Article(id=1241329581303583086, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241329570129956900, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202411035, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1730563200000, receivedDateStr=2024-11-03, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773885634970, onlineDateStr=2026-03-19, pubDate=1752076800000, pubDateStr=2025-07-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773885634970, onlineIssueDateStr=2026-03-19, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773885634970, creator=13701087609, updateTime=1773885634970, updator=13701087609, issue=Issue{id=1241329570129956900, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='13', pageStart='2305', pageEnd='2496', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773885632307, creator=13701087609, updateTime=1773885763730, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241330121425080472, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241329570129956900, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241330121425080473, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241329570129956900, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=2390, endPage=2394, ext={EN=ArticleExt(id=1241329583937606107, articleId=1241329581303583086, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Translation and validation of the Chinese version of the sexual health literacy measurement tool for pregnancy prevention among adolescents (SHL-PPA), columnId=1228016568949474136, journalTitle=Modern Preventive Medicine, columnName=Child and Adolescent Health, Maternal and Child Health, runingTitle=null, highlight=null, articleAbstract=
Objective

To translate and validate the Chinese version of the Sexual Health Literacy Measurement Tool for Pregnancy Prevention Among Adolescents (SHL-PPA).

Methods

Following Brislin’s translation model, the SHL-PPA was forward- and back-translated, then culturally adapted by 15 experts. From June to July 2024, 420 participants completed the online questionnaire, with 30 randomly selected for retesting to examine reliability and validity.

Results

The final Chinese version contained 16 items with item-level content validity indices ranging from 0.87 to 1.00 (scale-level=0.97). The scale demonstrated excellent internal consistency (Cronbach’ α=0.918), test-retest reliability (0.811), and split-half reliability (0.829). Exploratory factor analysis extracted three factors explaining 61.715% of total variance. Confirmatory factor analysis showed good model fit (χ2/v=2.250, RMSEA=0.077, IFI=0.921, TLI=0.906, CFI=0.921, RMR=0.042). Significant positive correlation with contraceptive knowledge (r=0.608, P<0.001) confirmed criterion validity.

Conclusion

The Chinese SHL-PPA demonstrates good reliability and validity for assessing contraceptive health literacy among Chinese adolescents, providing a tool for developing pregnancy prevention interventions.

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目的

汉化和修订青少年避孕健康素养量表(sexual health literacy measurement tool for pregnancy prevention among adolescents,SHL-PPA),并检验其信度和效度。

方法

根据Brislin翻译模型将SHL-PPA进行直译和回译,并邀请15位专家进行文化调适,在2024年6—7月通过在线问卷平台对420名调查对象进行问卷调查,并从中随机抽取30名调查对象进行重测,检验中文版SHL-PPA的信效度。

结果

最终中文版SHL-PPA共16个条目,量表条目水平的内容效度指数范围在0.87~1.00之间,量表水平的内容效度指数为0.97;量表的Cronbach α系数为0.918,重测信度为0.811,折半信度为0.829。经过探索性因子分析成功提取了三个公因子,累计方差贡献率为61.715%,验证性因子分析的结果显示中文版SHL-PPA的模型拟合较好(χ2/v=2.250,RMSEA=0.077 , IFI=0.921, TLI=0.906, CFI=0.921, RMR=0.042)。中文版SHL-PPA得分与避孕知识水平量表总分呈正相关(r=0.608,P<0.001),表明其具有良好的校标效度。

结论

中文版SHL-PPA量表具有良好的信效度,可用于我国青少年避孕健康素养水平的评估,为构建预防青少年怀孕的干预措施提供了工具基础。

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牛长敏,E-mail:
, copyrightStatement=本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点,除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=pHAbV+sgV8qFK49nD6PJbw==, magXml=qzvDsCvAOderAFwg8cL38A==, pdfUrl=null, pdf=lts2gouA+eOzUDO8oNw7YQ==, pdfFileSize=686518, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=dx9Hp4Pj0VNvuaL8Gvfb6g==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=n1l7TLIPSbBUqJfMd6pqAQ==, mapNumber=null, authorCompany=null, fund=null, authors=

徐秋连(2000—),女,硕士在读,研究方向:生殖健康

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Factor loading of Chinese version of the SHL-PPA scale (n=210)

, figureFileSmall=null, figureFileBig=null, tableContent=
维度条目因子1因子2因子3
避孕信息和服务的获取能力1.我可以在网上找到避孕相关信息,比如百度、微博、小红书等0.743
2.我可以向朋友/父母/老师/医疗保健专业人员咨询以获取避孕相关信息0.769
3.我知道获取避孕信息和服务最有效的方法是寻找医生或者医疗相关专业人员0.748
4.我能够根据自己的需要选择相应卫生服务机构,以获得避孕的服务0.715
避孕信息的理解和评估能力5.我能够阅读并轻松理解书籍、手册或媒体上发布的避孕相关信息0.512
6.我能够用他人可以理解的方式来解释避孕相关的性健康信息0.777
7.我能够评估避孕相关的性健康信息来源的可靠性0.606
8.我能够评估避孕相关的性健康信息的正确性0.843
9.在相信或遵循这些避孕信息之前,我会比较不同来源的信息,以保证信息的安全性和有效性0.631
避孕信息的健康实践能力10.我能利用获取的信息,按照自己的意愿做出避孕的决定0.680
11.如果我面临意外怀孕的风险,我能够找到适当的避孕方法0.528
12.我觉得学习避孕的方法是非常有必要的0.747
13.我主动学习(书籍、网站……)以增加我的避孕知识0.566
14.我与朋友或他人谈论避孕,帮助我更好的处理可能发生的情况0.477
15.我强烈意识到意外怀孕的风险,对无保护的性行为说不0.830
16.如果我有不可避免的性行为,我可以使用或说服我的伴侣使用避孕套和避孕药等避孕产品0.691
特征根7.2981.4311.145
累计方差贡献率(%)22.9542.59561.715
), ArticleFig(id=1241329758244499545, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241329581303583086, language=CN, label=表1, caption=

中文版SHL-PPA的因子载荷量(n=210)

, figureFileSmall=null, figureFileBig=null, tableContent=
维度条目因子1因子2因子3
避孕信息和服务的获取能力1.我可以在网上找到避孕相关信息,比如百度、微博、小红书等0.743
2.我可以向朋友/父母/老师/医疗保健专业人员咨询以获取避孕相关信息0.769
3.我知道获取避孕信息和服务最有效的方法是寻找医生或者医疗相关专业人员0.748
4.我能够根据自己的需要选择相应卫生服务机构,以获得避孕的服务0.715
避孕信息的理解和评估能力5.我能够阅读并轻松理解书籍、手册或媒体上发布的避孕相关信息0.512
6.我能够用他人可以理解的方式来解释避孕相关的性健康信息0.777
7.我能够评估避孕相关的性健康信息来源的可靠性0.606
8.我能够评估避孕相关的性健康信息的正确性0.843
9.在相信或遵循这些避孕信息之前,我会比较不同来源的信息,以保证信息的安全性和有效性0.631
避孕信息的健康实践能力10.我能利用获取的信息,按照自己的意愿做出避孕的决定0.680
11.如果我面临意外怀孕的风险,我能够找到适当的避孕方法0.528
12.我觉得学习避孕的方法是非常有必要的0.747
13.我主动学习(书籍、网站……)以增加我的避孕知识0.566
14.我与朋友或他人谈论避孕,帮助我更好的处理可能发生的情况0.477
15.我强烈意识到意外怀孕的风险,对无保护的性行为说不0.830
16.如果我有不可避免的性行为,我可以使用或说服我的伴侣使用避孕套和避孕药等避孕产品0.691
特征根7.2981.4311.145
累计方差贡献率(%)22.9542.59561.715
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青少年避孕健康素养量表的汉化及信效度检验
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徐秋连 , 龙妙琛 , 余雅雯 , 陆雪玉 , 肖彩霞 , 牛长敏
现代预防医学 | 儿少卫生与妇幼保健 2025,52(13): 2390-2394
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现代预防医学 | 儿少卫生与妇幼保健 2025, 52(13): 2390-2394
青少年避孕健康素养量表的汉化及信效度检验
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徐秋连, 龙妙琛, 余雅雯, 陆雪玉, 肖彩霞, 牛长敏
作者信息
  • 扬州大学护理学院·公共卫生学院,江苏 扬州 225009
  • 徐秋连(2000—),女,硕士在读,研究方向:生殖健康

通讯作者:

牛长敏,E-mail:
Translation and validation of the Chinese version of the sexual health literacy measurement tool for pregnancy prevention among adolescents (SHL-PPA)
Qiu-lian XU, Miao-chen LONG, Ya-wen YU, Xue-yu LU, Cai-xia XIAO, Chang-min NIU
Affiliations
  • School of Nursing and Public Health, Yangzhou University, Yangzhou, Jiangsu 225009, China
出版时间: 2025-07-10 doi: 10.20043/j.cnki.MPM.202411035
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目的

汉化和修订青少年避孕健康素养量表(sexual health literacy measurement tool for pregnancy prevention among adolescents,SHL-PPA),并检验其信度和效度。

方法

根据Brislin翻译模型将SHL-PPA进行直译和回译,并邀请15位专家进行文化调适,在2024年6—7月通过在线问卷平台对420名调查对象进行问卷调查,并从中随机抽取30名调查对象进行重测,检验中文版SHL-PPA的信效度。

结果

最终中文版SHL-PPA共16个条目,量表条目水平的内容效度指数范围在0.87~1.00之间,量表水平的内容效度指数为0.97;量表的Cronbach α系数为0.918,重测信度为0.811,折半信度为0.829。经过探索性因子分析成功提取了三个公因子,累计方差贡献率为61.715%,验证性因子分析的结果显示中文版SHL-PPA的模型拟合较好(χ2/v=2.250,RMSEA=0.077 , IFI=0.921, TLI=0.906, CFI=0.921, RMR=0.042)。中文版SHL-PPA得分与避孕知识水平量表总分呈正相关(r=0.608,P<0.001),表明其具有良好的校标效度。

结论

中文版SHL-PPA量表具有良好的信效度,可用于我国青少年避孕健康素养水平的评估,为构建预防青少年怀孕的干预措施提供了工具基础。

青少年避孕  /  避孕健康素养  /  汉化  /  信度  /  效度
Objective

To translate and validate the Chinese version of the Sexual Health Literacy Measurement Tool for Pregnancy Prevention Among Adolescents (SHL-PPA).

Methods

Following Brislin’s translation model, the SHL-PPA was forward- and back-translated, then culturally adapted by 15 experts. From June to July 2024, 420 participants completed the online questionnaire, with 30 randomly selected for retesting to examine reliability and validity.

Results

The final Chinese version contained 16 items with item-level content validity indices ranging from 0.87 to 1.00 (scale-level=0.97). The scale demonstrated excellent internal consistency (Cronbach’ α=0.918), test-retest reliability (0.811), and split-half reliability (0.829). Exploratory factor analysis extracted three factors explaining 61.715% of total variance. Confirmatory factor analysis showed good model fit (χ2/v=2.250, RMSEA=0.077, IFI=0.921, TLI=0.906, CFI=0.921, RMR=0.042). Significant positive correlation with contraceptive knowledge (r=0.608, P<0.001) confirmed criterion validity.

Conclusion

The Chinese SHL-PPA demonstrates good reliability and validity for assessing contraceptive health literacy among Chinese adolescents, providing a tool for developing pregnancy prevention interventions.

Adolescent contraception  /  Contraceptive health literacy  /  Cultural adaptation  /  Reliability  /  Validity
徐秋连, 龙妙琛, 余雅雯, 陆雪玉, 肖彩霞, 牛长敏. 青少年避孕健康素养量表的汉化及信效度检验. 现代预防医学, 2025 , 52 (13) : 2390 -2394 . DOI: 10.20043/j.cnki.MPM.202411035
Qiu-lian XU, Miao-chen LONG, Ya-wen YU, Xue-yu LU, Cai-xia XIAO, Chang-min NIU. Translation and validation of the Chinese version of the sexual health literacy measurement tool for pregnancy prevention among adolescents (SHL-PPA)[J]. Modern Preventive Medicine, 2025 , 52 (13) : 2390 -2394 . DOI: 10.20043/j.cnki.MPM.202411035
青少年避孕健康素养为青少年获取、理解和评估避孕相关知识,并在此基础上做出正确决策,从而提升自身健康水平的能力[1]。研究表明,高水平的避孕健康素养能有效避免危险性行为,而低素养则易导致高风险行为,增加性传播感染和意外怀孕的风险[2]。青少年阶段是个体生理和心理发展的关键时期,而我国青少年在避孕知识和技能上存在明显不足[3-4]。因此,评估和提高青少年的避孕健康素养,已成为全球公共卫生和教育领域的重点任务。近年来,关于青少年避孕健康素养的研究逐步增多,相关评估工具也在不断发展。2023年,泰国Thongnopakun等人[1]编制的青少年避孕健康素养量表已被验证为有效的评估工具。
现有的评估工具中,青少年安全套使用自我效能量表[5]侧重于自我效能感的评估,青少年避孕知识类问卷[6]信息覆盖面不足,国内杨雨帆等人[7]构建的青年生殖健康素养评价指标更侧重于性传染疾病预防以及医疗卫生服务的利用,皆无法对避孕健康素养核心维度进行系统评估。因此,亟需一个系统的工具来评估青少年的避孕健康素养。本研究旨在对Thongnopakun等人编制的青少年避孕健康素养量表(sexual health literacy measurement tool for pregnancy prevention among adolescents,SHL-PPA)进行汉化和修订,以验证其在中国文化背景下的适用性,并评估其在青少年群体中的信度和效度。
2023年,泰国Thongnopakun教授[1]根据避孕健康素养的定义编制了SHL-PPA,涵盖避孕信息获取、理解与评估能力,以及健康实践能力三个维度,采用Likert 5级评分法,1~5分分别代表从“非常不符合”到“非常符合”,共33个条目。该量表显示较好的信效度,Cronbach α系数为0.97。
研究开始前,研究团队通过邮件联系了开发者Thongnopakun教授,解释研究目的并获得量表的汉化和应用授权。根据Brislin模型[8],翻译分为以下步骤:(1)直译:由两位精通英语的护理研究生独立翻译量表,形成版本A1和A2,随后邀请一位具有海外留学经验的护理学博士整合两个版本,生成A3版;(2)回译:邀请两位未接触过该量表的医学英语专业教师对A3进行回译,形成B1和B2版;(3)整合:课题组讨论后将B1、B2整合为B版,针对有歧义的条目通过邮件与原作者沟通,进一步修改调整,最终形成综合版C。
邀请了15位专家(3名生殖医学专业医生、2名妇产科专家、2名妇产科专业护士、3名计划生育研究方向专家、2名有丰富量表汉化与编制经验的教授和3位妇产科护理专业教师)对综合版C进行审核和调适,专家均为硕士及以上学历,工作经验超过10年。请上述15名专家结合理论与实践经验,针对条目清晰性、易懂性及文化适用性提出修改意见,形成中文版D,采用Likert 4级评分法对量表条目进行评价,得分越高,表示条目质量越高。
为检验中文版D条目表达的易懂性,于2024年5月在江苏省某高中和某大学招募了30名青少年进行预调查。纳入标准:年龄在15~24岁之间;出生于中国大陆,沟通无障碍;自愿参加研究。排除标准:存在语言、听力或理解障碍。根据预调查结果,调整中文版D的表述,最终形成中文版SHL-PPA初稿。
本研究采用目的抽样法,于2024年6—7月,在江苏省的三所高校和两所高中选取青少年学生,依据纳入与排除标准进行筛选。通过线上问卷收集数据,主要通过微信、QQ等平台传播,严格保密参与者信息。在问卷开头声明:“本调查为匿名调查,部分人群将随机抽取进行二次研究,抽取方式无法关联身份。请在问卷末尾留下联系方式,以便二次数据收集,确认同意后才能继续作答”。量表中文版D共17个条目,基于探索性因子分析(样本量为条目5~10倍)和验证性因子分析(样本量≥200)[8]的要求,并考虑20%无效问卷,计划收集420份有效数据。数据均分为两组(各210份),第一组数据用于条目分析、探索性因子分析,第二组数据用于验证性因子分析,并均参与信度分析。为测量量表稳定性,研究团队从问卷星后台使用计算机随机抽取30个编号,由第三方人员操作,降低信息关联风险。随后,团队依据保留的联系方式,邀请参与者两周后再次填写问卷。为确保问卷质量,设定筛选标准:作答时间需超过100秒;选项选择不高度重复或有规律性;每个账号和IP地址只能提交一次问卷。研究已通过扬州大学护理学院·公共卫生学院伦理委员会审批(伦理编号:YZUHL20240075),所有受试者均知情同意并自愿参与调查。
评估工具包含青少年一般资料调查表、中文版SHL-PPA初稿和避孕知识水平量表。一般资料调查表收集性别、年龄及在读情况等基本信息。经过两轮专家函询,中文版SHL-PPA初稿共3个维度,17个条目,采用Likert 5级评分法。高水平的避孕健康素养意味着个体在避孕知识方面的掌握程度较高,从而能够有效避免受到危险性行为的威胁。因此,本研究采用避孕知识水平量表[9]对青少年的避孕知识进行测量,以评估中文版SHL-PPA的校标关联效度。该量表由中国台湾学者Wang开发,内容包括生殖相关的生理解剖知识、避孕工具的有效性、妊娠征兆及流产的负面影响共24个条目,所有条目均为判断题,正确回答得1分,总分越高表示避孕知识水平越高,该量表的信效度表现良好,在中国人群中,其Cronbach α系数为0.890。
采用SPSS 27.0进行数据统计分析,AMOS 27.0软件进行验证性因子模型构建。第一组数据通过三种条目分析方法来检验条目质量:(1)临界比值法:取前后27%分别为高分组和低分组,采用独立样本t检验来检验两组间差异。(2)采用Pearson相关系数来检验各条目与总分之间的相关性。(3)如若删除特定条目后总量表的Cronbach α系数增加,则考虑删除该条目。检验水准α=0.05。
应用主成分分析和最大方差旋转法,进行抽样适合性检验(KMO)和Bartlett球形检验,KMO值>0.70且Bartlett球形检验显著,说明适合因子分析。将依据特征值≥1的标准,删除因子载荷<0.4的项目,根据碎石图及特征值确认提取的公因子数。检验水准α=0.05。
效度检验包括内容效度、结构效度和校标效度等方面[10]。内容效度通过条目水平的内容效度指数(item-level content validity index,I-CVI)和量表水平的内容效度指数(scale-level content validity index,S-CVI)来评估。使用AMOS软件对第二组数据进行验证性因子分析,模型拟合指数用于衡量模型与数据的适配度[11]。计算中文版SHL-PPA总分与避孕知识水平量表总分之间的Pearson相关系数,以评估其校标效度。信度检验涵盖了Cronbach α系数、重测信度和折半信度。检验水准α=0.05。
第二轮专家函询肯德尔和谐系数为0.616(P<0.001),无需进行第三轮函询,结合专家意见对量表进行了修订。第一轮函询结束后,经课题小组讨论后共修改条目6条、删除条目11条、增加条目1条、合并条目10条。第二轮函询结束后修改条目“我能够评估和确认避孕相关的性健康信息的正确性”为“我能够评估避孕相关的性健康信息的正确性”。经过两轮专家函询修订,中文版SHL-PPA初稿共3个维度,17个条目。
预测试中,30名受访者表示问卷条目清晰易懂,预调查后未对量表进行进一步调整。
本阶段共纳入420名15~24岁的青少年,平均年龄(20.88±2.502)岁,男性133人(31.67%),女性287人(68.33%)。其中,高中生109(25.95%)名,大学生311(74.05%)名。
各条目的临界比值在5.035~13.082之间(P<0.001),显示良好的区分度,所有条目保留。相关系数分析显示,条目5“我知道中国的计生服务热线是12356,能为市民提供避孕咨询和指导”与总量表的相关性为0.388<0.400,低于0.40的保留标准[8],其余条目相关系数均>0.40。删除条目5后,量表的Cronbach α系数从0.907增加至0.918,提示该条目可能影响内部一致性,尽管条目5涉及公共服务信息,但其内容更偏向于“资源知晓度”而非“避孕知识获取能力”,此外,该条目为事实性知识问题,热线号码的记忆属于机械性知识,与健康素养核心维度的关联性较弱。结合统计结果与理论考量,最终决定删除条目5,保留16个条目。
结果显示,量表的I-CVI≥0.78,范围在0.87~1之间,量表S-CVI为0.97≥0.90,表明量表具有良好的内容效度[8]
探索性因子分析显示,KMO值为0.921,Bartlett球形性检验显示χ2=1 658.468(P<0.001),表明适合进行因子分析[12]。共提取三个公因子,并且碎石图显示在第三个公因子后曲线坡度平缓,见图1。所有条目在其维度上的因子载荷均>0.40,其中存在3个双重载荷条目。条目9在因子1和因子2上的载荷均>0.40,因其体现了对避孕信息的评估能力,这一功能对于确保信息的安全性和可靠性具有重要意义,且条目9在因子2上的载荷(0.631)高于因子1(0.431),因此保留在原维度。条目11和条目14在两个因子上的载荷值均>0.40,条目11描述青少年能够基于获取的知识和信息,做出有利于自身健康的避孕决策,条目14强调将知识转化为实际应用的能力,条目中“谈论避孕”直接体现了信息交流这一实践行为,将其保留在载荷值较高的维度中。最终三个公因子的累计方差解释率为61.715%,见表1。验证性因子分析显示,χ2/v=2.250,RMSEA=0.077 , IFI= 0.921, TLI=0.906, CFI=0.921, RMR=0.042,模型拟合理想,拟合度较好[12]
结果显示,中文版SHL-PPA总分与避孕知识水平量表总分呈中度正相关(r=0.608, P<0.001),说明该量表能够有效反映个体的避孕知识掌握程度,两者之间存在显著且稳定的关联,表明中文版SHL-PPA具有良好的校标效度。
中文版SHL-PPA总的Cronbach α系数为0.918,三个维度的Cronbach α系数分别为0.820、0.843、0.862,重测信度为0.811,折半信度为0.829,表明此量表具有较好的信度。
联合国人口基金驻华代表处发布《到2030年消除中国青年意外妊娠》[13]简报指出,21%中国青少年未能定期使用避孕措施,约五分之一的青少年面临意外妊娠风险。此外,青少年获取性与生殖健康知识的途径有限,不到40%的青少年参与过性教育,涉及避孕的讲座参与率仅为4%[13]。这些数据显示了避孕知识普及和教育的不足,对青少年的避孕健康素养构成挑战。避孕健康素养的评估以知识转化与实践应用为核心,而以往关于青少年的避孕知识水平量表[9]主要聚焦于基础认知层面。因此,迫切需要一个系统的评估工具来衡量青少年的避孕健康素养水平。所以本研究通过汉化SHL-PPA,提供了评估青少年避孕知识转化与实践应用能力的工具,有助于提高其避孕知识应用和生殖健康保护能力,为未来制定预防青少年怀孕的干预措施提供科学依据,并推动中国青少年避孕健康教育的深入发展。
在汉化SHL-PPA量表时,严格遵循Brislin翻译模型[8],确保回译与原始语义一致。翻译过程中,征求了原作者意见以确保科学性。文化调适时,研究团队向15名专家咨询,以改进量表的可操作性、文化适用性和易理解性,依据反馈和预调查结果反复调整,以确保量表的可靠性。
本研究对中文版SHL-PPA进行了内容效度、结构效度和校标效度分析。在内容效度方面,所有条目的内容效度指数均大于0.80,表明量表具有良好的内容效度[12]。探索性因子分析提取了三个公因子,累计方差贡献率为61.715%,各条目因子载荷均满足>0.40的要求[8]。验证性因子分析结果显示,各项指标均符合理想标准,表明量表具备良好的结构效度。因子分析还发现部分条目存在双重载荷,在经过对条目的详细检查后,研究小组决定根据原始维度进行分类,确保每个条目能够更清晰地归属于其最具代表性的因子。中文版SHL-PPA总分与避孕知识水平量表总分呈中度正相关,显示其具备良好的校标效度,能有效预测青少年的避孕知识掌握程度。量表的Cronbach α系数大于0.8,显示其具有良好的内部一致性;重测信度超过0.70,表明其具备良好的跨时间稳定性[14]
中文版SHL-PPA经文化调适和信效度检验,最终形成3个维度、16个条目,具有较高的信度和效度,能够有效评估青少年避孕健康素养。本研究采用网络问卷平台进行横断面调查,由于高中生群体受到智能设备使用限制,青少年群体年龄分布不均,影响量表的普适性。在校标效度分析中,忽视低龄群体对避孕知识水平量表的认知局限,可能导致效度偏高。尽管如此,大数据时代的教育资源和互联网为低龄群体提供了丰富的学习途径,减弱该群体对量表的认知偏差,因此,偏差的影响可在一定程度上被减轻。此外,问卷涉及部分隐私内容,可能影响回答的真实性。未来研究可扩大样本量、优化抽样策略,进一步验证该量表在中国不同年龄段青少年群体中的适用性。
  • 国家自然科学基金-青年基金项目(82101674)
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doi: 10.20043/j.cnki.MPM.202411035
  • 接收时间:2024-11-03
  • 首发时间:2026-03-19
  • 出版时间:2025-07-10
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  • 收稿日期:2024-11-03
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国家自然科学基金-青年基金项目(82101674)
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    扬州大学护理学院·公共卫生学院,江苏 扬州 225009

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2种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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