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Table 3 Percentage of respondents giving each response for all HL-SDH items

From: Development of the health literacy on social determinants of health questionnaire in Japanese adults

Items

Very easy (%)

Fairly Easy (%)

Fairly Difficult (%)

Very difficult (%)

Don’t know/Not applicable (%)

 

Dimensions/domain

On a scale from very easy to very difficult, how easy would you say it is to:…

     

Q1

Access/the social gradient

Find out about the impact of social position on health

1.1

14.9

49.2

28.0

6.7

Q2

Access/early life

Find information related to the impact of the daily life of a mother on the growth of the child to be born

4.3

28.8

43.3

19.3

4.3

Q3

Access/social exclusion

Find someone who is isolated from society and whose health is failing

2.6

12.3

41.5

40.8

2.8

Q4

Access/unemployment

Find information on the relation between unemployment and stress

3.0

20.7

49.8

23.7

2.8

Q5

Access/social support

Find out the support required by someone in trouble in the community or workplace

2.9

18.5

49.9

27.1

1.6

Q6

Access/addiction

Find out smoking is not going to eliminate the cause of stress

8.4

30.2

41.4

16.1

3.9

Q7

Access/food

Find information about the relationship between dietary changes and health

9.1

40.4

38.0

11.7

0.7

Q8

Understand/the social gradient

Understand that the lesser the income the greater the tendency to become ill

7.3

31.0

45.8

11.9

3.9

Q9

Understand/early life

Understand that abuse suffered as a child has an impact even when one becomes an adult

19.3

43.4

27.0

9.9

0.5

Q10

Understand/social exclusion

Understand that being isolated from the community and workplace impacts health

15.0

41.8

33.7

8.2

1.3

Q11

Understand/work

Understand that determining how to proceed working on one’s own is related to stress

11.1

40.2

37.7

9.9

1.2

Q12

Understand/unemployment

Understand that work that is not stable becomes a huge stress

24.2

41.9

26.0

7.7

0.2

Q13

Understand/social capital

Understand that widening income disparities dilute the ties between people

14.4

37.3

35.5

10.5

2.3

Q14

Understand/addiction

Understand that in a society with a high level of stress, there is a tendency toward dependency on drugs

16.4

39.6

33.6

8.8

1.7

Q15

Appraise/the social gradient

Judge what inequities exist in society in view of living a healthy life

5.2

23.2

50.9

19.0

1.7

Q16

Appraise/social exclusion

Judge what kind of government services should be supplied to those really in need of support

2.2

16.1

46.7

33.6

1.4

Q17

Appraise/work

Judge what level of burden of work has on health

2.9

22.1

52.2

21.7

1.1

Q18

Appraise/social support

Judge what kind of support should be supplied to someone in trouble in the community or workplace

1.7

15.3

52.7

29.6

0.7

Q19

Appraise/social capital

Judge how neighbors should help each other

3.1

18.2

53.7

24.2

0.8

Q20

Appraise/food

Judge the merits and demerits of the spread of processed foods

3.4

28.2

47.9

19.7

0.8

Q21

Appraise/transport

Judge the kind of impact that motorization has on health

4.2

29.8

50.5

14.1

1.3

Q22

Apply/social gradient

Cooperate in the creation of a fair society in which everyone can live a healthy life

3.7

18.2

47.1

29.0

2.0

Q23

Apply/early life

Involve oneself in politics and public administration to help small children live a healthy life

1.6

13.4

45.8

36.5

2.8

Q24

Apply/early life

Participate in childcare support activities

3.2

18.5

46.5

24.9

6.9

Q25

Apply/social exclusion

Participate in activities to eliminate poverty

1.4

11.8

46.7

36.7

3.4

Q26

Apply/work

Involve oneself in politics and public administration to protect the health of workers both institutionally and legally

1.4

10.3

43.6

42.4

2.3

Q27

Apply/work

Approach the manager or the employer regarding rewards that do not match efforts done at work

1.8

11.6

41.9

41.3

3.5

Q28

Apply/unemployment

Participate in activities to increase employment and vocational training opportunities

2.0

14.9

51.1

28.5

3.4

Q29

Apply/social support

Participate in activities that support an individual, including his or her family, who is in trouble in the community or workplace

2.2

13.5

50.2

32.1

2.0

Q30

Apply/social capital

Participate in activities to spread the importance of ties with people for health

2.6

19.3

50.9

26.4

0.8

Q31

Apply/addiction

Involve oneself in politics and public administration to make it easier for persons who have used illegal drugs to receive treatment

1.3

10.2

43.3

41.9

3.2

Q32

Apply/food

Participate in activities that promote a healthy diet

3.2

26.5

48.0

21.4

0.8

Q33

Apply/transport

Involve oneself in politics and public administration to seek road priority for pedestrians and cyclists

1.6

15.9

48.0

33.1

1.4