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The Polish version of the short scale measuring health literacy in adolescence. 波兰版青少年健康素养简表。
Pub Date : 2019-01-01
Joanna Mazur, Agnieszka Małkowska-Szkutnik, Leena Paakkari, Olli Paakkari, Dorota Zawadzka

Objective: Background: Recent years saw the development of international tools for measuring health competencies understood as health literacy (HL). One of them is the short index Health Literacy for School-Aged Children (HLSAC) implemented by the members of the Health Behaviour in School-aged Children (HBSC) network. So far, when researching the properties of this instrument, less attention has been devoted to the correlation of HLSAC with other tools related to health. The aim of the paper is to present selected psychometric features of the HLSAC index in a sample of Polish pupils, supplemented by the preliminary analysis of its association with the health locus of control.

Patients and methods: Material and methods: The information collected relates to 630 junior secondary school students surveyed in Poland in 2016 as part of the HLSAC questionnaire pilot study. The Multidimensional Health Locus of Control (MHLC) scale by K. Wallston was used as the additional module for Poland. It differentiates among three dimensions of health control: internal, external - dependent on other people, and external - dependent on random factors. It was checked which HLC dimension correlates most strongly with HL.

Results: Results: It was demonstrated that the HLSAC scale consisting of 10 questions has a very good reliability in the Polish version (Cronbach alfa = 0.851) and a one-factor structure. Confirmatory factor analysis supported a unidimensional model (RMSEA = 0.082; CFI=0.922; TLI=0.877). The HLSAC most strongly correlates with the internal health locus of control (r=0.376; p<0.001), slightly less with the influence of other people (r=0.153; p<0.001), while the correlation with the random factor health locus of control is insignificant (p=0.947). It was found that there is a weak, however significant, positive correlation between family affluence and HLSAC (p=0.041).

Conclusion: Conclusions: The analyses conducted demonstrated that the Polish version of HLSAC has good psychometric features. The relatively higher correlation between HLSAC and internal rather than external health locus of control was confirmed. The practical effect of the pilot study was to develop an improved version of the HLSAC scale, which has been recommended for the mainstream HBSC 2018 survey.

目的:背景背景:近年来,国际上开发了一些工具来衡量被理解为健康素养(HL)的健康能力。学龄儿童健康行为(HBSC)网络成员实施的学龄儿童健康素养简短指数(HLSAC)就是其中之一。迄今为止,在研究该工具的特性时,较少关注 HLSAC 与其他健康相关工具的关联性。本文旨在以波兰学生为样本,介绍 HLSAC 指数的部分心理测量特征,并对其与健康控制点的关联进行初步分析:材料和方法:收集的信息涉及2016年在波兰调查的630名初中生,作为HLSAC问卷试点研究的一部分。K.Wallston的多维健康控制感量表(MHLC)被用作波兰的附加模块。该量表区分了健康控制的三个维度:内部、外部--依赖他人,以及外部--依赖随机因素。结果显示,哪一个 HLC 维度与 HL 的相关性最强:结果:结果:结果表明,由 10 个问题组成的 HLSAC 量表在波兰语版本中具有很好的可靠性(Cronbach alfa = 0.851)和单因素结构。确认性因子分析支持单维模型(RMSEA=0.082;CFI=0.922;TLI=0.877)。HLSAC与内部健康控制相关性最强(r=0.376;p结论:HLSAC与内部健康控制相关性最强(r=0.376;p结论:HLSAC与内部健康控制相关性最强(r=0.376):结论分析表明,波兰语版的 HLSAC 具有良好的心理测量特征。HLSAC与内部而非外部健康控制感之间相对较高的相关性得到了证实。试点研究的实际效果是开发了HLSAC量表的改进版本,并建议将其用于2018年HBSC主流调查。
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Developmental period medicine
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