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

Research output: Contribution to journalArticle

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 languageEnglish
Article numbere0224557
JournalPloS one
Volume14
Issue number11
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Social Determinants of Health
Health Literacy
literacy
Psychometrics
questionnaires
Health
Korean Peninsula
Statistical Factor Analysis
health promotion
health care workers
Korea
sustainable development
Factor analysis
Reproducibility of Results
researchers
Surveys and Questionnaires
Conservation of Natural Resources
Health Promotion
factor analysis
testing

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)
  • General

Cite this

Cho, Mikyeong ; Lee, Hyeonkyeong ; Lee, Young Me ; Lee, Ja Yin ; Min, Haeyoung ; Kim, Youlim ; Kim, Sookyung. / Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HLSDHQ). In: PloS one. 2019 ; Vol. 14, No. 11.
@article{92a2da013a7348a693a679cd556b1fc5,
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.",
author = "Mikyeong Cho and Hyeonkyeong Lee and Lee, {Young Me} and Lee, {Ja Yin} and Haeyoung Min and Youlim Kim and Sookyung Kim",
year = "2019",
month = "1",
day = "1",
doi = "10.1371/journal.pone.0224557",
language = "English",
volume = "14",
journal = "PLoS One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "11",

}

Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HLSDHQ). / Cho, Mikyeong; Lee, Hyeonkyeong; Lee, Young Me; Lee, Ja Yin; Min, Haeyoung; Kim, Youlim; Kim, Sookyung.

In: PloS one, Vol. 14, No. 11, e0224557, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HLSDHQ)

AU - Cho, Mikyeong

AU - Lee, Hyeonkyeong

AU - Lee, Young Me

AU - Lee, Ja Yin

AU - Min, Haeyoung

AU - Kim, Youlim

AU - Kim, Sookyung

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85075213383&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85075213383&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0224557

DO - 10.1371/journal.pone.0224557

M3 - Article

C2 - 31738802

AN - SCOPUS:85075213383

VL - 14

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 11

M1 - e0224557

ER -