西班牙裔成年人的健康素养和健康意识对 COVID-19 预防行为的心理计量学和相对重要性评估。

A Psychometric and Relative Importance Evaluation of Health Literacy and Health Consciousness on COVID-19 Preventive Behaviors Among Hispanic Adults.

机构信息

The City College of New York, New York City, USA.

出版信息

Health Educ Behav. 2023 Apr;50(2):161-171. doi: 10.1177/10901981221148960. Epub 2023 Jan 26.

Abstract

Given the COVID-19 pandemic's disproportionate impact on Hispanic individuals in the United States, research examining modifiable psychosocial correlates of COVID-19 preventive behaviors in this population is warranted. Prior research highlights health literacy and health consciousness as integral for the establishment of health-promoting behaviors. Notwithstanding, very little research has validated theory-based measures for health literacy and health consciousness and no research has investigated their relative importance in explaining behaviors that prevent COVID-19 illness among Hispanic individuals. This information is necessary for informing behavioral interventions seeking to promote the well-being of Hispanic people during the current pandemic and in future ones. This study provides a psychometric evaluation of the General Health Literacy Scale (GHLS) and the Health Consciousness Scale (HCS) and further examines their association with conventional COVID-19 preventive behaviors. Confirmatory factor analyses evaluated the psychometric properties of GHLS and HCS. Four separate hierarchical linear regressions, followed by dominance analyses, estimated the relative importance of health literacy and health consciousness on COVID-19 preventive behaviors, adjusting for sociodemographic characteristics. Both GHLS and HCS achieved adequate psychometric criteria, and holding constant sociodemographic characteristics, positively related to COVID-19 preventive behaviors. Although both health literacy and health consciousness were more important than sociodemographic characteristics in explaining COVID-19 preventive behaviors, health consciousness was most important, exceeding the explanatory power of health literacy in all regressions. COVID-19 public health campaigns that seek to raise health awareness among Hispanic people might prove more effective than campaigns that only seek to improve their health literacy.

摘要

鉴于 COVID-19 大流行对美国西班牙裔个体的不成比例影响,有必要研究可改变的心理社会因素与该人群 COVID-19 预防行为的相关性。先前的研究强调了健康素养和健康意识对于建立促进健康行为的重要性。然而,很少有研究验证了健康素养和健康意识的理论基础测量方法,也没有研究调查它们在解释预防西班牙裔个体 COVID-19 疾病的行为方面的相对重要性。这些信息对于在当前大流行和未来的大流行期间为促进西班牙裔人群的健康而制定行为干预措施是必要的。本研究对一般健康素养量表(GHLS)和健康意识量表(HCS)进行了心理测量学评估,并进一步研究了它们与常规 COVID-19 预防行为的相关性。验证性因子分析评估了 GHLS 和 HCS 的心理测量特性。四项单独的分层线性回归,随后是优势分析,估计了健康素养和健康意识对 COVID-19 预防行为的相对重要性,同时调整了社会人口统计学特征。GHLS 和 HCS 都达到了足够的心理测量标准,并且在控制了社会人口统计学特征的情况下,与 COVID-19 预防行为呈正相关。尽管在解释 COVID-19 预防行为方面,健康素养和健康意识都比社会人口统计学特征更为重要,但健康意识比健康素养更为重要,在所有回归中都超过了健康素养的解释力。旨在提高西班牙裔人群健康意识的 COVID-19 公共卫生运动可能比仅旨在提高其健康素养的运动更为有效。

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