Ear, Nose and Throat, and Head and Neck Research Centre, Hazrat Rasoul Akram Hospital, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
WHO Collaborating Centre for Research and Education on Hearing Loss, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
East Mediterr Health J. 2021 Feb 25;27(2):177-182. doi: 10.26719/emhj.20.106.
A reliable and valid tool to assess hearing health literacy in Iranian young people is lacking.
This study aimed to develop a tool to assess the hearing health literacy of young people in the Islamic Republic of Iran and to use the tool to determine the hearing health literacy of a sample of Iranians aged 12-25 years.
A questionnaire was designed with three skill sections: obtaining health information, evaluating this information and applying it to benefit health. The validity and reliability of the tool were determined. Cluster sampling was used to select 50 urban clusters across the country from which 5000 Iranians aged between 12-25 years old were selected to complete the questionnaire.
The final questionnaire had 22 items with scores ranging from 22 to 44. The Cronbach alpha was 0.65, and content validity ratio and index were 0.92 and 0.82, respectively. Of the 5000 questionnaires completed, 4890 were included in the analysis. The mean (standard deviation (SD)) age of the participants was 17 (SD 3) years and 45.9% were males. The mean score on the tool was 30.81 (SD 3.75), indicating inadequate health literacy (score 22-36). Only 137 (2.8%) participants had adequate health literacy (score 37-44). Statistically significant differences in mean hearing health literacy were seen for sex, age, years of education, occupation, marital status and income (P < 0.05).
Given the low level of hearing health literacy in Iranian young people, programmes to improve the ear and hearing health literacy are urgently needed.
缺乏可靠且有效的工具来评估伊朗年轻人的听力健康素养。
本研究旨在开发一种工具来评估伊朗年轻人的听力健康素养，并使用该工具来确定 12-25 岁伊朗人样本的听力健康素养。
设计了一份问卷，分为三个技能部分：获取健康信息、评估该信息和将其应用于增进健康。确定了工具的有效性和可靠性。采用聚类抽样，从全国范围内选择了 50 个城市集群，从中选择了 5000 名年龄在 12-25 岁之间的伊朗人完成问卷。
最终问卷有 22 个项目，分数范围为 22 到 44。Cronbach's alpha 为 0.65，内容效度比和指数分别为 0.92 和 0.82。在完成的 5000 份问卷中，有 4890 份被纳入分析。参与者的平均（标准差（SD））年龄为 17（SD 3）岁，45.9%为男性。工具的平均得分为 30.81（SD 3.75），表明健康素养不足（得分 22-36）。只有 137（2.8%）名参与者具有足够的健康素养（得分 37-44）。性别、年龄、受教育年限、职业、婚姻状况和收入对听力健康素养的平均得分有统计学意义（P<0.05）。
鉴于伊朗年轻人听力健康素养水平较低，迫切需要开展提高听力和健康素养的计划。
