中国初中生健康素养综合测评体系框架构建研究  

Construction of health literacy assessment system for junior middle school students in China

作　　者：陈营 昝子晴 刘丽珠 李梦宇 尤莉莉[1] CHEN Yining;ZAN Zi-qing;LIU Li-zhu;LI Meng-yu;YOU Li-li(School of Health Policy and Management,Chinese Academy of Medical Sciences/Peking Union Medical College,Beijing 100005,China)

机构地区：[1]中国医学科学院/北京协和医学院卫生健康管理政策学院,北京100005

出　　处：《中国健康教育》2024年第10期870-876,共7页Chinese Journal of Health Education

基　　金：中国医学科学院医学与健康科技创新工程(2021-I2M-1-046);国家自然科学基金项目(71904205)。

摘　　要：目的 构建中国初中生健康素养综合测评体系框架,为后续未成年人健康素养评估具体指标及工具的开发,以及青少年相关健康促进实践提供参考。方法 通过文献研究与专家会议讨论拟订测评框架,通过2轮德尔菲法专家咨询对框架体系进行修改完善并计算权重。结果 2轮咨询专家权威系数分别为0.88和0.95,集中一致性与协调程度提升,专家意见可信。最终构建了包括个人卫生、饮食健康、身体活动、疾病防控、安全素养、心理健康、电子健康素养7个一级领域指标、20个二级内容指标,以及在每个一级指标下设置的知识、行为、技能、动机4个素养能力维度的中国初中生健康素养综合测评体系框架。一级指标中身体活动和心理健康权重较高,均为0.147,其下的二级指标权重占比也较高,但二级指标中,食品卫生、意外伤害防范权重最高,分别为0.074、0.072。结论 构建的中国初中生健康素养综合测评体系框架具备较强的科学性、指向性,可为后续具体三级指标及测评条目的设计开发奠定基础,并为中国儿童青少年群体健康素养测评相关研究提供参考。Objective To construct a health literacy assessment system for junior high school students in China,and to provide reference for the development of specific indicators and tools for subsequent adolescent health literacy assessment,as well as the practice of health promotion.Methods The evaluation framework was formulated through literature research and expert,and the framework system was revised and improved and weighted through two rounds of Delphi method expert consultation.Results The authority coefficients of the two rounds of consulting experts were 0.88 and 0.95,respectively,and the degree of centralization,consistency and coordination were improved,and the expert opinions were credible.Finally,a comprehensive evaluation index system of health literacy for junior high school students in China was constructed,including 7 first-level indicators,20 second-level content indicators,and 4 literacy ability dimensions knowledge,behavior,skills and motivation under each level.Physical activity and mental health have higher weights in the firstlevel indicators,both of which are O.147.Among the second-level indicators,the weight of food hygiene and accidental injury prevention is the highest,which are 0.074 and 0.072 respectively.Conclusion The framework of the comprehensive health literacy evaluation system for junior high school students,can lay the foundation for the design and development of specific three-level indicators and access items.

关 键 词：健康素养 测评体系 德尔菲 

分 类 号：R193[医药卫生—卫生事业管理]