Table 2. Construct validity of the HLS-EU-Q47 in six Asian countries with goodness-of-fit indices.
Modela | Absolute model fit | Incremental fit | Parsimonious fit | ||||
---|---|---|---|---|---|---|---|
RMSEA | GFI | AGFI | CFI | IFI | NFI | χ2/df | |
Indonesia | |||||||
HC-HL | 0.07 | 0.94 | 0.90 | 0.90 | 0.90 | 0.89 | 6.06 |
DP-HL | 0.07 | 0.94 | 0.90 | 0.91 | 0.91 | 0.90 | 6.56 |
HP-HL | 0.06 | 0.95 | 0.93 | 0.94 | 0.94 | 0.92 | 4.16 |
Kazakhstan | |||||||
HC-HL | 0.05 | 0.96 | 0.95 | 0.97 | 0.97 | 0.96 | 6.10 |
DP-HL | 0.06 | 0.95 | 0.93 | 0.96 | 0.96 | 0.96 | 8.53 |
HP-HL | 0.06 | 0.96 | 0.94 | 0.97 | 0.97 | 0.96 | 7.32 |
Malaysia | |||||||
HC-HL | 0.08 | 0.90 | 0.86 | 0.90 | 0.90 | 0.87 | 3.95 |
DP-HL | 0.09 | 0.90 | 0.86 | 0.91 | 0.91 | 0.88 | 4.53 |
HP-HL | 0.06 | 0.94 | 0.91 | 0.96 | 0.96 | 0.93 | 2.55 |
Myanmar | |||||||
HC-HL | 0.08 | 0.93 | 0.90 | 0.92 | 0.92 | 0.91 | 9.94 |
DP-HL | 0.07 | 0.94 | 0.91 | 0.94 | 0.94 | 0.93 | 9.11 |
HP-HL | 0.06 | 0.95 | 0.93 | 0.94 | 0.94 | 0.94 | 6.92 |
Taiwan | |||||||
HC-HL | 0.07 | 0.94 | 0.91 | 0.93 | 0.93 | 0.92 | 17.37 |
DP-HL | 0.08 | 0.94 | 0.91 | 0.94 | 0.94 | 0.93 | 17.74 |
HP-HL | 0.07 | 0.95 | 0.92 | 0.95 | 0.95 | 0.95 | 14.26 |
Vietnam | |||||||
HC-HL | 0.07 | 0.94 | 0.91 | 0.94 | 0.94 | 0.94 | 11.60 |
DP-HL | 0.10 | 0.91 | 0.85 | 0.91 | 0.91 | 0.91 | 21.85 |
HP-HL | 0.07 | 0.94 | 0.92 | 0.95 | 0.95 | 0.94 | 10.69 |
AGFI, adjusted goodness-of-fit index; CFI, comparative fit index; DP-HL, disease prevention health literacy; GFI, goodness-of-fit index; HC-HL, health care health literacy; HLS-EU-Q47, European Health Literacy Survey Questionnaire with 47 items; HP-HL, health promotion health literacy; IFI, incremental fit index; NFI, normal fit index; RMSEA, root mean square error of approximation; χ2/df, relative chi-square.
Four-factor model of each domain included finding, understanding, judging, and applying health information. The model-fit-indices were reported after dropping out certain items from whole HLS-EU-Q scale; e.g. item 4 from Taiwan and Myanmar surveys, item 17, 24 from Vietnam survey, item 4, 15, 21 from Indonesia survey.