CAJ | 학술논문

目的：编制适合我国中学生的健康素养评价量表，并评价其信度和效度。方法依据世界卫生组织（WHO）提出的健康素养定义，根据《中小学生健康教育指导纲要》和《中、小学生健康教育规范》有关青少年健康教育的内容，设计量表概念框架、构建中学生健康素养量表条目池，然后在上海市中学生中进行调查，应用探索性因子分析和结构方程模型对量表的效度进行检验，应用内部一致性对量表信度进行检验。结果本次研究共有498名中学生参与调查，通过临界比值、因子载荷和 Cronbach’s α系数进行条目筛选，最终形成31个条目的中学生健康素养量表。通过探索性因子分析和验证性因子分析，量表构建成为健康理念、健康知识、健康生活方式与行为、健康认知技能和操作技能5个维度（χ2＝520.748，P ＝0.00，CFI ＝0.920，TLI ＝0.912，RMSEA＝0.022，RMSEA 90％CI ＝0.014～0.028，WRMR ＝1.048）。量表的 Cronbach’s α系数为0.739，问卷各维度的Cronbach’s α系数为0.541～0.679。结论所编制的中学生健康素养量表具有较好的效度和内部一致性。
목적：편제괄합아국중학생적건강소양평개량표，병평개기신도화효도。방법의거세계위생조직（WHO）제출적건강소양정의，근거《중소학생건강교육지도강요》화《중、소학생건강교육규범》유관청소년건강교육적내용，설계량표개념광가、구건중학생건강소양량표조목지，연후재상해시중학생중진행조사，응용탐색성인자분석화결구방정모형대량표적효도진행검험，응용내부일치성대량표신도진행검험。결과본차연구공유498명중학생삼여조사，통과림계비치、인자재하화 Cronbach’s α계수진행조목사선，최종형성31개조목적중학생건강소양량표。통과탐색성인자분석화험증성인자분석，량표구건성위건강이념、건강지식、건강생활방식여행위、건강인지기능화조작기능5개유도（χ2＝520.748，P ＝0.00，CFI ＝0.920，TLI ＝0.912，RMSEA＝0.022，RMSEA 90％CI ＝0.014～0.028，WRMR ＝1.048）。량표적 Cronbach’s α계수위0.739，문권각유도적Cronbach’s α계수위0.541～0.679。결론소편제적중학생건강소양량표구유교호적효도화내부일치성。
Objective To develop a health literacy scale for middle school students,and examine the reliability and validity of the scale.Methods Based on the definition of health literacy provided by WHO and the content of adolescent health education according to “Outline of health education guidance in primary and secondary school students”and “Health education norms of primary and secondary school students”,the conceptual framework and constructed the items pool of the health literacy scalewas designed.The scale was then administered to secondary school students for pre-investigationin Shang-hai.The validity of the scale was examinedby using factor analysis and structural equation model,and examined the reliabil-ity of the scale and the subscales by measuring their internal consistency.Results 498 middle school students were investi-gated in our survey.And the scalefinally formed and contained 31 items after screened the items by the methods of critical ra-tio,factor loading and Cronbach’s alpha coefficient.Exploratory factor analysis identified five subscales,which together ex-plained 41.3% of the instrument’s variance.Based on confirmatory factor analysis,the items were grouped into five sub-scales representing health concepts,health knowledge,health-related lifestyle and behaviors,health-related cognitive skills and operational skills (χ2 =520.748,P <0.001,CFI =0.920,TLI =0.912,RMSEA =0.022,RMSEA 90% CI:0.014 -0.028,WRMR =1.048).The Cronbach’s alpha coefficient for the health literacy scale was 0.739 and the corre-sponding figures for the subscales ranged from 0.541 to 0.679.Conclusion The health literacy scale for middle school student demonstrated relatively good validity and reliability.