- 期刊
環境荷爾蒙塑化劑健康識能量表之發展與驗證
Development and Validation of the Environmental Hormone-Plasticizer Health Literacy Scale
摘要
目的：健康識能是決定公共與個人健康的重要因素，被視為以病人為中心照護的核心。然而，國內探討環境荷爾蒙－塑化劑的健康識能之測量工具闕如。本研究旨在發展及測試塑化劑的健康識能之量表信、效度。方法：採橫斷面研究設計，研究對象為臺北市某教學醫院對環境荷爾蒙－塑化劑議題有興趣之114位婦產科門診病人。回顧相關量表與研究後，依據Sørensen的健康識能整合模型核心面向，自擬環境荷爾蒙－塑化劑健康識能量表。資料分析為描述性統計、信度分析、專家內容效度、驗證性因素分析、效標關聯效度及已知族群效度等。結果：環境荷爾蒙－塑化劑健康識能量表共10題，總分為40分，經5位專家評估內容效度指標為0.93。Cronbach's α為0.90，具有良好的內部一致性信度。驗證性因素分析表明建構效度良好。效標關聯效度皮爾森相關係數為0.59（p<0.001）及收斂效度亦支持其效度。已知族群效度結果表示，教育程度較高的女性其健康識能亦較高。結論：環境荷爾蒙－塑化劑健康識能量表是有效且可靠的測量工具。未來可作為衛生教育介入方案之評估工具。
並列摘要
Objectives: Health literacy is a crucial part of both public and personal health. It can also be regarded as essential to patient-centered care. However, the domestic health literacy on environmental hormones-plasticizers is lacking. The purpose of this research is to develop and test the reliability and validity of a health literacy scale for plasticizers. Methods: A cross-sectional research design was adopted, and 114 obstetrics and gynecology outpatients of a teaching hospital in Taipei, who were concerned about the issue of environmental hormones-plasticizers, were recruited as subjects of study. We developed an environmental hormone-plasticizer health literacy scale based on the core aspects of Sørensen's health literacy integration model after reviewing related scales and studies. Data analysis included descriptive statistics, reliability analysis, content validation by experts, confirmatory factor analysis, criterion-related validity, and known-group validity. Results: The Environmental Hormone-Plasticizer Health Literacy Scale consists of ten questions with a maximum score of 40 points. The content validity index, as determined by five experts, was 0.93. Cronbach's alpha was 0.90, indicating that there is good internal consistency and reliability. Confirmatory factor analysis demonstrated good construct validity. In addition, validity was also supported by criterion-related validity, which had a Pearson correlation coefficient of 0.59 (p<0.001) and convergent validity. According to known-group validity findings, women with higher education levels possessed higher health literacy. Conclusions: The Environmental Hormone-Plasticizer Health Literacy Scale is a valid and reliable measurement tool. It may be used as an evaluation tool for health education intervention programs in the future.