Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HLSDHQ)

Mikyeong Cho; Hyeonkyeong Lee; Young Me Lee; Ja Yin Lee; Haeyoung Min; Youlim Kim; Sookyung Kim

doi:10.1371/journal.pone.0224557

Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HLSDHQ)

Mikyeong Cho, Hyeonkyeong Lee, Young Me Lee, Ja Yin Lee, Haeyoung Min, Youlim Kim, Sookyung Kim

Nursing

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

The association between the social determinant of health (SDH) and sustainable development goals, has directed attention toward the influence of SDH. However, there is a lack of evidence regarding the instruments used to assess SDH. Thus, this study was conducted to assess the validity and reliability of the Korean Version of the Health Literacy on Social Determinants of Health Questionnaire (K-HL-SDHQ). A total of 660 workers in Korea participated in an online survey. The K-HL-SDHQ measures four dimensions (Access, Understand, Appraise, and Apply) with 33 items. The HL-SDHQ was translated into Korean using the forward-back translation method. To test the validity and reliability of the Korean translated HL-SDHQ, item analysis for the 33 items was conducted. Internal consistency was examined using Cronbach's a, an exploratory factor analysis, and a confirmatory factor analysis. The scale-level content validity index (S-CVI)/universal agreement of this study was .12 and S-CVI/average was .83 (item-CVI range = .50-1.00). The goodness of fit determined through a confirmatory factor analysis of the four dimensions was acceptable (X² (489) = 1475.054, p < .001, RMSEA = .06, CFI = .87, TLI = .85). The K-HL-SDHQ also demonstrated satisfactory internal consistency reliability (Cronbach's a = .92). The findings indicate that the K-HL-SDHQ is a valid and reliable tool that can be used to assess the SDH of workers in Korea. It is suggested that this tool can be applied through repeated research with workers and non-workers for health promotion, and to enhance researchers' understanding of the different levels of the HL-SDHQ.

Original language	English
Article number	e0224557
Journal	PloS one
Volume	14
Issue number	11
DOIs	https://doi.org/10.1371/journal.pone.0224557
Publication status	Published - 2019 Nov 1

Bibliographical note

Funding Information:
The authors who received each award are HL. Faculty Research Grant from the Mo-Im Kim Nursing Research Institute of the College of Nursing at Yonsei University (No.6-2017-0200). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Publisher Copyright:
© 2019 Cho et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

All Science Journal Classification (ASJC) codes

General

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1371/journal.pone.0224557

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title = "Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HLSDHQ)",

abstract = "The association between the social determinant of health (SDH) and sustainable development goals, has directed attention toward the influence of SDH. However, there is a lack of evidence regarding the instruments used to assess SDH. Thus, this study was conducted to assess the validity and reliability of the Korean Version of the Health Literacy on Social Determinants of Health Questionnaire (K-HL-SDHQ). A total of 660 workers in Korea participated in an online survey. The K-HL-SDHQ measures four dimensions (Access, Understand, Appraise, and Apply) with 33 items. The HL-SDHQ was translated into Korean using the forward-back translation method. To test the validity and reliability of the Korean translated HL-SDHQ, item analysis for the 33 items was conducted. Internal consistency was examined using Cronbach's a, an exploratory factor analysis, and a confirmatory factor analysis. The scale-level content validity index (S-CVI)/universal agreement of this study was .12 and S-CVI/average was .83 (item-CVI range = .50-1.00). The goodness of fit determined through a confirmatory factor analysis of the four dimensions was acceptable (X2 (489) = 1475.054, p < .001, RMSEA = .06, CFI = .87, TLI = .85). The K-HL-SDHQ also demonstrated satisfactory internal consistency reliability (Cronbach's a = .92). The findings indicate that the K-HL-SDHQ is a valid and reliable tool that can be used to assess the SDH of workers in Korea. It is suggested that this tool can be applied through repeated research with workers and non-workers for health promotion, and to enhance researchers' understanding of the different levels of the HL-SDHQ.",

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Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HLSDHQ)

Abstract

Bibliographical note

All Science Journal Classification (ASJC) codes

UN SDGs

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