基于Delphi法构建居民预防寄生虫病健康素养指标体系

Construction of a human health literacy indicator system for prevention of parasitic diseases based on Delphi method

目的基于Delphi法构建居民预防寄生虫病健康素养指标体系。方法在文献回顾和专家访谈的基础上制定专家函询问卷,采用Delphi法进行两轮函询,根据指标删除标准和专家建议,构建居民预防寄生虫病健康素养指标体系。结果共14名专家完成了2轮函询,第二轮专家函询后,一、二、三级指标的权威系数分别为0.91~0.96、0.87~0.97和0.86~0.97。构建了以基本知识和意识、健康行为、健康技能为主要框架的包含3个一级指标、12个二级指标和48个三级指标的居民预防寄生虫病健康素养指标体系。3个一级指标中,基本知识和意识权重系数最高(0.3365),健康行为其次(0.3349),健康技能最低(0.3286)。组合权重居前3位的二级指标分别为对流行情况的了解(0.0882)、对传染源的了解(0.0858)和对寄生虫病的基本认识(0.0855)。结论初步构建了居民预防寄生虫病健康素养指标体系,为新时期预防寄生虫病健康素养评价工具的编制提供了参考依据。

Objective To construct a human health literacy indicator system for prevention of parasitic diseases based on Delphi method.Methods Based on literature reviews and expert interviews,a questionnaire was designed and a two-round Delphi consultation was performed.A human health literacy indicator system for prevention of parasitic diseases was constructed according to the deletion criteria and experts’advice.Results A total of 14 experts completed the two-round consultation.The secondround authority coefficients were 0.91 to 0.96 for the first-level indicators,0.87 to 0.97 for the second-level indicators and 0.86 to0.97 for the third-level indicators.A human health literacy indicator system for prevention of parasitic diseases was constructed with the main framework of basic knowledge and awareness,healthy behaviors,and healthy skills,which contained 3 first-level indicators,12 second-level indicators and 48 third-level indicators.Among the three first-level indicators,basic knowledge and awareness had the highest weighting coefficient(0.3365),followed by healthy behaviors(0.3349),and healthy skills had the lowest weighting coefficient(0.3286).The three secondary-level indicators with the highest combined weights included awareness of the epidemic status(0.0882),awareness of the resource of infection(0.0858)and basic awareness of parasitic diseases(0.0855).Conclusion A human health literacy indicator system for prevention of parasitic diseases is preliminarily constructed,which provides insights into the development of health literacy evaluation tools for prevention of parasitic diseases in the new era.