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北京大学学报（医学版） ›› 2024, Vol. 56 ›› Issue (5): 828-832. doi: 10.19723/j.issn.1671-167X.2024.05.012

• 论著 • 上一篇    下一篇

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

赵双云1, 邹思雨2, 李雪莹2, 沈丽娟2, 周虹2,*()   

  1. 1. 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
    2. 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
  • 收稿日期:2021-04-21 出版日期:2024-10-18 发布日期:2024-10-16
  • 通讯作者: 周虹 E-mail:hongzhou@bjmu.edu.cn

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

Shuangyun ZHAO1, Siyu ZOU2, Xueying LI2, Lijuan SHEN2, Hong ZHOU2,*()   

  1. 1. Department of Pediatrics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digi-tal Medical Devices, Beijing 100081, China
    2. Department of Maternal and Child Health, Peking University School of Public Health/Peking University Health Science Center-Weifang Joint Research Center for Maternal and Child Health/National Health Commission Key Laboratory of Reproductive Health, Beijing 100191, China
  • Received:2021-04-21 Online:2024-10-18 Published:2024-10-16
  • Contact: Hong ZHOU E-mail:hongzhou@bjmu.edu.cn

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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Cronbach’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。

关键词: 口腔健康, 健康素养, 家长, 学龄前儿童, 结果可重复性

Abstract:

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 District, Beijing, China in 2021. A total of 1 479 preschool children's parents were surveyed by questionnaire 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 analysis, Pearson correlation calculation, Student's t test and other methods, the internal consistency reliability, structure validity, calibration validity and discrimination validity of the scale were evaluated. Results: The Cronbach's α coefficient of Chinese version HeLD-14 scale was 0.958, and Cronbach's α coefficient 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, supporting, financial burden, medical treatment, communication, and application were all positively correlated 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.

Key words: Oral health, Health literacy, Parents, Preschool child, Reproducibility of results

中图分类号: 

  • R174

表1

被调查家长基本情况(n=1 318)"

Characteristics n %
Family role
  Mother 1 120 84.9
  Father 198 15.0
Ethnicity
  Han 1 237 93.8
  Minority 81 6.1
Highest educational level
  Primary school or below 11 0.8
  Junior school 109 8.2
  Technical secondary school or high school 303 22.9
  College or university 860 65.2
  Master degree or above 35 2.6
Annual income(Chinese 10 000 yuan)
   < 5 301 22.8
  ≥5 & < 20 794 60.2
  ≥20 & < 50 201 15.2
  ≥50 22 1.6

表2

中文版HeLD-14量表的验证性因子分析模型拟合优度结果"

Items χ2 df χ2/df P CFI TLI RMSEA
Reference standard < 5 < 0.001 >0.9 >0.9 < 0.08
Seven-factor model 128.325 56 2.291 < 0.001 0.992 0.988 0.04

表3

中文版HeLD-14验证性因子分析结果"

Dimensions Items Factor loadings
Concerning Do you care about your teeth or oral health? 0.874
Do you spend time doing things that are good for your teeth or oral health? 0.901
Understanding Are you able to read relevant text information, such as the treatment form given by your dentist? 0.912
Are you able to read dental or oral health information manuals available in dental clinics and waiting rooms? 0.933
Supporting Are you able to take your family or friends to the dentist? 0.847
When you go to the dentist, do you ask other people to go with you? 0.719
Financial burden Can you afford to the cost of going to the dentist (treatment and tests)? 0.961
Can you afford your medication for dental or oral care? 0.961
Medical treatment Do you know how to go to the dentist? 0.900
Do you know what you need to do to see a dentist? 0.854
Communication Do you seek advice from a dental professional about your teeth or oral health care? 0.935
Can you use the information given by your dentist to make decisions about your teeth or oral health care? 0.968
Application Are you able to carry out the dentist’s orders? 0.977
Can you take advice from your dentist to make decisions about your teeth or oral health? 0.904
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