德尔菲法构建大城市青年生殖健康素养评价指标体系分析

Application of Delphi method in establish an evaluation index system of reproductive health literacy for youth

目的构建大城市15~24岁青年人群生殖健康素养评价指标体系,为评估工具开发及相关健康促进实践提供理论依据。方法通过资料回顾、文献评阅及专家小组讨论,拟定生殖健康素养评价指标体系框架和条目池,编制咨询表并选择20名多领域专家,经2轮德尔菲专家咨询对评价指标进行完善并计算权重。结果 2轮咨询的专家权威系数分别为0.791和0.817,回表率均达100%,变异系数范围分别为0.061~0.162和0.012~0.142,协调系数由0.170上升至0.375(P<0.01),专家意见一致可信。最终形成含生殖健康决定因素、疾病和问题危险因素、卫生服务利用3个一级指标,体现信息获取、理解、评价和应用4种能力的12个二级指标,以及体现生殖健康评价关键内容的45个三级指标的评价体系。结论建立了15~24岁青年生殖健康素养评价指标体系,可用于指导该人群生殖健康素养评估工具和干预材料的开发。

Objective To establish an evaluation index system of youth reproductive health literacy in big cities grounded on the WHO conceptual framework of health literacy. Methods Based on literature review and expert discussion,evaluation frame and indicators pool was firstly set up. Two-round Delphi process was then conducted among 20 multi-disciplinary specialists. Results The authority coefficients were 0.791 and 0. 817,respectively,for the two rounds of Delphi consultation,with the response rates were both 100%. The coefficient of variable（ CV） ranged for each index were 0.061-0.162 and 0.012-0.142,and the Kendall＇ W for third-grade indices were 0.170 and 0.375,respectively（ P〈0.01）. The final evaluation system was composed by 45 indices involving areas of reproductive health determinants,disease and risk factors,utilization of health care,and reflecting abilities of health information accessing,understanding,appraising and applying. Conclusion The established index system has relatively good reliability,and could be used to guide further development of assessment tools and intervention packages of youth reproductive health literacy.