Table 4. Result of exploratory and confirmatory factor analysis: Social determinants of the health literacy (n = 660).
| Domain | Item | EFA | CFA | |||||
|---|---|---|---|---|---|---|---|---|
| Factor 1 | Factor2 | Factor 3 | Factor4 | Factor Loading | AVE | CR | ||
| Under stand |
1. Understand that the lesser the income the greater the tendency to become ill (8) | .553 | .545 | .55 | .90 | |||
| 2. Understand that abuse suffered as a child has an impact even when one becomes an adult (9) | .762 | .764 | ||||||
| 3. Understand that being isolated from the community and workplace impacts health (10) | .734 | .742 | ||||||
| 4. Understand that determining how to proceed working on one’s own is related to stress (11) | .647 | .657 | ||||||
| 5. Understand that work that is not stable becomes a huge stress (12) | .780 | .726 | ||||||
| 6. Understand that widening income disparities dilute the ties between people (13) | .753 | .682 | ||||||
| 7. Understand that in a society with a high level of stress, there is a tendency toward dependency on drugs (14) | .672 | .627 | ||||||
| Apply | 8. Cooperate in the creation of a fair society in which everyone can live a healthy life (22) | .388 | .478 | .46 | .91 | |||
| 9. Involve oneself in politics and public administration to help small children live a healthy life (23) | .546 | .579 | ||||||
| 10. Participate in childcare support activities (24) | .600 | .553 | ||||||
| 11. Participate in activities to eliminate poverty (25) | .646 | .620 | ||||||
| 12. Involve oneself in politics and public administration to protect the health of workers both institutionally and legally (26) | .715 | .685 | ||||||
| 13. Approach the manager or the employer regarding rewards that do not match efforts done at work (27) | .595 | .539 | ||||||
| 14. Participate in activities to increase employment and vocational training opportunities (28) | .700 | .637 | ||||||
| 15. Participate in activities that support an individual, including his or her family, who is in trouble in the community or workplace (29) | .715 | .665 | ||||||
| 16. Participate in activities to spread the importance of ties with people for health (30) | .680 | .602 | ||||||
| 17. Involve oneself in politics and public administration to make it easier for persons who have used illegal drugs to receive treatment (31) | .665 | .626 | ||||||
| 18. Participate in activities that promote a healthy diet (32) | .542 | .487 | ||||||
| 19. Involve oneself in politics and public administration to seek road priority for pedestrians and cyclists (33) | .677 | .619 | ||||||
| Appraise | 20. Judge what inequities exist in society in view of living a healthy life (15) | .471 | .527 | .43 | .84 | |||
| 21. Judge what kind of government services should be supplied to those really in need of support (16) | .620 | .599 | ||||||
| 22. Judge what level of burden of work has on health (17) | .619 | .605 | ||||||
| 23. Judge what kind of support should be supplied to someone in trouble in the community or workplace (18) | .623 | .608 | ||||||
| 24. Judge how neighbors should help each other (19) | .559 | .572 | ||||||
| 25. Judge the merits and demerits of the spread of processed foods (20) | .256 | .561 | ||||||
| 26. Judge the kind of impact that motorization has on health (21) | .445 | .540 | ||||||
| Access | 27. Find out about the impact of social position on health (1) | .237 | .41 | .82 | ||||
| 28. Find information related to the impact of the daily life of a mother on the growth of the child to be born (2) | .494 | |||||||
| 29. Find someone who is isolated from society and whose health is failing (3) | .575 | |||||||
| 30. Find information on the relation between unemployment and stress (4) | .723 | |||||||
| 31. Find out the support required by someone in trouble in the community or workplace (5) | .730 | |||||||
| 32. Find out smoking is not going to eliminate the cause of stress (6) | .504 | |||||||
| 33. Find information about the relationship between dietary changes and health (7) | .590 | |||||||
| Eigen value | 9.16 | 3.31 | 1.51 | 1.32 | ||||
| Explained variance(%) | 27.76 | 10.03 | 4.58 | 3.99 | ||||
| Cumulative (%) | 27.76 | 37.80 | 42.37 | 46.36 | ||||
| Kaiser-Meyer-Olkin (KMO) = .93; Bartlett’s test of sphericity = 7703.79 (p < .001) | Model fitness χ2 (489) = 1475.054, p < .001, RMSEA = .06, CFI = .87, TLI = .85 |
|||||||
| Cronbach’s α | .86 | .86 | .77 | .75 | ||||
| Total Cronbach’s α = .92 | ||||||||
EFA = Exploratory factor analysis; CFA = Confirmatory factor analysis; AVE = Average variance extracted; CR = Composite reliability; RMSEA = Root mean square error of approximation; CFI = Comparative fit index; TLI = Tucker-Lewis index