title: Findings toward a multidimensional measure of adolescent health literacy.
abstract: 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA. pmassey@ucla.edu
authors.forename: Philip
authors.initials: P
authors.lastname: Massey
authors.forename: Michael
authors.initials: M
authors.lastname: Prelip
authors.forename: Brian
authors.initials: B
authors.lastname: Calimlim
authors.forename: Abdelmonem
authors.initials: A
authors.lastname: Afifi
authors.forename: Elaine
authors.initials: E
authors.lastname: Quiter
authors.forename: Sharon
authors.initials: S
authors.lastname: Nessim
authors.forename: Nancy
authors.initials: N
authors.lastname: Wongvipat-Kalev
authors.forename: Deborah
authors.initials: D
authors.lastname: Glik
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health; D008297:Male; D011795:Surveys and Questionnaires