Zhang Yanli, Zhang Hanjing, Li Song, Li Yuetong, Hu Cunjie, Li Hongyu
School of Nursing, Jinzhou Medical University, Jinzhou, 121000, China.
BMC Nutr. 2022 Sep 12;8(1):101. doi: 10.1186/s40795-022-00594-9.
With the accelerated pace of people's life and the changing dietary patterns, the number of chronic diseases is increasing and occurring at a younger age in today's society. The speedily rising hypertensive patients have become one of the main risk factors for chronic diseases. People should focus on health literacy related to salt consumption and reach a better quality of life. Currently, there is a lack of local assessment tools for low salt consumption in mainland China.
To develop a short-form version of the Chinese Health Literacy Scale For Low Salt Consumption instrument for use in mainland China.
A cross-sectional design was conducted on a sample of 1472 people in Liaoxi, China. Participants completed a sociodemographic questionnaire, the Chinese version of the CHLSalt-22, the measuring change in restriction of salt (sodium) in the diet in hypertensives (MCRSDH-SUST), the Brief Illness Perception Questionnaire (BIPQ), and the Benefit-Finding Scales (BFS) to test the hypothesis. Exploratory factor analysis and confirmatory factor analyses were performed to examine the underlying factor structure of the CHLSalt-22. One month later, 37 patients who participated in the first test were recruited to evaluate the test-retest reliability.
The CHLSalt-22 demonstrated adequate internal consistency, good test-retest reliability, satisfactory construct validity, convergent validity and discriminant validity. The CHLSalt-22 count scores were correlated with age, sex, body mass index (BMI), education level, income, occupation, the Measuring Change in Restriction of Salt (sodium) in Diet in Hypertensives (MCRSDH-SUST), the Brief Illness Perception Questionnaire (BIPQ), and the Benefit-Finding Scales (BFS).
The results indicate that the Chinese Health Literacy Scale For Low Salt Consumption (CHLSalt-22) version has good reliability and validity and can be considered a tool to assess health literacy related to salt consumption in health screenings.
随着人们生活节奏的加快和饮食模式的改变，当今社会慢性病的数量不断增加且发病年龄趋于年轻化。高血压患者数量的迅速上升已成为慢性病的主要危险因素之一。人们应关注与盐摄入相关的健康素养，以实现更高的生活质量。目前，中国大陆缺乏针对低盐摄入的本地评估工具。
开发适用于中国大陆的低盐摄入健康素养量表简版。
对中国辽西地区1472人进行横断面设计研究。参与者完成一份社会人口学问卷、中文版的CHLSalt-22、高血压患者饮食中盐（钠）限制变化测量量表（MCRSDH-SUST）、简易疾病认知问卷（BIPQ）和益处发现量表（BFS），以检验假设。进行探索性因素分析和验证性因素分析，以检验CHLSalt-22的潜在因素结构。一个月后，招募37名参与首次测试的患者评估重测信度。
CHLSalt-22表现出足够的内部一致性、良好的重测信度、令人满意的结构效度、收敛效度和区分效度。CHLSalt-22计数得分与年龄、性别、体重指数（BMI）、教育水平、收入、职业、高血压患者饮食中盐（钠）限制变化测量量表（MCRSDH-SUST）、简易疾病认知问卷（BIPQ）和益处发现量表（BFS）相关。
结果表明，低盐摄入健康素养量表中文版（CHLSalt-22）具有良好的信度和效度，可被视为健康筛查中评估与盐摄入相关健康素养的工具。
