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. 2026 Aug 28;17:1935428. doi: 10.3389/fpsyg.2026.1935428

Table 2.

Item responses for HLS-EU-Q16 items.

Domain On a scale from very easy to very difficult, how easy would you say it is to… Responses Non-responses* Mean and SD “Fairly difficult” or “very difficult” “Very easy” “Fairly easy” “Fairly difficult” “Very difficult”
n n (“do not know”) % (n = 143) Mean SD n % % % % %
HC Q1. … find information about symptoms of illnesses that concern you? 131 12 (8) 8.4 (5.6) 2.8 0.70 30 22.9 12.2 64.9 17.6 5.3
HC Q2. … find out where to get professional help when you are ill? 141 2 (0) 1.4 (0) 3.1 0.80 25 17.7 28.4 53.9 12.1 5.7
HC Q3. … understand what a doctor says to you 142 1 (0) 0.7 (0) 3.0 0.70 25 17.6 23.2 59.2 14.8 2.8
HC Q4. … understand your doctor’s or pharmacist’s instruction on how to take a prescribed medicine? 142 1 (0) 0.7 (0) 3.3 0.69 13 9.2 40.1 50.7 7.0 2.1
HC Q5. … judge if you may need to get a second opinion from another doctor? 134 9 (7) 6.3 (4.9) 2.7 0.75 49 36.6 13.4 50.0 32.1 4.5
HC Q6. … use information your doctor gives to you to make decisions about your illness? 140 3 (2) 2.1 (1.4) 2.9 0.73 38 27.1 16.4 56.4 23.6 3.6
HC Q7. … act on advice from your doctor or pharmacist? 140 3 (2) 2.1 (1.4) 3.3 0.66 13 9.3 37.1 53.6 7.9 1.4
DP Q8. … find information on how to handle mental health problems? 107 36 (28) 25.2 (19.6) 2.7 0.84 48 44.9 16.8 38.3 38.3 6.5
DP Q9. … understand information about unhealthy habits such as smoking, low physical activity or drinking too much alcohol? 134 9 (5) 6.3 (3.5) 3.5 0.57 5 3.7 58.2 38.1 3.7 0.0
DP Q10. … understand information about recommended health screenings or examinations? 141 2 (1) 1.4 (0.7) 3.0 0.62 8 5.7 66.7 27.7 5.0 0.7
DP Q11. … judge if the information on health risks in the mass media is reliable? 133 10 (9) 7.0 (6.3) 2.4 0.77 74 55.6 6.0 38.3 44.4 11.3
DP Q12. … decide how you can protect yourself from illness using information from the mass media? 132 11 (9) 7.7 (6.3) 2.6 0.80 66 50.0 13.6 36.4 43.9 6.1
HP Q13. … find information about activities that are good for your mental health and well-being? 129 14 (11) 9.8 (7.7) 3.0 0.69 27 20.9 21.7 57.4 19.4 1.6
HP Q14. … understand advice concerning your health from family or friends? 128 15 (13) 10.5 (9.1) 3.0 0.86 31 24.2 26.6 49.2 16.4 7.8
HP Q15. … understand information in the mass media on how to improve your health? 129 14 (12) 9.8 (8.4) 2.8 0.76 49 38.0 16.3 45.7 34.9 3.1
HP Q16. … judge which everyday habits affect your health? 137 6 (4) 4.2 (2.8) 3.3 0.68 17 12.4 38.0 49.6 11.7 0.7

*Non-responses include “do not know” answers and refusals to answer and are calculated based on the overall sample of n=143; HC, Health Care; DP, Disease Prevention; HP, Health Promotion.