Health literacy among young adults: a short survey tool for public health and health promotion research
Health literacy among young adults: a short survey tool for public health and health promotion research
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DOI：
10.1093/heapro/dat096
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发表时间：
2015-09-01
影响因子：
2.7
通讯作者：
Sakarya, Sibel
中科院分区：
文献类型：
--
作者：
Abel, Thomas;Hofmann, Karen;Sakarya, Sibel
健康素养（HL）是根据具体情况而定的。在公共卫生和健康促进领域，私人领域的健康是指个人在日常生活中预防疾病和促进健康的知识和技能。然而，明确地针对私有领域上下文的度量工具是稀缺的。我们的目的是开发和测试一个简短的调查工具，在家庭和朋友的背景下捕捉HL的不同维度。我们使用了2010年至2011年瑞士联邦青少年调查的横断面数据，包括18至25岁的7983名男性和366名女性。HL通过一组8个项目（自我报告）进行评估。我们在男性样本中使用主成分分析来探索这些项目之间的潜在因素结构，并使用验证性因素分析来验证女性样本中的因素结构。结果表明，测试项目集表征了功能性、互动性和关键性人格特质的维度。两个子维度，理解与寻找健康相关信息，表示功能性HL。互动性和批判性HL分别用两个项目表示。基于所有八个项目的总和得分（Cronbach's alpha: 0.64）显示，男性和女性与自己和父母的教育程度呈正相关（p < 0.05）。短项目集似乎是一个可行的测量工具，以评估在私人领域的HL。它在调查研究中的广泛应用可能有助于提高我们对这种形式的HL如何在一般人群中分布的理解。
Health literacy (HL) is context-specific. In public health and health promotion, HL in the private realm refers to individuals' knowledge and skills to prevent disease and to promote health in everyday life. However, there is a scarcity of measurement tools explicitly geared to private realm contexts. Our aim was to develop and test a short survey tool that captures different dimensions of HL in the context of family and friends. We used cross-sectional data from the Swiss Federal Surveys of Adolescents from 2010 to 2011, comprising 7983 males and 366 females between 18 and 25 years. HL was assessed through a set of eight items (self-reports). We used principal component analysis to explore the underlying factor structure among these items in the male sample and confirmatory factor analysis to verify the factor structure in the female sample. The results showed that the tested item set represented dimensions of functional, interactive and critical HL. Two sub-dimensions, understanding versus finding health-relevant information, denoted functional HL. Interactive and critical HL were each represented with two items. A sum score based on all eight items (Cronbach's alpha: 0.64) showed expected positive associations with own and parental education among males and females (p < 0.05). The short item set appears to be a feasible measurement tool to assess HL in the private realm. Its broader application in survey studies may help to improve our understanding of how this form of HL is distributed in the general population.