PMID- 25315595
OWN - NLM
STAT- MEDLINE
DCOM- 20150709
LR  - 20240321
IS  - 1087-0415 (Electronic)
IS  - 1081-0730 (Print)
IS  - 1081-0730 (Linking)
VI  - 19 Suppl 2
IP  - sup2
DP  - 2014
TI  - Development of the Health Insurance Literacy Measure (HILM): conceptualizing and 
      measuring consumer ability to choose and use private health insurance.
PG  - 225-39
LID - 10.1080/10810730.2014.936568 [doi]
AB  - Understanding health insurance is central to affording and accessing health care 
      in the United States. Efforts to support consumers in making wise purchasing 
      decisions and using health insurance to their advantage would benefit from the 
      development of a valid and reliable measure to assess health insurance literacy. 
      This article reports on the development of the Health Insurance Literacy Measure 
      (HILM), a self-assessment measure of consumers' ability to select and use private 
      health insurance. The authors developed a conceptual model of health insurance 
      literacy based on formative research and stakeholder guidance. Survey items were 
      drafted using the conceptual model as a guide then tested in two rounds of 
      cognitive interviews. After a field test with 828 respondents, exploratory factor 
      analysis revealed two HILM scales, choosing health insurance and using health 
      insurance, each of which is divided into a confidence subscale and likelihood of 
      behavior subscale. Correlations between the HILM scales and an objective measure 
      of health insurance knowledge and skills were positive and statistically 
      significant which supports the validity of the measure.
FAU - Paez, Kathryn A
AU  - Paez KA
AD  - a American Institutes for Research, Health and Social Development Program , 
      Rockville , Maryland , USA.
FAU - Mallery, Coretta J
AU  - Mallery CJ
FAU - Noel, HarmoniJoie
AU  - Noel H
FAU - Pugliese, Christopher
AU  - Pugliese C
FAU - McSorley, Veronica E
AU  - McSorley VE
FAU - Lucado, Jennifer L
AU  - Lucado JL
FAU - Ganachari, Deepa
AU  - Ganachari D
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Health Commun
JT  - Journal of health communication
JID - 9604100
MH  - Adult
MH  - Choice Behavior
MH  - *Educational Measurement
MH  - Female
MH  - Health Literacy/*statistics & numerical data
MH  - Humans
MH  - *Insurance, Health
MH  - Male
MH  - Private Sector/statistics & numerical data
MH  - Reproducibility of Results
MH  - United States
PMC - PMC4200586
EDAT- 2014/10/16 06:00
MHDA- 2015/07/15 06:00
CRDT- 2014/10/16 06:00
PHST- 2014/10/16 06:00 [entrez]
PHST- 2014/10/16 06:00 [pubmed]
PHST- 2015/07/15 06:00 [medline]
AID - 936568 [pii]
AID - 10.1080/10810730.2014.936568 [doi]
PST - ppublish
SO  - J Health Commun. 2014;19 Suppl 2(sup2):225-39. doi: 10.1080/10810730.2014.936568.