目的 编制“儿童肥胖健康素养量表(家长版)”,并评价其信度和效度。方法 依据健康素养内涵,基于世界卫生组织(WHO)提出的终止儿童肥胖相关内容,构建儿童肥胖健康素养量表(家长版)条目池,然后在合肥市小学生家长中进行调查,应用探索性因子分析和验证性因子分析对量表的效度进行检验,应用内部一致性对量表信度进行检验。结果 本次研究共有2 170名小学生家长参与调查,通过敏感性分析、代表性分析、独立性分析及Cronbach′s α系数进行条目筛选,再通过探索性因子分析和验证性因子分析,最终形成29个条目的儿童肥胖健康素养量表(家长版),量表构建成为健康意识、健康知识、健康行为、健康认知及操作技能5个维度。验证性因子分析得到近似误差均方根(root mean square error of approximation,RMSEA)为0.047,残差均方根(root of the mean square residual,RMR)为0.026,拟合优度指数(goodness-of-fit index,GFI)、标准拟合指数(normed fit index,NFI)、相对拟合指数(relative fit index,RFI)和比较拟合指数(comparative fit index,CFI)均接近1,显示模型拟合较好。量表的Cronbach′s α系数为0.833,问卷各维度的Cronbach′s α系数在0.618~0.866之间。结论 所编制的儿童肥胖健康素养量表(家长版)具有较好的信度和效度。
Abstract
Objective To develop a Childhood Obesity Health Literacy Scale (Parental Edition),and to examine the reliability and validity of the scale. Methods Based on the connotation of health literacy and the content of ending childhood obesity from WHO,the item pool of the Health Literacy Scale was designed. The scale was then administered to three elementary schools students′ parents for pre-investigation in Hefei. The validity of the scale was examined by using exploratory factor analysis and confirmatory factor analysis,and the reliability indexes of the scale and the subscales were assessed by internal consistency. Results Totally 2 170 elementary schools students′ parents were investigated in this survey. And the scale finally formed and contained 29 items after screening the items by sensibility analysis,representative analysis,independence analysis and Cronbach′s alpha coefficient. Exploratory factor analysis identified five subscales. Based on confirmatory factor analysis,the items were grouped into five subscales on health concept,including health consciousness,health knowledge,health behaviors,health cognitive and operational skills. The indicators of confirmatory factor performed well: root mean square error of approximation(RMSEA) was 0.047,root mean square (RMR) was 0.026,comparative fit index (GFI),normed fit index (NFI),relative fit index (RFI) and comparative fit index (CFI) were close to 1,showing a better model fitting. The Cronbach′s alpha coefficient for the health scale was 0.833 and the corresponding values for the subscales were 0.618~0.866. Conclusions The Childhood Obesity Health Literacy Scale (Parental Edition) is a reliable tool for assessing children′s health literacy with good reliability and validity.
关键词
儿童肥胖 /
健康素养 /
信度 /
效度
Key words
childhood obesity /
health literacy /
reliability /
validity
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参考文献
[1] Srensen K,Van den Broucke S,Fullam J,et al.Health literacy and public health: a systematic review and integration of definitions and models[J].BMC Public Health,2012,12(1):1-13.
[2] Nutbeam D.The evolving concept of health literacy[J].Social Science & Medicine,2008,67(12): 2072-2078.
[3] Harrington KF,Zhang B,Magruder T, et al.The impact of parent′s health literacy on pediatric asthma outcomes[J].Pediatr Allergy Immunol pulmonology,2015,28(1): 20-26.
[4] Morrison AK,Myrvik MP,Brousseau DC,et al.The relationship between parent health literacy and pediatric emergency department utilization: a systematic review[J].Academic Pediatrics,2013,13(5):421-429.
[5] Pulgarón ER,Sanders LM,Patio-Fernandez AM,et al.Glycemic control in young children with diabetes: the role of parental health literacy[J].Patient Educ and Couns,2014,94(1):67-70.
[6] van Stralen MM,te Velde SJ,van Nassau F,et al.Weight status of European preschool children and associations with family demographics and energy balance-related behaviours: a pooled analysis of six European studies[J].Obes Rev,2012,13(Suppl 1):29-41.
[7] 王燕,陈姿利,王瑞霞,等.从父母的认识看儿童肥胖防治的重要性[J].中国临床医生,2014,42(11): 40-42.
[8] World Health Organization.Considerati on of the evidence on childhood obesity for the Commission on Ending Childhood Obesity: report of the ad hoc working group on science and evidence for ending childhood obesity[R].Geneva:WHO 2016.
[9] 张子龙,马军,付连国,等.中国 2010 年中小学生体质健康现状分析[J].中国学校卫生,2013,34(2):142-146.
[10] 茅范贞,韩耀风,方亚.量表条目的统计学筛选方法研究进展[J].2015,42(1):1-3.
[11] 欧光忠,张山鹰,管纪惠.应用德尔菲法构建糖尿病患者健康信息素养评价指标体系[J].中国健康教育,2014,30(2): 107-110.
[12] 张士靖,李信,刘海通.国际健康素养测评工具概述[J].中国健康教育,2014,30(10):920-924.
[13] 邱艳,王兵,任文,等.健康素养的研究进展[J].中华健康管理学杂志,2014,8(2):137-139.
[14] Chari R,Warsh J,Ketterer T,et al.Association between health literacy and child and adolescent obesity.[J].Patient Educ Couns,2014,94(1):61-66.
[15] Sharif I,Blank AE.Relationship between child health literacy and body mass index in overweight children[J].Patient Educ Couns,2010,79(1):43-48.
[16] 肖瓅,马昱,胡俊峰,等.中国公众健康素养综合评价指标体系研究[J].中华预防医学杂志,2009,43(3):227-231.
[17] 劉潔心,廖梨伶,施淑芳,等.台灣學童健康素養測驗之發展與測量[J].臺灣公共衛生雜誌,2014,33(3):251-270.
[18] 周佳,马迎华,段佳丽,等.北京市中学生营养状况及其与家长营养认知的关联分析[J].中国学校卫生,2015,36(8):1142-1144.
[19] 王晓莺,颜引妹,张燕,等.父母认知及养育行为与儿童肥胖就诊治疗的关系分析[J].中国儿童保健杂志,2015,23(6):664-666.
[20] 赵海萍,王宝珍,刘秀英,等.家长对儿童肥胖知识,态度和行为认知的现状调查[J].宁夏医科大学学报,2009,31(4): 474-475.
基金
安徽省科技攻关计划项目(1604a0802080)
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