中文版口腔健康素养量表简版(HeLD-14)在学龄前儿童家长中应用的信度和效度评价OA北大核心CSTPCD
Evaluation of reliability and validity of Chinese version of a short-form of Health Literacy Dental scale(HeLD-14)in the application among parents of preschool children
目的:评价中文版口腔健康素养量表简版(a short-form Health Literacy Dental scale,HeLD-14)在3～6岁学龄前儿童家长中应用的信度和效度.方法:2021年在北京市延庆区幼儿园通过电子问卷共调查1 479名学龄前儿童家长,了解儿童家长的一般情况、口腔健康素养相关内容.运用SPSS 21.0和Mplus 7.4软件进行统计分析,通过Cronbach's α系数、验证性因子分析、Pearson相关分析等方法,评价量表的内部一致性信度、结构效度、校标效度和区分效度.结果:中文版HeLD-14量表的Cronbaeh's α系数为0.958,不同维度的Cronbach's α系数在0.778～0.963.验证性因子分析结果显示,中文版HeLD-14量表各条目因子负荷在0.719～0.977(P＜0.001),拟合指数近似误差均方根(root-mean-square error of approximation,RMSEA)为 0.04,比较拟合指数(comparative fix index,CFI)为0.992,Tucker-Lewis指数(Tucker-Lewis index,TLI)为0.988,模型拟合优度良好.中文版HeLD-14量表总分及关注、理解、支持、经济负担、就医、沟通、运用维度得分均与一般自我效能感正相关,相关系数分别为0.439、0.406、0.370、0.344、0.346、0.367、0.373、0.390(P 均＜0.05).HeLD-14 量表得分排在前27％的高分组 3～6 岁儿童家长的口腔健康素养平均得分高于得分排在后27％的低分组(69.27±1.06 vs.41.29±11.09,t=48.13,P＜0.01).结论:中文版HeLD-14量表在3～6岁学龄前儿童家长中具有良好的信度和效度,可以作为评估学龄前儿童家长口腔健康素养的工具.
Objective:To assess the reliability,and validity of the Chinese version of a short-form of Health Literacy Dental scale(HeLD-14)in 3-6 years old preschool children's parents.Methods:The study population consisted of those eligible 3-6 years old preschool children's parents in Yanqing Dis-trict,Beijing,China in 2021.A total of 1 479 preschool children's parents were surveyed by question-naire to understand the general situation of parents and oral health literacy related content.SPSS 21.0 and Mplus 7.4 were used for statistical analysis.Through Cronbach's α coefficient,confirmatory factor a-nalysis,Pearson correlation calculation,Student's t test and other methods,the internal consistency reli-ability,structure validity,calibration validity and discrimination validity of the scale were evaluated.Re-sults:The Cronbach's α coefficient of Chinese version HeLD-14 scale was 0.958,and Cronbach's α co-efficient of different constructs ranged from 0.778 to 0.963.The confirmatory factor analysis showed that the factor loadings of each item of the Chinese version HeLD-14 scale were between 0.719 and 0.977(P＜0.001),root-mean-square error of approximation(RMSEA)=0.04,comparative fix index(CFI)=0.992,Tucker-Lewis index(TLI)=0.988,and the model had good goodness of fit.The total score of the Chinese version HeLD-14 scale and the scores of the dimension of concerning,understanding,sup-porting,financial burden,medical treatment,communication,and application were all positively correla-ted with general self-efficacy,and the correlation coefficients were 0.439,0.406,0.370,0.344,0.346,0.367,0.373,0.390,respectively(P all＜0.05).For parents in the high group with the top 27％HeLD-14 score,the average HeLD-14 score was 69.27±1.06,which was higher than the low group with the bottom 27％HeLD-14 score,41.29±11.09(t=48.13,P＜0.01).Conclusion:The Chinese version HeLD-14 scale has good reliability and validity in the 3-6 years old preschool children's parents,and can be used as a tool to assess the oral health literacy of parents of preschool children.
赵双云;邹思雨;李雪莹;沈丽娟;周虹
北京大学口腔医学院·口腔医院儿科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心,北京 100081北京大学公共卫生学院妇幼卫生学系/北京大学医学部-潍坊市妇幼健康联合研究中心/国家卫健委生育健康重点实验室,北京 100191
预防医学
口腔健康健康素养家长学龄前儿童结果可重复性
Oral healthHealth literacyParentsPreschool childReproducibility of results
《北京大学学报（医学版）》 2024 (005)
828-832 / 5
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