School of Public Health, Key Lab of Health Technology Assessment, National Health Commission of the People's Republic of China, Fudan University, Shanghai 200032, China.
Department of Child Health Care, The Children's Hospital, and National Clinical Research Center for Child Health, Zhejiang University School of Medicine, Hangzhou 310052, China.
Int J Environ Res Public Health. 2022 Dec 1;19(23):16076. doi: 10.3390/ijerph192316076.
Caregivers' health literacy plays a vital role in the quality of parenting and significantly impacts children's physical and psychological health. However, the instruments to assess the health literacy of caregivers of children aged 0 to 3 years are lacking. This study aimed to evaluate the reliability and validity of the Chinese Parental Health Literacy Questionnaire (CPHLQ) in China. We conducted a cross-sectional study. Six hundred and thirty-four caregivers of children aged 0 to 3 years were recruited from Shandong, Yunnan, and Shaanxi Provinces, representing the eastern, central, and western regions of China, between November 2020 and January 2021. The reliability was evaluated by internal consistency reliability and split-half reliability. The construct validity was determined by confirmatory factor analysis. Social determinants of parental health literacy were assessed by multivariate linear regression model. Results showed that CPHLQ had satisfactory reliability and acceptable construct validity. Mothers compared to other types of caregivers, higher education levels, and nuclear or extended families compared to other family compositions were significantly associated with higher parental health literacy. The study further demonstrated that CPHLQ is a reliable and valid instrument to measure the health literacy of caregivers of children aged 0 to 3 years in the Chinese population. It can be used as an evaluation tool for intervention research, to inform policy-making and future health education interventions of improving caregivers' health literacy.
照料者的健康素养在育儿质量中起着至关重要的作用，对儿童的身心健康有着重大影响。然而，目前缺乏评估 0 至 3 岁儿童照料者健康素养的工具。本研究旨在评估中文版父母健康素养问卷（CPHLQ）在中国的信度和效度。我们进行了一项横断面研究。2020 年 11 月至 2021 年 1 月期间，从中国东部的山东省、中部的云南省和西部的陕西省招募了 634 名 0 至 3 岁儿童的照料者。内部一致性信度和半分信度评估了信度，验证性因子分析评估了结构效度。采用多元线性回归模型评估了父母健康素养的社会决定因素。结果表明，CPHLQ 具有良好的信度和可接受的结构效度。与其他类型的照料者相比，母亲、较高的受教育程度、核心或扩展家庭与较高的父母健康素养显著相关。研究进一步表明，CPHLQ 是一种可靠和有效的工具，可用于测量中国 0 至 3 岁儿童照料者的健康素养。它可以作为干预研究的评估工具，为提高照料者健康素养的政策制定和未来健康教育干预提供信息。
