文章摘要
吴双胜,杨鹏,李海月,马春娜,张奕,王全意.北京市居民传染病健康素养指标体系研究[J].中华流行病学杂志,2012,33(3):301-304
北京市居民传染病健康素养指标体系研究
Study on the index system in evaluating the adult health literacy situation related to infectiousdisease in Beijing
  
DOI:
中文关键词: 传染病;健康素养;健康教育;评价研究
英文关键词: Infectious disease;Health literacy;Health education;Evaluation studies
基金项目:国家高技术研究发展计划(863计划)(2008AA02Z416)
作者单位E-mail
吴双胜 北京市疾病预防控制中心传染病地方病控制所, 100013  
杨鹏 北京市疾病预防控制中心传染病地方病控制所, 100013  
李海月 北京市疾病预防控制中心传染病地方病控制所, 100013  
马春娜 北京市疾病预防控制中心传染病地方病控制所, 100013  
张奕 北京市疾病预防控制中心传染病地方病控制所, 100013  
王全意 北京市疾病预防控制中心传染病地方病控制所, 100013 bjcdcxm@126.com 
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中文摘要:
      目的 建立和评价北京市居民传染病健康素养指标体系,为制定传染病健康素养综合评价指数奠定基础.方法 采用多阶段分层抽样方法抽取北京市6个区县18岁以上居民,通过问卷方法调查居民对传染病健康素养的3个维度(知识、行为、技能)的相关指标,根据答案给各指标赋值.应用专家咨询、难易度与区别度分析和验证性因子分析筛选出指标进入传染病健康素养指标体系,并通过计算分半信度、克朗巴赫α系数、验证性因子分析、Q型聚类分析等方法对指标体系的信度和效度进行评价.结果 共调查13 287人,回收有效问卷13 001份,有效应答率97.85%.经过专家咨询、难易度与区别度分析和验证性因子分析等方法筛选出30个指标进入传染病健康素养指标体系,包括知识性素养指标12个、行为性素养指标13个、技能性素养指标5个.传染病健康素养指标体系的分半信度为0.609,克朗巴赫α系数为0.777;验证性因子分析结果显示,所有标准化回归系数均有统计学意义(P<0.01);Q型聚类将样本分为3类(分别有4819、3295和2405人),通过方差分析,发现各指标组间差异均有统计学意义(P<0.001).北京市居民具备传染病健康素养的比例为9.9%.结论 研究构建的传染病健康素养指标体系具有较好的信度和效度,是评估北京市居民传染病健康素养的科学有效工具.
英文摘要:
      Objective To establish and assess a comprehensive index system on adult health literacy which related to infectious disease.Methods A multi-stage stratified sampling method was carried out among adults aged over 18 years,in Bcijing.A questionnaire survey was used to collect the information on adult health literacy situation related to infectious disease,with answers scored.Degrees of difficulty and difference together with confirmatory factor analysis were used to screen the indications from the questionnaires so as to establish a comprehensive index system.Methods as Cronbach a coefficient,split-half reliability,confirmatory factor analysis and cluster analysis methods were used to assess the reliability and validity of the index system.Results The sample size was 13 287 with valid questionnaires as 13 001.There were 30 indexes selected to establish the comprehensive index system on adult health literacy related to infectious disease.The Cronbach a coefficient was 0.777,and the split-half reliability was 0.609.Data from Confirmatory factor analysis revealed that each of the standardized regression coefficient was significant,and there were significant differences between the groups of being clustered by Q cluster analysis method (P<0.001).9.9% of the residents were classified as having enough knowledge on health.Conclusion The index system set for adult health literacy that related to infectious disease showed good reliability and validity thus could be used as a good tool to evaluate the levels of health literacy which related to infectious diseases,in Beijing.
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