中文未婚青年生殖健康素养问卷的编制及信效度检验
Development and validation of the reproductive health literacy questionnaire for Chinese unmarried youth.
机构信息
Department of Maternal, Child and Adolescent Health, School of Public Health, Fudan University, 138 Yixueyuan Road, P.O. Box 244, Shanghai, 200032, China.
出版信息
Reprod Health. 2021 Nov 13;18(1):226. doi: 10.1186/s12978-021-01278-6.
OBJECTIVES
This study aimed to develop and validate the reproductive health literacy questionnaire for Chinese unmarried youth aged 15-24.
METHODS
We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test-retest analysis in four districts in Shanghai between April and June 2017. A total of 1587 participants completed a self-administered questionnaire anonymously on-site and the trained investigators conducted quality check afterwards. Sixty participants among them completed the test-retest assessment with 2 weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test-retest reliability. The construct validity was assessed by confirmatory factor analysis.
RESULTS
The 58-question reproductive health literacy questionnaire for Chinese unmarried youth demonstrated high internal consistency (Cronbach's α = 0.919), spilt-half reliability (Guttman splitting coefficient = 0.846) and test-retest reliability (correlation coefficient = 0.720). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The reproductive health literacy scores in unmarried girls aged 15-24 were higher than boys (P < 0.05) and college students who lived in rural areas when they were middle and high school obtained lower score than those living in cities and suburbs (P < 0.01).
CONCLUSION
The reproductive health literacy questionnaire for Chinese unmarried youth demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess reproductive health literacy among Chinese young people.
目的
本研究旨在开发和验证适用于 15-24 岁未婚中国青年的生殖健康素养问卷。
方法
我们于 2017 年 4 月至 6 月在上海的四个区进行了横断面调查和重测分析，对问卷进行了有效性和可靠性研究。共有 1587 名参与者匿名在现场完成了自我管理的问卷，随后训练有素的调查员进行了质量检查。其中 60 名参与者在 2 周间隔内完成了重测评估。通过内部一致性、半分割可靠性和重测可靠性来确定可靠性。通过验证性因子分析评估结构效度。
结果
适用于中国未婚青年的 58 个问题生殖健康素养问卷显示出较高的内部一致性（Cronbach's α=0.919）、半分割可靠性（Guttman 分割系数=0.846）和重测可靠性（相关系数=0.720）。验证性因子分析表明，问卷的结构与假设模型拟合良好。15-24 岁未婚女孩的生殖健康素养得分高于男孩（P<0.05），而在中学时居住在农村的大学生比居住在城市和郊区的大学生得分低（P<0.01）。
结论
适用于中国未婚青年的生殖健康素养问卷具有良好的信度和效度，可作为评估中国年轻人生殖健康素养的有效评价工具。
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