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田向阳, 柴燕, 方丽, 程玉兰, 陈继彬. 中国公众传染病健康素养评价指标体系构建[J]. 中国公共卫生, 2016, 32(11): 1449-1454. DOI: 10.11847/zgggws2016-32-11-01
引用本文: 田向阳, 柴燕, 方丽, 程玉兰, 陈继彬. 中国公众传染病健康素养评价指标体系构建[J]. 中国公共卫生, 2016, 32(11): 1449-1454. DOI: 10.11847/zgggws2016-32-11-01
TIAN Xiang-yang, CHAI Yan, FANG Li.et al, . Construction of an evaluation index system for infectious disease specific health literacy among the public in China[J]. Chinese Journal of Public Health, 2016, 32(11): 1449-1454. DOI: 10.11847/zgggws2016-32-11-01
Citation: TIAN Xiang-yang, CHAI Yan, FANG Li.et al, . Construction of an evaluation index system for infectious disease specific health literacy among the public in China[J]. Chinese Journal of Public Health, 2016, 32(11): 1449-1454. DOI: 10.11847/zgggws2016-32-11-01

中国公众传染病健康素养评价指标体系构建

Construction of an evaluation index system for infectious disease specific health literacy among the public in China

  • 摘要: 目的 构建中国公众传染病健康素养评价指标体系,为开发传染病防治效果评价工具及相关研究奠定基础。方法 采用文献复习、专家意见集中小组、Delphi专家函询、权重计算和TOPSIS重要性排序的方法遴选一、二、三级指标,构建中国公众传染病健康素养评价指标体系。结果 通过检索文献和专家投票,确定中国公众传染病健康素养评价指标初稿包括5个一级指标、22个二级指标和56个三级指标;第1轮Delphi函询专家积极系数为76.67%,专家权威系数为0.86。根据第2轮专家函询对各项指标的权重赋值,一级指标按重要性排序依次为知识、行为能力、意识和观念、技能、获取和理解传染病防治相关信息的能力,TOPSIS得分依次为0.76、0.64、0.59、0.46、0.25分;56个三级指标中有43个三级指标的专家一致性系数 >90%,有29个三级指标的组合得分 >1.5分,有48个三级指标 >1.0分,结合TOPSIS排序,共删除10个三级指标和3个二级指标。最终共遴选出一级指标5个、二级指标19个、三级指标46个。结论 本研究构建的中国公众传染病健康素养三级指标体系具有较高的表面效度,能够科学准确界定和解释公众传染病的健康素养。

     

    Abstract: Objective To construct an evaluation index system of infectious diseases specific health literacy (IDSHL) in Chinese public and to lay a foundation for developing tools of IDSHL assessment and related researches in China.Methods Literature review,expert nominal group technique (NGT),Delphi expert survey,weight calculation,and scoring and sorting with the technique for order performance by similarity to ideal solution (TOPSIS) were used to construct and select primary,secondary,and tertiary indicators.Results Based on the outcomes of literature review and NGT,the initial IDSHL evaluation index system is composed of 5 primary indicators,22 secondary indicators and 56 tertiary indicators.The positive coefficient of the first Delphi experts survey was 76.67%,and the expert authority coefficient was 0.86.Based on the expert weighting of the second Delphi survey,the primary indexes include infectious disease related "knowledge","capacity of action","consciousness and concept","skills",and "the capability of information acquisition and understanding of infectious diseases prevention and control",with the corresponding TOPSIS scores of 0.76,0.64,0.59,0.46,and 0.25,respectively.Of the 56 tertiary indicators,43 were assigned the expert coordination coefficients of greater than 0.9.There were 29 and 48 tertiary indicators being assigned the combined scores of greater than 1.5 and 1.0.Synthetically considering the results of experts' assessment and TOPSIS sorting,10 tertiary indicators and 3 secondary indicators were exclude and finally,5 primary,19 secondary,and 46 tertiary indicators were selected to form the index system.Conclusion The infectious disease specific health literacy index system constructed is of high surface validity and could be adopted to describe and explain infectious disease specific health literacy among the public in China.

     

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