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Assessing suboptimal health status in the Saudi population: Translation and validation of the SHSQ-25 questionnaire.


ABSTRACT:

Background

Suboptimal Health Status (SHS) is realised as a vital feature for improving global health. However, the Arabian world does not have a validated instrument for screening SHS in their population. Therefore, the study aimed to evaluate the psychometric properties of Arabic-translated SHS (ASHSQ-25) in the Saudi Arabian population.

Methods

We conducted a cross-sectional study among the conveniently sampled 1590 participants from the Saudi population (with a 97.4% response rate). The data was gathered through an online survey and then exported into SPSS and AMOS version 26.0 for analysis. Mann-Whitney and Kruskal-Wallis tests were used to identify the median difference between demographic groups. The one-tailed 90% upper limit of SHS scores was chosen as the cut-off criteria for SHS. Reliability and confirmatory analysis were performed for the psychometric evaluation of ASHSQ-25 in the Saudi Arabian context.

Results

This study demonstrates that the ASHSQ-25 has good internal consistency, interclass correlation coefficient (ICC) = 0.92; 95% confidence interval (CI) = 0.91-0.93) and reliability (Cronbach's α = 0.92). The confirmatory factor analysis (CFA) results indicated a good fit of the databased on the CMIN/degrees of freedom (df) = 4.461, comparative fit index (CFI) = 0.94, Tucker Lewis index (TLI) = 0.93, and Root Mean Square Error of Approximation (RMSEA) = 0.05. The result factor loadings for each item were high (≥ 0.55), except for one item from the immune system subscale. The SHS cut-off point for ASHSQ-25 was 33, leading to a 23.7% prevalence of SHS.

Conclusions

This study reveals that ASHSQ-25 has appropriate internal consistency and structural validity to assess SHS in an Arabic-speaking population; therefore, it is recommended.

SUBMITTER: Alzain MA 

PROVIDER: S-EPMC10836270 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature

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Assessing suboptimal health status in the Saudi population: Translation and validation of the SHSQ-25 questionnaire.

Alzain Mohamed Ali MA   Asweto Collins Otieno CO   Hassan Sehar-Un-Nisa SU   Saeed Mohammed Elshiekh ME   Kassar Ahmed A   Ali Kamal Elbssir Mohammed KEM   Ghorbel Mouna M   Zrieq Rafat R   Alsaif Bandar B   Wang Wei W  

Journal of global health 20240202


<h4>Background</h4>Suboptimal Health Status (SHS) is realised as a vital feature for improving global health. However, the Arabian world does not have a validated instrument for screening SHS in their population. Therefore, the study aimed to evaluate the psychometric properties of Arabic-translated SHS (ASHSQ-25) in the Saudi Arabian population.<h4>Methods</h4>We conducted a cross-sectional study among the conveniently sampled 1590 participants from the Saudi population (with a 97.4% response r  ...[more]

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