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

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          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 (χ 2 (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.

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          Mental health literacy. Public knowledge and beliefs about mental disorders.

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          Although the benefits of public knowledge of physical diseases are widely accepted, knowledge about mental disorders (mental health literacy) has been comparatively neglected. To introduce the concept of mental health literacy to a wider audience, to bring together diverse research relevant to the topic and to identify gaps in the area. A narrative review within a conceptual framework. Many members of the public cannot recognise specific disorders or different types of psychological distress. They differ from mental health experts in their beliefs about the causes of mental disorders and the most effective treatments. Attitudes which hinder recognition and appropriate help-seeking are common. Much of the mental health information most readily available to the public is misleading. However, there is some evidence that mental health literacy can be improved. If the public's mental health literacy is not improved, this may hinder public acceptance of evidence-based mental health care. Also, many people with common mental disorders may be denied effective self-help and may not receive appropriate support from others in the community.
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            Dynamic factor analysis to estimate common trends in fisheries time series

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                Author and article information

                Contributors
                Role: Formal analysisRole: InvestigationRole: MethodologyRole: ValidationRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: SupervisionRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: MethodologyRole: Writing – review & editing
                Role: ValidationRole: Writing – review & editing
                Role: ValidationRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                18 November 2019
                2019
                : 14
                : 11
                : e0224557
                Affiliations
                [1 ] Mo-Im Kim Nursing Research institute, College of Nursing, Yonsei University, Seoul, South Korea
                [2 ] School of Nursing, DePaul University, Chicago, Illinois, United States of America
                [3 ] College of Nursing, Gyeongsang National University, Jinju, South Korea
                University of Lleida, SPAIN
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                http://orcid.org/0000-0001-9558-7737
                http://orcid.org/0000-0002-4477-2489
                http://orcid.org/0000-0001-6364-6907
                Article
                PONE-D-19-09362
                10.1371/journal.pone.0224557
                6860445
                31738802
                16b69580-b0ed-4f63-bebe-ffb1ec650987
                © 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.

                History
                : 2 April 2019
                : 16 October 2019
                Page count
                Figures: 0, Tables: 4, Pages: 14
                Funding
                Funded by: Faculty Research Grant from the Mo-Im Kim Nursing Research Institute of the College of Nursing at Yonsei University
                Award ID: 6-2017-0200
                Award Recipient :
                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.
                Categories
                Research Article
                Medicine and Health Sciences
                Public and Occupational Health
                Behavioral and Social Aspects of Health
                People and Places
                Population Groupings
                Ethnicities
                Korean People
                Medicine and Health Sciences
                Health Care
                Socioeconomic Aspects of Health
                Medicine and Health Sciences
                Public and Occupational Health
                Socioeconomic Aspects of Health
                Medicine and Health Sciences
                Health Care
                Health Education and Awareness
                Social Sciences
                Political Science
                Political Aspects of Health
                Medicine and Health Sciences
                Health Care
                Health Services Administration and Management
                Research and Analysis Methods
                Research Assessment
                Research Validity
                Research and Analysis Methods
                Mathematical and Statistical Techniques
                Statistical Methods
                Factor Analysis
                Physical Sciences
                Mathematics
                Statistics
                Statistical Methods
                Factor Analysis
                Custom metadata
                All data files are available from the Inter-university Consortium for Political and Social Research (ICPSR). http://doi.org/10.3886/E111704V2 and also available in protocols.io. DOI: dx.doi.org/10.17504/protocols.io.7aqhidw.

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