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

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 α, 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 (χ2 (489) = 1475.054, p < .001, RMSEA = .06, CFI = .87, TLI = .85). The K-HL-SDHQ also demonstrated satisfactory internal consistency reliability (Cronbach’s α = .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.

Factors Associated with the Health Literacy on Social Determinants of Health: A Focus on Socioeconomic Position and Work Environment

“…There were no missing values such as “no response”, so we used the data obtained from all 660 participants for the final data analysis. The method has been described in more detail elsewhere [ 15 ] and the entire procedure was approved by the IRB (No. Y-2017-3357-004).…”

“…For both the instrument at the time of development and the translated instrument in Korean, the Cronbach-α was 0.92. The Korean version of HL-SDH (K-HL-SDH)’s reliability was appropriate and acceptable [ 15 ].…”

How narrative transportation in movies affects audiences’ positive word-of-mouth: The mediating role of emotion

“…Relationships between potential variables can be tested using the structural model. Part of construct validity, convergent validity measures the level of consistency between latent variables [77]. It is determined using item factor loadings, composite reliability (CR), and average variance extracted (AVE).…”