A contextually relevant approach to assessing health risk behavior in a rural sub-Saharan Africa setting: the Kilifi health risk behavior questionnaire.

A contextually relevant approach to assessing health risk behavior in a rural sub-Saharan Africa setting: the Kilifi health risk behavior questionnaire.
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DOI:
10.1186/s12889-018-5710-4
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发表时间:
2018-06-20
期刊:
影响因子:
4.5
通讯作者:
Abubakar A
Abubakar A
中科院分区:
医学2区
文献类型:
--
作者:
Ssewanyana D;van Baar A;Newton CR;Abubakar A

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健康风险行为(HRB)在青少年时期受到关注。在撒哈拉以南非洲地区,迫切需要可靠、有效和文化上适当的人力资源建设措施。本研究的目的是组装和心理测量学评估在肯尼亚沿海基利菲县的青少年HRB的综合问卷。Kilifi健康风险行为问卷(KRIBE-Q)是使用从系统回顾中确定的HRB项目,并通过11个焦点小组讨论和10个关键信息提供者(如教师和员工)的深入访谈咨询85名年轻人,为Kilifi县的年轻人提供各种服务的组织。人力资源预算项目的汇编清单由一个专家小组从英语翻译成斯瓦希里语,并进行了协调。共有164名青少年在基线时完成了斯瓦希里语问卷,两周后其中85人再次完成了问卷。一个经典的测试理论的方法被用于心理测量评估。我们计算了项目级的缺失数据量,以验证数据质量。通过在项目一级的选项之间的响应分布来评估缩放评价。使用Gwet的AC 1系数,重测信度进行了评估,使用的数据从85名青少年回答问卷两次。观察和完成一个简短的问卷调查进行非心理测量评估的KRIBE-Q管理通过音频计算机辅助自我访谈(ACASI)在斯瓦希里语40名青少年。KRIBE-Q显示了高数据质量、良好的选项间响应分布和非常好的重测信度(Gwet的AC 1 = 0.82)。它包括8个具有可接受的重测信度的组成部分:导致意外伤害和暴力的行为(0.85),烟草使用(0.85),酒精和药物使用(0.96),性行为(0.94),饮食行为(0.60),体育活动(0.74),赌博(0.73)和卫生行为(0.89)。大约96%的青少年认为ACASI是私人的,易于使用。欺凌(32%),身体打架(40%)和参与赌博(26%)的患病率很高。在这项研究中组装的KRIBE-Q是肯尼亚沿海农村青少年的心理测量健全的工具,通过ACASI管理是可行的。这一措施可能有助于在类似情况下进行调查和规划干预措施。本文的在线版本(10.1186/s12889-018-5710-4)包含补充材料,可供授权用户使用。
Health risk behavior (HRB) is of concern during adolescence. In sub-Saharan Africa, reliable, valid and culturally appropriate measures of HRB are urgently needed. This study aims at assembling and psychometrically evaluating a comprehensive questionnaire on HRB of adolescents in Kilifi County at the coast of Kenya. The Kilifi Health Risk Behavior Questionnaire (KRIBE-Q) was assembled using items on HRB identified from a systematic review and by consulting 85 young people through 11 focus group discussions and in-depth interviews with 10 key informants like teachers and employees of organizations providing various services to young people in Kilifi County. The assembled list of HRB items were back and forward translated from English to Swahili and harmonized by a panel of experts. A total of 164 adolescents completed the assembled Swahili questionnaire at baseline and two weeks later 85 of them completed the questionnaire again. A classical test theory approach was utilized for psychometric evaluation. We computed the amount of missing data at item-level to verify data quality. Scaling evaluation was assessed by spread of responses across options at an item-level. Using Gwet’s AC1 coefficient, test-retest reliability was assessed using data from the 85 adolescents who answered the questionnaire twice. Observations and completion of a brief questionnaire were done for non-psychometric evaluation of the KRIBE-Q administered via audio-computer assisted self-interview (ACASI) in Swahili language to 40 adolescents. The KRIBE-Q showed high data quality, good spread of responses across options and a very good test-retest reliability (Gwet’s AC1 = 0.82). It comprised 8 components with acceptable test-retest reliability: behavior resulting in unintentional injury and violence (0.85); tobacco use (0.85); alcohol and drug use (0.96); sexual behaviors (0.94); dietary behaviors (0.60); physical activity (0.74); gambling (0.73); and hygiene behavior (0.89). About 96% of the adolescents found the ACASI private and easy to use. Prevalence of bullying (32%), physical fights (40%) and engagement in gambling (26%) was high. The KRIBE-Q assembled in this study is a psychometrically sound instrument for adolescents in rural coastal Kenya and feasible to administer via ACASI. This measure may be useful for surveys and planning interventions in similar settings. The online version of this article (10.1186/s12889-018-5710-4) contains supplementary material, which is available to authorized users.
DOI: 10.1016/0165-1781(89)90047-4
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期刊: MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
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DOI: 10.1016/0895-4356(90)90159-m
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影响因子: 7.2
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