检查客观健康识字和算术尺度的因素结构:大型跨部门研究
Chihiro Moriishi1, Keisuke Takano1, Takeyuki Oba1
1Human Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), 1-1-1 Higashi, Tsukuba, Ibaraki, 305-8566, Japan, 81 80-2202-0737.
JMIR public health and surveillance
|January 6, 2026
概括
客观的健康素养包括概念知识,计算能力和合成能力,疾病特异性不是一个突出的因素. 虽然客观和主观的健康素养有一些重叠,但它们在很大程度上是独立的构造.
科学领域:
- 健康素养研究研究健康素养研究
- 心理测量分析 心理测量分析
- 健康行为研究研究健康行为研究.
背景情况:
- 卫生识字和算术表格分为客观 (基于绩效) 或主观 (自我报告).
- 客观和主观的尺度可能并不总是对齐,并且可以测量不同的底层结构.
- 越来越多的客观健康素养测量措施引发了关于最佳数量的潜在因素的质疑.
研究的目的:
- 调查客观健康素养项目的心理测量属性和因子结构.
- 确定客观健康素养方面与主观措施之间的相关性.
- 探索客观健康素养与健康行为/生活方式之间的关系.
主要方法:
- 对16097名日本成年人进行了5个客观尺度 (72项).
- 尺度评估了计算能力,理解和健康信息的应用,包括疾病特定的背景.
- 利用探索性因子分析来识别潜在结构,并测试与主观健康素养和行为之间的相关性.
主要成果:
- 探索性因子分析揭示了3个潜在的因素:概念知识,计算能力和合成能力.
- 疾病特定的背景化并没有显著改变计算能力因素.
- 这些因素与主观健康素养有中等的相关性,与健康饮食和较低的物质使用有很小的正相关性.
结论:
- 客观的健康素养尺度包括至少三个不同的潜在构造:概念知识,算力和合成.
- 疾病特异性不是在客观健康素养测量中具有心理学意义的特征.
- 客观和主观的健康素养应该被认为是独立的构造,因为它们的相关性有限.
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