{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T07:10:07Z","timestamp":1784099407193,"version":"3.55.0"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Quality of life is an important indicator of wellbeing in university populations, where academic, social, and psychological demands may influence health perceptions. The European Health Interview Survey\u2013Quality of Life Index (EUROHIS-QOL) is a brief quality-of-life instrument derived from the World Health Organization Quality of Life instrument (WHOQOL) framework; however, psychometric evidence in Latin American university students remains limited. This study evaluated the structural validity, reliability, and measurement invariance of the EUROHIS-QOL in Colombian university students through the comparison of alternative factorial models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional methodological study was conducted among undergraduate students from a private university in Cali, Colombia (\n                      <jats:italic>N<\/jats:italic>\n                      \u202f=\u202f614). Confirmatory factor analysis using the weighted least squares mean and variance adjusted estimator (WLSMV) evaluated three competing structures: unidimensional, correlated two-factor, and bifactor models, followed by a theoretically justified model re-specification. Model fit was assessed using the Comparative Fit Index (CFI), Tucker\u2013Lewis Index (TLI), Root Mean Square Error of Approximation (RMSEA), and Standardized Root Mean Square Residual (SRMR). Reliability was examined using ordinal alpha (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      ), McDonald\u2019s omega (\n                      <jats:italic>\u03c9<\/jats:italic>\n                      ), composite reliability (CR), and average variance extracted (AVE). Measurement invariance across gender, comorbidity status, and employment status was assessed using multigroup CFA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The original unidimensional and correlated two-factor models demonstrated inadequate fit, whereas the bifactor model failed to converge. A theoretically re-specified unidimensional model including residual covariance between overall quality of life and satisfaction with health demonstrated excellent fit (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f44.15, df\u202f=\u202f19, CFI\u202f=\u202f0.983, TLI\u202f=\u202f0.975, RMSEA\u202f=\u202f0.046, SRMR\u202f=\u202f0.022). Reliability indices were high (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u202f=\u202f0.907,\n                      <jats:italic>\u03c9<\/jats:italic>\n                      \u202f=\u202f0.901, CR\u202f=\u202f0.908), and convergent validity was supported (AVE\u202f=\u202f0.606). Full measurement invariance was supported across evaluated groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The EUROHIS-QOL demonstrated satisfactory psychometric performance in Colombian university students, supporting its use as a brief and reliable measure of quality of life in higher education settings. Findings support an essentially unidimensional representation following theoretically justified model refinement and indicate comparable measurement across relevant sociodemographic groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1894108","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:43:38Z","timestamp":1784097818000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing quality of life among university students: psychometric evidence of the EUROHIS-QOL in a Latin American context"],"prefix":"10.3389","volume":"14","author":[{"given":"Carlos Alberto Henao","family":"Peria\u00f1ez","sequence":"first","affiliation":[{"name":"Escuela de Enfermer\u00eda, Facultad de Salud, Universidad del Valle","place":["Cali, Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cruz Deicy","family":"Jaramillo-Bol\u00edvar","sequence":"additional","affiliation":[{"name":"Programa de Enfermer\u00eda, Facultad de Ciencias de la Salud, Universidad Libre","place":["Cali, Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcio Alexander","family":"Castillo-D\u00edaz","sequence":"additional","affiliation":[{"name":"Departamento de Psicolog\u00eda\/Maestr\u00eda en Psicometr\u00eda y Evaluaci\u00f3n Educativa, Facultad de Ciencias Sociales, Universidad Nacional Aut\u00f3noma de Honduras","place":["Tegucigalpa, Honduras"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1080\/00207411.1994.11449286","article-title":"Development of the WHOQOL: rationale and current status","volume":"23","year":"1994","journal-title":"Int J Ment 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