Exploring self-rated health among adolescents: a think-aloud study.
Exploring self-rated health among adolescents: a think-aloud study.
复制标题
DOI：
10.1186/s12889-016-2837-z
复制
发表时间：
2016-02-16
影响因子：
4.5
通讯作者：
Flacking R
中科院分区：
文献类型：
--
作者：
Joffer J;Jerdén L;Öhman A;Flacking R
尽管在青少年研究中广泛使用自测健康问题，但对这些问题在青少年中的作用知之甚少。因此，本研究的目的是探讨青少年如何解释和理由时，回答一个问题，自我评价的健康。一项使用有声思维访谈的定性研究探讨了“你大部分时间感觉如何？"，使用五个回答选项（“非常好”、“相当好”、“既不好也不坏”、“相当坏”和“非常坏”）。该研究涉及瑞典初中（7年级）和高中（12年级）的58名青少年（29名男孩和29名女孩）。受访者对他们感觉如何的问题的解释包括社会，心理和身体方面。性别差异主要体现在女孩强调压力源，而年龄差异主要体现在年龄较大的受访者在其评估中纳入了更广泛的影响。五个回答选项都显示出自评健康状况的差异，受访者对中间选项“不好也不坏”的理解差异很大。在回答可能敏感的调查问题时，说明了提供诚实或有偏见的答案的理由。使用一个自我评价的健康问题，包括“感觉”一词捕捉了青少年健康的整体观。在分析自评健康问题时，应承认回答选项之间的差异。如果在回答自我评估健康问题时匿名不可行，则建议高度隐私以增加可靠性的可能性。
Despite extensive use of self-rated health questions in youth studies, little is known about what such questions capture among adolescents. Hence, the aim of this study was to explore how adolescents interpret and reason when answering a question about self-rated health. A qualitative study using think-aloud interviews explored the question, “How do you feel most of the time?”, using five response options (“Very good”, “Rather good”, “Neither good, nor bad”, “Rather bad”, and “Very bad”). The study involved 58 adolescents (29 boys and 29 girls) in lower secondary school (7th grade) and upper secondary school (12th grade) in Sweden. Respondents’ interpretations of the question about how they felt included social, mental, and physical aspects. Gender differences were found primarily in that girls emphasized stressors, while age differences were reflected mainly in the older respondents’ inclusion of a wider variety of influences on their assessments. The five response options all demonstrated differences in self-rated health, and the respondents’ understanding of the middle option, “Neither good, nor bad”, varied widely. In the answering of potential sensitive survey questions, rationales for providing honest or biased answers were described. The use of a self-rated health question including the word ‘feel’ captured a holistic view of health among adolescents. Differences amongst response options should be acknowledged when analyzing self-rated health questions. If anonymity is not feasible when answering questions on self-rated health, a high level of privacy is recommended to increase the likelihood of reliability.