Background
Methods
Aim
Study design
Setting, sample, and data collection
Questionnaires
Psychometric testing and data analysis
Results
Demographics of the sample
Characteristics | Total samplea | Test-retest group |
---|---|---|
Biological sex, n (%)
| ||
Man | 164 (49) | 15 (40) |
Woman | 168 (51) | 23 (60) |
Age in years
| ||
Mean (SD) | 48.7 (21.4) | 46.0 (26.0) |
Range | 19–94 | 26–89 |
Highest education level, n (%)
| ||
1–6 years | 3 (1) | 0 (0) |
7–9 years | 26 (8) | 5 (13) |
10–12 years | 156 (47) | 4 (11) |
Graduated from university | 147 (44) | 29 (76) |
General self-perceived health, n (%)
| ||
Very poor | 0 (0) | 0 (0) |
Poor | 7 (2) | 1 (3) |
Fair | 38 (11) | 2 (5) |
Good | 203 (61) | 26 (68) |
Very good | 87 (26) | 9 (24) |
Sw-HLS-EU-Q16b, n (%) | ||
Inadequate | 21 (6) | 3 (8) |
Problematic | 75 (22) | 4 (11) |
Sufficient | 239 (71) | 31 (82) |
Mean index score (SD) | 13.5 (2.6) | 13.9 (2.8) |
Range | 5–16 | 6–16 |
Sw-HLS-EU-Q6c, n (%) | ||
Inadequate | 11 (3) | 1 (3) |
Problematic | 212 (63) | 20 (53) |
Sufficient | 112 (33) | 17 (45) |
Mean index score (SD) | 2.9 (0.5) | 3.0 (0.5) |
Range | 1.5–4 | 2–4 |
Sw-eHEALS
d
| ||
Mean sum score (SD) | 29.5 (5.9) | 32.6 (6.1) |
Range | 8–40 | 12–40 |
Item distribution statistics and floor and ceiling effects
Items, n (%) | Very difficult | Difficult | Easy | Very easy | Missing |
---|---|---|---|---|---|
A. Find information on treatments of illnesses that concern you | 2 (1) | 33 (10) | 216 (64) | 82 (24) | 2 (1) |
B. Find out where to get professional help when you are ill | 1 (0) | 44 (13) | 184 (55) | 105 (31) | 1 (0) |
C. Understand what your doctor says to you | 0 (0) | 24 (7) | 209 (62) | 100 (30) | 2 (1) |
D. Understand your doctor’s or pharmacist’s instruction on how to take a prescribed medicine | 0 (0) | 9 (3) | 153 (46) | 173 (52) | 0 (0) |
E. Judge when you may need to get a second opinion from another doctor
|
21 (6)
|
129 (39)
|
139 (41)
|
44 (13)
|
2 (1)
|
F. Use information the doctor gives you to make decisions about your illness
|
3 (1)
|
67 (20)
|
196 (59)
|
67 (20)
|
2 (1)
|
G. Follow instructions from your doctor or pharmacist | 0 (0) | 7 (2) | 170 (51) | 157 (47) | 1 (0) |
H. Find information on how to manage mental health problems like stress or depression
|
14 (4)
|
95 (28)
|
172 (51)
|
52 (16)
|
2 (1)
|
I. Understand health warnings about behaviour such as smoking, low physical activity and drinking too much | 1 (0) | 13 (4) | 131 (39) | 189 (56) | 1 (0) |
J. Understand why you need health screenings | 2 (1) | 17 (5) | 138 (41) | 176 (53) | 2 (1) |
K. Judge if the information on health risks in the media is reliable
|
8 (2)
|
102 (30)
|
165 (49)
|
60 (18)
|
0 (0)
|
L. Decide how you can protect yourself from illness based on information in the media | 5 (1) | 89 (27) | 193 (58) | 47 (14) | 1 (0) |
M. Find out about activities that are good for your mental well-being
|
1 (0)
|
32 (10)
|
185 (55)
|
116 (35)
|
1 (0)
|
N. Understand advice on health from family members or friends | 2 (1) | 34 (10) | 190 (57) | 107 (32) | 2 (1) |
O. Understand information in the media on how to get healthier
|
4 (1)
|
49 (15)
|
190 (57)
|
89 (27)
|
3 (1)
|
P. Judge which everyday behaviour is related to your health | 3 (1) | 18 (5) | 173 (52) | 138 (41) | 3 (1) |
Construct and structural validity
Variables | 1. | 2. | 3. | 4. | 5. | 6. |
---|---|---|---|---|---|---|
1. Sw-HLS-EU-Q16a | 1 | |||||
2. Sw-HLS-EU-Q6b | 0.840** | 1 | ||||
3. Agec | 0.071 | 0.040 | 1 | |||
4. Educational leveld | 0.135* | 0.157** | 0.095 | 1 | ||
5.Self-percieved healthe | 0.167** | 0.177** | − 0.153** | 0.145** | 1 | |
6. Sw-eHEALS sum scoref | 0.496** | 0.551** | − 0.273** | 0.238** | 0.177** | 1 |
Item | Factor | Subscale | |||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | ||
O. Understand information in the media on how to get healthier |
0.844
| 0.031 | − 0.016 | − 0.033 | Access, understand and process information in relation to health |
L. Decide how you can protect yourself from illness based on information in the media |
0.756
| − 0.124 | − 0.329 | 0.023 | |
N. Understand advice on health from family members or friends |
0.671
| 0.109 | 0.208 | 0.030 | |
K. Judge if the information on health risks in the media is reliable |
0.598
| − 0.010 | − 0.417 | 0.017 | |
M. Find out about activities that are good for your mental well-being |
0.466
| 0.046 | 0.227 | 0.386 | |
P. Judge which everyday behaviour is related to your health |
0.448
| 0.263 | 0.108 | 0.116 | |
D. Understand your doctor’s or pharmacist’s instruction on how to take a prescribed medicine | − 0.038 |
0.913
| − 0.040 | − 0.055 | Understand information and follow instructions from healthcare professionals |
G. Follow instructions from your doctor or pharmacist | 0.016 |
0.868
| − 0.001 | − 0.042 | |
C. Understand what your doctor says to you | 0.057 |
0.610
| − 0.305 | 0.080 | |
J. Understand why you need health screenings | 0.129 |
0.351
| 0.170 | 0.275 | |
E. Judge when you may need to get a second opinion from another doctor | 0.092 | 0.140 |
− 0.690
| 0.146 | Process and apply information from healthcare |
F. Use information the doctor gives you to make decisions about your illness | 0.041 | 0.315 |
− 0.574
| 0.234 | |
A. Find information on treatments of illnesses that concern you | − 0.112 | − 0.050 | − 0.124 |
0.851
| Access and understand information in relation to illness |
B. Find out where to get professional help when you are ill | 0.044 | 0.049 | − 0.081 |
0.700
| |
I. Understand health warnings about behaviour such as smoking, low physical activity and drinking too much | 0.052 | 0.088 | 0.269 |
0.665
| |
H. Find information on how to manage mental health problems like stress or depression | 0.111 | − 0.045 | − 0.194 |
0.660
|
Item | Factor | Subscale | |
---|---|---|---|
1 | 2 | ||
M. Find out about activities that are good for your mental well-being |
0.885
| 0.146 | Access and understand information in relation to health and illness |
O. Understand information in the media on how to get healthier |
0.800
| − 0.035 | |
H. Find information on how to manage mental health problems like stress or depression |
0.597
| − 0.234 | |
E. Judge when you may need to get a second opinion from another doctor | − 0.124 |
− 0.927
| Process and apply information from healthcare professionals and media |
F. Use information the doctor gives you to make decisions about your illness | 0.071 |
− 0.786
| |
K. Judge if the information on health risks in the media is reliable | 0.366 |
− 0.505
|
Internal consistency
Variables | Cronbach’s α | Spearman-Brown’s coefficient | Cohen’s κ a |
---|---|---|---|
Sw-HLS-EU-Q16 | 0.890 | 0.929 | 0.822* |
Sw-HLS-EU-Q16 levels | 0.875* | ||
Sw-HLS-EU-Q6 | 0.777 | 0.801 | 0.812* |
Sw-HLS-EU-Q6 levels | 0.626* |