寄生虫病健康素养量表的编制与评价。

Development and evaluation of a health literacy scale for parasitic diseases.

机构信息

Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, National Health Commission Key Laboratory of Parasitic Disease Control and Prevention, Jiangsu Institute of Parasitic Diseases, Wuxi, Jiangsu Province, 214064, People's Republic of China.

Lianyungang Center for Disease Control and Prevention, Lianyungang, Jiangsu Province, 222006, People's Republic of China.

出版信息

BMC Infect Dis. 2024 Sep 13;24(1):971. doi: 10.1186/s12879-024-09857-1.

DOI:10.1186/s12879-024-09857-1

PMID:39271983

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11395214/

Abstract

BACKGROUND

Parasitic diseases remain a serious public health problem in China. Health education aimed at disseminating health-related knowledge and promoting healthy behaviours, plays a crucial role in the prevention and control of parasitic diseases. This study aims to develop a tool to measure the parasitic disease health literacy of residents in China.

METHODS

Scale development was based on qualitative and quantitative methods. Qualitative method included focus group discussions and Delphi consultations. A methodological design with multistage sampling and a pilot study was used to evaluate the questionnaire. The scale's reliability was tested using Cronbach's α and split-half reliability, while its construct validity was assessed using confirmatory factor analysis. The scale's passing score was determined using the receiver operating characteristic curve. A cross-sectional survey was conducted in six districts of the prefecture of Jiangsu and residents aged 14-69 years in the participating townships were randomly selected based on their location.

RESULTS

The health literacy indicator system for parasitic diseases included 3 first-level, 9 s-level and 23 third-level indicators. The 23-item questionnaire demonstrated good internal consistency (Cronbach's alpha = 0.774) and split-half reliability (Spearman-Brown coefficient = 0.778). The questionnaire's passing score was 60. A total of 990 valid questionnaires were collected from participants in three cities. The percentage of participants with health literacy regarding parasitic diseases was 15.8%. Their scores were influenced by age, income, employment, and educational level.

CONCLUSIONS

Health literacy of parasitic diseases is an integrated indicator rather than just knowledge or behavior information. The correlation between knowledge and behavior is weak. The capacity for healthy behavior of parasitic disease is associated with the location and culture of the city. For neglected diseases, it is important for people to talk positively about their behaviors with a doctor.

摘要

背景

寄生虫病仍然是中国严重的公共卫生问题。旨在传播健康相关知识和促进健康行为的健康教育，在寄生虫病的预防和控制中起着至关重要的作用。本研究旨在开发一种工具来衡量中国居民的寄生虫病健康素养。

方法

量表的制定基于定性和定量方法。定性方法包括焦点小组讨论和德尔菲咨询。采用多阶段抽样和预试验的方法学设计来评估问卷。使用克朗巴赫 α 和分半信度来检验量表的可靠性，而使用验证性因子分析来评估量表的结构效度。使用受试者工作特征曲线确定量表的及格分数。在江苏省六个区进行了横断面调查，根据所在位置随机选择参与乡镇的 14-69 岁居民。

结果

寄生虫病健康素养指标体系包括 3 个一级指标、9 个二级指标和 23 个三级指标。23 项问卷具有良好的内部一致性（克朗巴赫 α=0.774）和分半信度（Spearman-Brown 系数=0.778）。问卷的及格分数为 60 分。从三个城市的参与者中收集了 990 份有效问卷。具有寄生虫病健康素养的参与者比例为 15.8%。他们的分数受年龄、收入、就业和教育水平的影响。