Skip to main content

Table 2 Factor loadings of the nine-factor confirmatory factor model (n = 1993)

From: Towards a comprehensive, person-centred assessment of health literacy: translation, cultural adaptation and psychometric test of the Dutch Health Literacy Questionnaire

  Factor loading Error variancea T-statisticb R2
1. Feeling understood and supported by healthcare providers
I have at least one healthcare provider who … 0.72 0.49 26.22 0.52
I have at least one healthcare provider I can … 0.81 0.34 28.99 0.66
I have the healthcare providers I need … 0.98 0.05 51.11 0.95
I can rely on at least one … 0.88 0.23 43.49 0.77
2. Having sufficient information to manage my health
I feel I have good information about health … 0.80 0.36 29.89 0.64
I have enough information to help me deal … 0.82 0.33 33.19 0.67
I am sure I have all the information I … 0.80 0.37 31.06 0.63
I have all the information I need to … 0.86 0.26 40.61 0.74
3. Actively managing my health
I spend quite a lot of time actively managing … 0.48 0.77 14.36 0.23
I make plans for what I need to do to be … 0.73 0.46 24.67 0.54
Despite other things in my life, I make time … 0.77 0.41 25.27 0.59
I set my own goals about health and fitness … 0.93 0.13 31.63 0.87
There are things that I do regularly … 0.82 0.33 31.85 0.67
4. Social support for health
I can get access to several people who … 0.87 0.24 37.62 0.76
When I feel ill, the people around me really … 0.70 0.51 25.58 0.49
If I need help, I have plenty of people I.. 0.89 0.21 45.56 0.79
I have at least one person … . 0.63 0.61 19.21 0.39
I have strong support from … 0.73 0.47 28.86 0.53
5. Appraisal of health information
I compare health information from different … 0.66 0.57 21.01 0.44
When I see new information about health, I … 0.51 0.74 14.81 0.26
I always compare health information from … 0.66 0.57 21.90 0.43
I know how to find out if the health … 0.98 0.03 40.41 0.97
I ask healthcare providers about the quality … 0.68 0.54 20.33 0.46
6. Ability to actively engage with healthcare providers
Make sure that healthcare providers understand.. 0.85 0.28 56.08 0.72
Feel able to discuss your health concerns with a.. 0.85 0.27 72.35 0.73
Have good discussions about your health … 0.85 0.29 51.85 0.71
Discuss things with healthcare providers … 0.89 0.21 85.95 0.79
Ask healthcare providers to get … 0.92 0.16 87.85 0.84
7.Navigating the healthcare system
Find the right healthcare... 0.83 0.31 58.45 0.69
Get to see the healthcare provider you need to … 0.81 0.35 48.22 0.65
Decide which health care provider you need … 0.86 0.26 66.01 0.74
Make sure you find the right place to get … 0.87 0.25 59.68 0.75
Find out what healthcare services you are … 0.76 0.43 43.57 0.57
Work out what is the best care for you … 0.86 0.26 65.67 0.74
8. Ability to find good health information
Find information about health problems … 0.85 0.27 60.87 0.73
Find health information from several … 0.86 0.26 72.94 0.74
Get information about health so you are … 0.90 0.19 69.23 0.81
Get health information in words you … 0.86 0.27 66.92 0.73
Get health information by yourself … 0.88 0.23 70.12 0.77
9. Understanding health information well enough to know what to do
Confidently fill medical forms in the correct … 0.85 0.28 46.28 0.72
Accurately follow the instructions from … 0.83 0.31 46.71 0.69
Read and understand written health … 0.81 0.34 52.60 0.66
Read and understand all the information on … 0.78 0.39 47.34 0.61
Understand what healthcare providers are … 0.91 0.18 73.38 0.82
  1. aProportion of variance in the measure not attributable to the latent factor
  2. bThe ratio of each parameter estimate and its standard error is distributed as a t-statistic. All t-statistics are significant at P < 0.001