背景:提高妇女的健康素养是预防宫颈癌的关键,并开发了各种工具来评估妇女的癌症健康素养。然而,其中许多工具来自其他国家,并没有适应中国的要求。此外,中国妇女宫颈癌健康素养评价体系尚未建立。因此,建立我国妇女宫颈癌健康素养评价指标体系,为我国宫颈癌三级预防提供有效的评价工具。
方法:我们邀请了20位公认的专家参加两轮德尔福专家咨询,并使用带有百分比加权和乘法的改进的Delphi过程。文献综述确定了67个潜在指标。我们研究团队随后的讨论导致在严格的筛选过程后保留了48个指标。在此基础上,进行了两轮Delphi专家咨询,对指标进行评分和筛选。百分比加权和乘法用于确定指数权重。
结果:20位专家参加了第一轮Delphi咨询(回收率为95.23%)。在第二轮德尔福磋商中,退回20份问卷(100%),专家权威系数为0.93±0.02。经过两轮德尔福咨询,4个一级指标,9个二级指标,在中国妇女中确定了32个三级宫颈癌素养指标。在五点量表上,重要性评级范围从3.76到4.95分,变异系数在0.06到0.25之间,而灵敏度等级在3.71到4.83点之间,变异系数范围为0.08~0.24。在两轮中,肯德尔的W系数范围从0.168到0.248。宫颈癌基本知识和态度一级指标的权重,宫颈癌一级预防知识,宫颈癌的二级预防素养,和三级预防的宫颈癌知晓率分别为0.257、0.249、0.251和0.243。
结论:我们已经开发了第一个三级预防为基础的,中国妇女宫颈癌素养综合评价指标体系,为宫颈癌的预防和健康教育提供理论支持。
BACKGROUND: Increasing women\'s health literacy is the key to preventing cervical cancer, and various tools have been developed to assess women\'s cancer health literacy. However, many of these tools come from other countries and have not been adapted to Chinese requirements. Furthermore, a system for evaluating cervical cancer health literacy among Chinese women has not been developed. Therefore, we sought to establish an evaluation index system for cervical cancer health literacy among Chinese women and to provide an effective evaluation tool for tertiary prevention of cervical cancer in China.
METHODS: We invited 20 recognized experts to participate in two rounds of Delphi expert consultation, and the modified Delphi process with percentage weighting and multiplication was used. A literature review identified 67 potential indicators. Subsequent discussions within our research team led to the retention of 48 indicators following a rigorous screening process. On this basis, two rounds of Delphi expert consultation were conducted to rate and screen the indexes. Percentage weighting and multiplication were used to determine index weights.
RESULTS: Twenty experts participated in the first-round Delphi consultations (95.23% recovery rate). In the second-round Delphi consultations, 20 questionnaires were returned (100%), and the expert authority coefficient was 0.93 ± 0.02. After both rounds of Delphi consultation, 4 first-level indicators, 9 second-level indicators, and 32 third-level indicators were identified for cervical cancer literacy among Chinese women. On a five-point scale, importance ratings ranged from 3.76 to 4.95 points, with variation coefficients ranging from 0.06 to 0.25, while sensitivity ratings ranged from 3.71 to 4.83 points, with variation coefficients ranging from 0.08 to 0.24. Across both rounds, Kendall\'s W coefficients ranged from 0.168 to 0.248. The weights of first-level indicators of basic knowledge and attitudes about cervical cancer, primary prevention of cervical cancer literacy, secondary prevention of cervical cancer literacy, and tertiary prevention of cervical cancer literacy were 0.257, 0.249, 0.251, and 0.243, respectively.
CONCLUSIONS: We have developed the first tertiary prevention-based, comprehensive evaluation index system for cervical cancer literacy among Chinese women, which will provide theoretical support for cervical cancer prevention and health education programs.