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目的构建一套客观、系统的疟疾相关健康素养指标体系,为科学评价疟疾相关健康素养提供工具。方法采用Delphi法进行问卷调查,以研究主题为依据确定专家人选,并在某企业公司驻尼日尔项目员工进行现场问卷实测调查。结果专家平均年龄(42.37±2.15)岁,均为副高以上职称,工作年限(13±1.25)年。2轮专家咨询问卷回收率均为100%,专家权威系数值均约为0.85。根据问卷实测结果的难易度在0.8~0.2之间且区分度>0.3,以及设定的重要性得分均数和变异系数标准筛选出符合要求的三级指标46项,分别评价疟疾健康素养的4个部分:知识、态度、行为和技能。经过两轮咨询后,专家协调系数值为0.239,具有统计学差异(P<0.01)。结论本次Delphi调查专家积极性高、代表性强、权威程度高、协调性较好,问卷实测难度和区分度均在良好范围内,初步构建的疟疾相关健康素养指标体系较为科学合理。
Objective To construct an objective and systematic malaria-related health literacy index system and provide a tool for scientifically evaluating malaria-related health literacy. Methods The Delphi method was used to conduct the questionnaire survey. The subject was selected as the basis for determining the candidates and the project staff in a company in Niger were surveyed on site. Results The average age of experts (42.37 ± 2.15) years, all titles above the vice president, working years (13 ± 1.25) years. Two rounds of expert consultation questionnaire recovery rate was 100%, the value of expert authority coefficient is about 0.85. According to the results of the questionnaire between the difficulty of 0.8 to 0.2 and the degree of differentiation> 0.3, and the establishment of the importance score and the coefficient of variation of the standard screening of qualified third-level indicators 46, respectively, evaluation of the health literacy of malaria 4 parts: knowledge, attitude, behavior and skills. After two rounds of consultation, the expert coordination coefficient was 0.239, with statistical significance (P <0.01). Conclusion The survey experts in Delphi have high motivation, strong representativeness, high authority and good coordination, and the difficulty and discrimination of questionnaire survey are in a good range. The malaria-related health literacy index system initially constructed is more scientific and reasonable.