a fair level of cognitive skill | 2,755 | 62.6 | |
| Good | Persons having a high level of cognitive skill | 450 | 10.2 | |
| Interactive Level | Poor | Person having a low level of social skills or interpersonal relations | 1,786 | 40.6 |
| Fair | Person having a middle level of social skills or interpersonal relations | 2,308 | 52.4 | |
| Good | Person having a high level of social skills or interpersonal relations | 307 | 7.0 | |
| Critical Level | Poor | Persons having a low level of cognitive skill—critical literacy | 465 | 10.5 |
| Fair | Persons having a middle level of cognitive skill—critical literacy | 2,932 | 66.6 |
The qualitative measurement of the ABCDE-HL scale
| Component No | Item No. | Full mark | Correlation coefficient (r) | Cronbach’s α | Factor loading |
|---|---|---|---|---|---|
| 1. Needed health knowledge and understanding | 10 | 10 | 0.43–0.77 | 0.61 (KR-20) | 0.39–0.67 |
| 2. Accessing information and services | 5 | 20 | 0.63–0.73 | 0.86 | 0.72–0.84 |
| 3. Communicating with professionals | 6 | 24 | 0.55–0.85 | 0.91 | 0.74–0.85 |
| 4. Managing their health condition | 5 | 20 | 0.69–0.75 | 0.89 | 0.71–0.79 |
| 5. Getting media and information literacy | 5 | 20 | 0.55–0.71 | 0.83 | 0.39–0.77 |
| 6. Making appropriate health decisions to good practice | 5 | 20 | 0.22–0.48 | 0.67 | 0.69–0.82 |
| 7. Participating in social health literacy | 5 | 20 | 0.60–0.80 | 0.87 | 0.68–0.86 |
| 8. Maintaining healthy behavior | 10 | 40 | 0.15–0.52 | 0.71 | 0.33–0.61 |
The standard classification separated by the score based on 3 levels of ABCDE-HL
| Component | Total score | Interpretation |
|---|---|---|
| Basic level | 0–14.9 points or <50% | Cognitive skills at middle level |
| Component 1 and 2 | 15–23.9 points or ≥50% – <80% | Cognitive skills at high level |
| (15 items, 30 points) | 24–30 points or ≥80% | Cognitive skills at low level |
| Interactive level | 0–14.9 points or <50% | Low level of social skills or interpersonal relations |
| Component 3 and 4 | 22–35.1 points or ≥50% – <80% | Middle level social skills or interpersonal relations |
| (11 items, 44 points) | 35.2–44 points or ≥80% | High level social skills or interpersonal relations |
| Critical level | 5–19.9 points or <50% | Low level cognitive skills—critical literacy |
| Component 5 and 6 | 20–31.9 points or ≥50% – <80% | Middle level cognitive skills—critical literacy |
| (10 items, 40 points) | 32–40 points or ≥80% | High level cognitive skills—critical literacy |