Lee Gyeong-Ye, Park Ki-Soo
Department of Preventive Medicine, Institute of Medical Sciences, College of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Department of Bio & Medical Big Data, Gyeongsang National University, Jinju, Republic of Korea.
J Multidiscip Healthc. 2025 Jul 17;18:4059-4070. doi: 10.2147/JMDH.S528979. eCollection 2025.
Health literacy in the workplace plays a crucial role in preventing work-related diseases and injuries. This study aims to develop and validate an instrument to measure Agricultural Safety and Health Literacy (ASHL) based on existing occupational health literacy tools.
The development of the instrument involved preliminary item development, expert evaluation, and preliminary testing. Cronbach's α, a coefficient that measures the internal consistency of each item, was measured for reliability. Exploratory factor analysis and confirmatory factor analysis were performed to examine the construct validity, and predictive validity was evaluated using paired -tests for changes in health literacy before and after education.
The overall Cronbach's α for the instrument was 0.92, indicating high reliability. In the exploratory factor analysis, five factors were extracted explaining 64.4% of the total variance. As a result of confirmatory factor analysis, the goodness-of-fit index (GFI) was shown as GFI=0.851, adjusted GFI=0.816, comparative fit index=0.901, normed fit index=0.835, root mean square error of approximation=0.071, and χ/df=2.2. These results indicated acceptable model fit. The change in score from before to after the educational intervention was confirmed to have predictive validity with a significant increase in all areas (p<0.005).
This study describes the development of an instrument for understanding ASHL for use in evaluating the health and safety of farmers. The developed instrument will be used in Korea to improve the health behavior of farmers and to prevent and manage various health problems that may occur in the agricultural working environment.
职场健康素养在预防与工作相关的疾病和伤害方面起着至关重要的作用。本研究旨在基于现有的职业健康素养工具，开发并验证一种用于测量农业安全与健康素养（ASHL）的工具。
该工具的开发包括初步项目开发、专家评估和初步测试。通过测量Cronbach's α系数（一种衡量每个项目内部一致性的系数）来评估可靠性。进行探索性因素分析和验证性因素分析以检验结构效度，并使用配对检验评估教育前后健康素养变化的预测效度。
该工具的总体Cronbach's α为0.92，表明可靠性高。在探索性因素分析中，提取了五个因素，解释了总方差的64.4%。验证性因素分析的结果显示，拟合优度指数（GFI）为GFI = 0.851，调整后GFI = 0.816，比较拟合指数 = 0.901，规范拟合指数 = 0.835，近似均方根误差 = 0.071，χ/df = 2.2。这些结果表明模型拟合可接受。教育干预前后分数的变化被证实具有预测效度，所有领域均有显著增加（p < 0.005）。
本研究描述了一种用于理解ASHL的工具的开发，该工具可用于评估农民的健康和安全。所开发的工具将在韩国用于改善农民的健康行为，并预防和管理农业工作环境中可能出现的各种健康问题。
