健康素养简要筛查问卷的汉化及信效度研究

doi:10.3969/j.issn.1006-3110.2022.03.033

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摘要目的汉化由3个条目组成的健康素养简要筛查问卷(Brief Health Literacy Screen, BHLS),并检测其信效度和筛查性能。方法以城市公众健康素养快速评估问卷为效标工具,采用BHLS调查263名住院患者,分别使用Cronbach's α系数、Pearson相关系数和ROC曲线计算BHLS的信效度和筛查健康素养不足与健康素养有限患者的最佳临界值。结果 BHLS的内部一致性信度为0.742,效标效度为0.519。BHLS得分≤9提示受试者健康素养不足,对应的ROC曲线下面积为0.788(P<0.001);BHLS得分≤11提示受试者健康素养有限,对应的ROC曲线下面积为0.715(P<0.001)。结论 BHLS可用于临床快速筛查健康素养不足患者。

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	薛子豪
	童莺歌
	吴怡雪
	陈思亦
	章云衡
	祝泽星
	章彩芳
	张晶
	王大辉

关键词 ：健康素养, 筛查, 评价, 工具

Abstract：Objective To translate 3-Question Brief Health Literacy Screen (BHLS) into Chinese, and to test its reliability and screening performance. Methods Taking the Urban Public Health Literacy Rapid Assessment Questionnaire as a validity tool, 263 inpatients were surveyed using the BHLS. The Cronbach’s alpha coefficient, Pearson’s correlation coefficient and ROC curve were used to calculate the reliability and validity of the BHLS and the optimal threshold value for screening patients with inadequate and limited health literacy, respectively. Results The internal consistency reliability and the criterion validity of the BHLS were 0.742 and 0.519, respectively. A BHLS score ≤ 9 suggested that the patient was inadequate health literacy, and the area under the ROC curve (AUROC) was 0.788 (P<0.001). A BHLS score ≤ 11 suggested that the patient had limited health literacy, and the AUROC was 0.715 (P<0.001). Conclusion BHLS can be used for rapid clinical screening of patients with inadequate health literacy.

Key words： health literacy screening evaluation tool

收稿日期: 2021-06-11

R193

基金资助:浙江省医药卫生科技计划项目(2020KY240)

通讯作者: 童莺歌,E-mail:1352597965@qq.com。

作者简介: 薛子豪(1997-),男,浙江温州人,硕士研究生在读,护师,研究方向:健康管理。

引用本文:

薛子豪, 童莺歌, 吴怡雪, 陈思亦, 章云衡, 祝泽星, 章彩芳, 张晶, 王大辉. 健康素养简要筛查问卷的汉化及信效度研究[J]. 实用预防医学, 2022, 29(3): 378-381. XUE Zi-hao, TONG Ying-ge, WU Yi-xue, CHEN Si-yi, ZHANG Yun-heng, ZHU Ze-xing, ZHANG Cai-fang, ZHANG Jing, WANG Da-hui. Chinesization of Brief Health Literacy Screen and its reliability and validity. , 2022, 29(3): 378-381.

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