背景:青年期是一个关键的发育时期,在这个时期,个体建立终身健康行为并对自己的医疗保健负责。为年轻人量身定制的健康促进策略,利用数字工具,并需要应对COVID-19大流行等事件加剧的挑战。这项研究的目的是使数字年龄(PS-SGD)量表中年轻人的大流行后健康促进行为适应土耳其人口,以评估和比较大流行后年轻人的健康行为。
方法:总共312名参与者,年龄在19至29岁之间,通过非概率标准抽样纳入研究,而土耳其语的适应过程始于翻译和回译方法,由三种语言和两名健康科学专家执行。为了进行统计分析,进行EFA和CFA评估内部一致性和结构效度。验证性因子分析用于确认六个子维度的结构。此外,对参与者性别的测量不变性进行了检查,以确定量表是否准确地捕获了不同群体的相似特征。通过Pearson相关性测试了测试-重测数据之间的关系,以衡量一致性及其随时间的不变性。
结果:发现样本的性别分布为61.3%的女性和38.7%的男性。根据全民教育的结果,第8和18项已从土耳其改编版本中删除。由于使用土耳其语版本的量表进行了可靠性分析,大流行后健康促进行为的Cronbachα系数为0.851.此外,该量表被评为可靠,具有以下Cronbachα值:“个人卫生”为0.79,“饮食习惯”为0.78,“使用移动设备”为0.72,“情绪健康”为0.70,“保健和体育活动”为0.68,“社会健康”子维度为0.51。为了考察量表的六个子维度因子结构,拟合指数计算为χ2/df(1.722),GFI(0.894),FI(0.908),TLI(0.892),CFI(0.907),RMSEA(0.048),和SRMR(0.057),并且在可接受的范围内。测量不变性的多组验证性因子分析的结果在所有指标中的ΔCFI和ΔRMSEA值小于或等于0.01。因此,据观察,项目-因素结构,因子载荷,差异,协方差,对于男性和女性年轻人来说,量表的误差方差是相等的,而重测结果显示出较高的正相关性。
结论:数字年龄量表中的大流行后年轻人健康促进行为量表的土耳其版本,由25个项目和6个分量表组成,被证明是测量19-29岁年轻人健康促进行为的有效和可靠的工具。
BACKGROUND: Young adulthood is a critical developmental period in which individuals establish life-long health behaviors and take responsibility for their own health care. Health promotion strategies tailored to young adults, leveraging digital tools, and addressing challenges exacerbated by events like the COVID-19 pandemic are needed. The aim of this study was to adapt the post-pandemic health promotion behavior of young adults in the digital age (PS-SGD) scale to the Turkish population in order to assess and compare the health behavior of young adults after the pandemic.
METHODS: A total of 312 participants, aged between 19 and 29 years, were included in the study via non-probabilistic criterion sampling, while the Turkish adaptation process started with translation and back translation methods performed with three language and two health science experts. For statistical analysis, EFA and CFA were conducted to evaluate internal consistency and structural validity. Confirmatory factor analysis was utilized to confirm the structure of the six sub-dimensions. Additionally, measurement invariance was examined regarding participants\' gender to determine if the scale accurately captured similar traits across diverse groups. The relationship between the test-retest data was tested by Pearson correlation to measure consistency and its invariance over time.
RESULTS: The gender distribution of the sample was found to be 61.3% female and 38.7% male. According to the results of EFA, items 8 and 18 were removed from the Turkish-adapted version. As a result of the reliability analysis conducted with the Turkish version of the scale, the Cronbach alpha coefficient was obtained as 0.851 for the post-pandemic health promotion behavior. Additionally, the scale was rated as reliable with the following Cronbach alpha values: 0.79 for the \"personal hygiene\", 0.78 for \"dietary habits\", 0.72 for \"using mobile devices\", 0.70 for \"emotional health\", 0.68 for \"health care and physical activity\", and 0.51 for \"social health\" sub-dimensions. To examine the six sub-dimension factor structures of the scale, fit indices were calculated as χ2/df (1.722), GFI (0.894), IFI (0.908), TLI (0.892), CFI (0.907), RMSEA (0.048), and SRMR (0.057) and were within acceptable limits. Findings of the multi-group confirmatory factor analysis for measurement invariance were less than or equal to 0.01 for the ∆CFI and ∆RMSEA values across all indices. Consequently, it was observed that the item-factor structure, factor loadings, variances, covariances, and error variances of the scale were equivalent for both male and female young adults, while test-retest results showed a high positive correlation.
CONCLUSIONS: The Turkish version of the post-pandemic health promotion behavior scale of young adults in the digital age scale, consisting of 25 items and six subscales, was proven to be a valid and reliable tool to measure health promotion behavior in young adults aged 19-29 years.