中国农村居民健康素养评价指标筛选  

Selection of indicators for assessing health literacy among Chinese rural residents

作　　者：晋菲斐 田向阳[2] 任学锋[2] 刘远立[3] 尤莉莉[3] 沈冰洁[3] JIN Fei-fei;TIAN Xiang-yang;REN Xue-feng(Chinese Center for Disease Control and Prevention,Beijing,102206,China)

机构地区：[1]中国疾病预防控制中心,北京102206 [2]中国健康教育中心 [3]中国医学科学院北京协和医学院

出　　处：《中国公共卫生》2019年第6期742-745,共4页Chinese Journal of Public Health

基　　金：“健康农村”综合评价指标体系建立和简易评估工具开发(71473270)

摘　　要：目的筛选中国农村居民健康素养评价指标,为编制农村居民健康素养测评工具奠定基础。方法2017年10月,通过文献检索和专家咨询,提出农村居民健康素养评价指标初稿,采用德尔菲专家咨询法遴选中国农村卫生、环境卫生、食品卫生、健康教育与健康促进等领域的专家30名,采用函询的办法,邀请专家就指标的重要性、敏感性和特异性进行评分。结果两轮咨询问卷回收率均>90%,专家权威程度0.85。经过两轮咨询,专家意见趋于一致。专家协调系数为0.322,且有统计学差异(P<0.01)。最终筛选出43个条目,分别从健康意识和观念(16个条目)、健康知识(21个条目)、健康技能(3个条目)和健康信息认知与应用(3个条目)4方面对农村居民健康素养进行评价。结论专家代表性强、积极性高、权威程度和协调性较好,此次咨询筛选出的条目符合构建农村居民健康素养评价指标体系的需要。Objective To select indicators for assessing health literacy among rural residents in China and to provide a basis for developing instruments for health literacy evaluation in the population.Methods Literature review and expert consultation were used to construct a primary set of indicators for evaluating health literacy among Chinese rural residents in October 2017. Then using Delphi method, we recruited 30 Chinese experts on rural health, environment health, food hygiene, health education, and health promotion for a mail survey to scale the significance, sensitivity, and specificity of all the primary indicators.Results For the two rounds of consultation, the response rates were higher than 90%;the mean authorities were 0.85;and the harmonious coefficients were 0.322 (P < 0.05). The study finally selected 43 indicators for evaluating four domains of health literacy in Chinese rural residents. The four domains are health awareness and concepts (involving 16 indicators), health knowledge (21), health skills (3), and cognition and application of health information (3).Conclusion The experts' response rate, authority and harmony were all good in the study and the selected indicators meet the requirements for the construction of the index system for health literacy evaluation among rural residents in China.

关 键 词：农村居民 健康素养 德尔菲专家咨询 

分 类 号：R193[医药卫生—卫生事业管理]