Masayoshi Matsumoto|Kazuhiro Nakayama
Development of the health literacy on social determinants of health questionnaire in Japanese adults
St. Luke's International University
health inequities increasing worldwide mounting evidence showing greatest cause social determinants health reduce inequities lot citizens need able access understand appraise apply information social determinants need improve health literacy social determinants health however limited number scales focus considerations hence developed health literacy social determinants health questionnaire hlsdhq examined psychometric propertieswe extracted domains social determinants health solid facts related articles operationalizing following ten domains social gradient early life social exclusion work unemployment social support social capital addiction food transport next developed scale items ten extracted domains based literature included four aspects health literacy ability access understand appraise apply social determinants healthrelated information items also evaluated ease response content validity selfadministered questionnaire consisted 33 items reliability construct validity verified among 831 japanese adults internet surveythe scale items high reliability cronbachs alpha 092 also adequate results obtained internal consistency informationprocessing dimensions cronbachs alpha values 082 091 084 092 accessing understanding appraising applying respectively goodness fit confirmatory factor analysis based four dimensions acceptable value comparative fit index 0901 root mean square error approximation 0058 furthermore bivariate relationship hlsdhq frequency participation citizens activities similar theoretical resultshlsdhq clarifies relationship ten domains social determinants health health domain able measure whether possible access understand appraise apply related information reliability validity scale adequate