目的：编制适合青少年的慢性病健康素养量表,并评价其信度及效度。方法：按照分层整群抽样的原则在深圳市宝安区抽取有效样本3 077人,将所有的研究对象随机分为两组：1 538人的数据用于探索量表的结构,1 539人组的数据用于验证所得的结果。采用SPSS 25和AMOS24软件对所得数据进行探索性因子分析和验证性因子分析。结果：青少年慢性病健康素养量表有36个条目,涵盖健康理念、慢性病素养、心理素养、健康技能、健康行为、健康饮食、交流性素养、批判性素养8个维度。方差累积贡献率78.84%,量表的Cronbach's ɑ系数为0.960,各维度的Cronbach's ɑ系数为0.816~0.949;分半信度为0.873,各维度的分半系数为0.704~0.928;重测信度为0.869,各维度的重测信度为0.807~0.893;各维度题目信度为0.498~0.991;组合信度系数值为0.810~0.950;收敛效度的值为0.516~0.848;各维度的平均方差提取量平方根值均大于该维度与其他维度之间的相关系数。结论：编制的青少年慢性病健康素养量表具有较好的信度和效度,有较好的推广和应用价值。
Abstract
Objective To develop a chronic disease health literacy evaluation scale suitable for Chinese adolescents, and to evaluate its reliability and validity. Methods According to the principle of stratified cluster sampling, 3 077 valid samples were selected in Bao'an District, Shenzhen. All research subjects were randomly divided into two groups: 1 538 people's data was used to explore the structure of the scale, and 1 539 people's data was used to verify the results obtained. Exploratory factor analysis and confirmatory factor analysis were performed on the obtained data using SPSS 25 and AMOS24 software. Results The final result is the Adolescent Chronic Disease Health Literacy Scale with 36 items, containing eight dimensions: health concepts, chronic disease health literacy, mental health literacy, health skills, health behaviours, healthy eating, communicative health literacy, and critical health literacy. The cumulative contribution of variance was 78.84%, the Cronbach's ɑ coefficient of the scale's table was 0.960, and the Cronbach's ɑ coefficients of the dimensions were 0.816-0.949. The split-half reliability was 0.873, and the split-half coefficients of each dimension ranged from 0.704 to 0.928. The test-retest reliability was 0.869, and the test-retest reliabilities of each dimension ranged from 0.807 to 0.893. The item reliability (SMC) of each dimension ranged from 0.498 to 0.991. The composite reliability coefficient values (CR) ranged from 0.810 to 0.950. The values of the convergent validity (AVE) ranged from 0.516 to 0.848. The square root values of the Average Variance Extracted (AVE) for each dimension were all greater than the correlation coefficients between this dimension and other dimensions. Conclusion The youth chronic disease health literacy scale has good validity and internal consistency, and has good promotion and application value.
关键词
青少年 /
慢性病健康素养 /
量表 /
效度 /
信度
Key words
adolescents /
chronic disease health literacy /
scale /
validity /
reliability
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基金
深圳市宝安区科创局项目“青少年慢性病健康素养评价量表的研制与应用”（2022JD130）; 宝安区医学重点学科（慢性非传染性疾病防控）
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