Development and validation of a 15-item Japanese Health Knowledge Test.

Development and validation of a 15-item Japanese Health Knowledge Test.
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DOI:
10.2188/jea.je20090096
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发表时间:
2010
影响因子:
4.7
通讯作者:
Paasche-Orlow MK
Paasche-Orlow MK
中科院分区:
医学3区
文献类型:
--
作者:
Tokuda Y;Okubo T;Yanai H;Doba N;Paasche-Orlow MK

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卫生知识普及影响卫生知识的获取,因此与卫生成果有关。然而,很少编制量表来评估一般公众的卫生知识水平。采用题项反应理论编制了15题项日本人健康知识测验(J-HKT)。我们检验了J-HKT与健康素养项目的结构效度,并分析了与健康知识贫乏相关的社会人口和行为因素。我们招募了1040名成人受试者(平均年龄57岁,女性占52%)。选出了15个最能识别健康知识贫乏者的项目。在J-HKT上,所有条目的信息函数曲线在潜在性状负谱上都有一个峰值。与报告高收入、受教育程度和识字率的参与者相比,收入、受教育程度和识字率较低的参与者在J-HKT上的总分较低。与不饮酒者/轻度饮酒者相比,中度饮酒者和重度饮酒者在J-HKT上的总分较低。J-HKT可能有助于衡量公众的健康知识,以及识别和描述那些健康知识贫乏的人。
Health literacy affects the acquisition of health knowledge and is thus linked to health outcomes. However, few scales have been developed to assess the level of health knowledge among the general public. The 15-item Japanese Health Knowledge Test (J-HKT) was developed by using item response theory to score an item pool. We examined the construct validity of the J-HKT in relation to health literacy items, and analyzed the sociodemographic and behavioral factors associated with poor health knowledge. We enrolled 1040 adult participants (mean age, 57 years; women, 52%). The 15 items that best identified people with poor health knowledge were selected. For all items on the J-HKT, the information function curves had a peak in the negative spectrum of the latent trait. As compared with participants reporting high levels of income, educational attainment, and literacy, those with low levels of income, education, and literacy had a lower total score on the J-HKT. As compared with non/light drinkers, moderate and heavy drinkers had lower total scores on the J-HKT. The J-HKT may prove useful in measuring health knowledge among the general public, and in identifying and characterizing those with poor health knowledge.
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