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Advancing Environmental Health Literacy: Validated Scales of General Environmental Health and Environmental Media-Specific Knowledge, Attitudes and Behaviors

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  • Maureen Y. Lichtveld

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Hannah H. Covert

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Mya Sherman

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Arti Shankar

    (Department of Biostatistics and Data Science, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Jeffrey K. Wickliffe

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Cecilia S. Alcala

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

Abstract

Environmental health literacy (EHL) involves understanding and using environmental information to make decisions about health. This study developed a validated survey instrument with four scales for assessing media-specific (i.e., air, food, water) and general EHL. The four scales were created as follows: 1) item generation: environmental health scientists and statisticians developed an initial set of items in three domains: knowledge, attitudes, and behaviors; 2) item review: items were reviewed for face validity; 3) validation: 174 public health students, the exploratory sample, and 98 community members, the test sample, validated the scales. The scales’ factor structure was based on exploratory factor analysis (EFA) and model fit was assessed through confirmatory factor analysis (CFA). For each scale, the final EFA resulted in an independent three-factor solution for knowledge, attitudes, and behaviors. Good fit for the three-factor structure was observed. Model fit for CFA was generally confirmed with fit indices. The scales showed internal consistency with Cronbach’s alpha from 0.63 to 0.70. The 42-item instrument represents an important contribution towards assessing EHL and is designed to enable meaningful engagement between researchers and community members about environmental health. The intended outcome is sustained community–academic partnerships benefiting research design, implementation, translation, dissemination, and community action.

Suggested Citation

  • Maureen Y. Lichtveld & Hannah H. Covert & Mya Sherman & Arti Shankar & Jeffrey K. Wickliffe & Cecilia S. Alcala, 2019. "Advancing Environmental Health Literacy: Validated Scales of General Environmental Health and Environmental Media-Specific Knowledge, Attitudes and Behaviors," IJERPH, MDPI, vol. 16(21), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:21:p:4157-:d:281134
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    References listed on IDEAS

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    1. Kathleen M. Gray, 2018. "From Content Knowledge to Community Change: A Review of Representations of Environmental Health Literacy," IJERPH, MDPI, vol. 15(3), pages 1-17, March.
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    Cited by:

    1. Meghan Matlack & Hannah Covert & Arti Shankar & Wilco Zijlmans & Firoz Abdoel Wahid & Ashna Hindori-Mohangoo & Maureen Lichtveld, 2023. "Development of a Pilot Literacy Scale to Assess Knowledge, Attitudes, and Behaviors towards Climate Change and Infectious Disease Dynamics in Suriname," IJERPH, MDPI, vol. 20(24), pages 1-14, December.
    2. Andrew R. Binder & Katlyn May & John Murphy & Anna Gross & Elise Carlsten, 2022. "Environmental Health Literacy as Knowing, Feeling, and Believing: Analyzing Linkages between Race, Ethnicity, and Socioeconomic Status and Willingness to Engage in Protective Behaviors against Health ," IJERPH, MDPI, vol. 19(5), pages 1-17, February.
    3. Kathleen M. Gray & Victoria Triana & Marti Lindsey & Benjamin Richmond & Anna Goodman Hoover & Chris Wiesen, 2021. "Knowledge and Beliefs Associated with Environmental Health Literacy: A Case Study Focused on Toxic Metals Contamination of Well Water," IJERPH, MDPI, vol. 18(17), pages 1-14, September.
    4. Yanfei Zhu & Yuli Wang & Ying Li & Xiaoxi Du & Qi Guo & Mo Chen & Yun Lin, 2022. "The Construction of Image Reference Points and Text Appeals Information Tailoring in Promoting Diners’ Public Environment Maintenance Behavior Intention," IJERPH, MDPI, vol. 19(21), pages 1-18, November.
    5. Brenda D. Koester & Stephanie Sloane & Elinor M. Fujimoto & Barbara H. Fiese & Leona Yi-Fan Su, 2021. "What Do Childcare Providers Know about Environmental Influences on Children’s Health? Implications for Environmental Health Literacy Efforts," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    6. Diana Rohlman & Molly L. Kile & Veronica L. Irvin, 2022. "Developing a Short Assessment of Environmental Health Literacy (SA-EHL)," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    7. Marta Salgado & Ana C. L. Vieira & Anália Torres & Mónica D. Oliveira, 2020. "Selecting Indicators to Monitor and Assess Environmental Health in a Portuguese Urban Setting: A Participatory Approach," IJERPH, MDPI, vol. 17(22), pages 1-16, November.

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