| Objectives(1)To develop a Knowledge-Attitude-Practice (KAP) scale of reproductive tract infections for reproductive age women. To examine the reliability and validity of the scale.(2)To evaluate the reproductive age women's KAP status of Reproductive tract infections and explore the influencing factors. To provide an objective evidence for assessing the efficiency of the Health Education of Reproductive tract infections.Methods(1)The development of the KAP scale of Reproductive tract infections was based on the frame work of KAP theory and Health Belief Model, combining the extensive literature review and reference to the relevant domestic and international scale questionnaires, and form the Primary entry library through expert advice and face to face interviews.(2) To use cross-sectional study.100 reproductive age women from Xiangya Third Hospital were carried out a pre-survey during June and July,2009. Three methods were used in item analyzing, such as t-test, correlation analysis and factor analysis. Item reserved formed the KAP scale of reproductive tract infections for reproductive age women.842 reproductive age women from five hospitals, of one, two, three different levels, were investigated by a stratified cluster sampling method during August and October,2009 in Changsha. The reliability and validity of the scale were also tested. The reliability analysis included the Cronbach's a, split-half reliability and test-retest reliability. The validity analysis included content validity, construct validity and differential validity.(3) All datas were processed by using SPSS 13.0 and Amoss7.0 statistical software package. Statistical methods included statistical description, two independent samples t test, correlation analysis, exploratory factor analysis, confirmatory factor analysis, one-way ANOVA and multiple linear regression analysis. Results(1) 842 women have been surveyed in this study within which valid questionnaires are 800 and qualified rate of questionnaires are 95.01%. Female genital tract infection rate of child-bearing age in Changsha City was 72.3%, accounted for 58.82% of chronic cervicitis.(2)A 51-item test version of KAP scale for reproductive age women was developed, including 3 domains (Knowledge, Attitude and Belief, Behavior).(3) Reliability test:The Cronbach's a coefficients for the scale and Subscales were 0.908 and between 0.851 and 0.878, respectively. Split-half test coefficients for the scale and subscales were 0.894 and between 0.613 and 0.730(P<0.01), respectively. Test-retest coefficients for the scale and subscales were 0.751 and between 0.703 and 0.783(P <0.01), respectively.(4)Validity test:The content validity index (CVI) for the overall scale was 0.91; Factor analysis conforms to logic relation, and the cumulative variance ranged from 53.023% to 69.954%. Correlation coefficients showed that correlations ranged from 0.211 to 0.441 between all the factors and from 0.631 to 0.873 between the subscales and total scale(P<0.01), respectively. Age, literacy, job profession, marital status and husband's job profession were also found to influence the KAP status of Reproductive tract infections(P<0.01), respectively, which descripted the scale's differential validity was good.(5)KAP Scale scores of reproductive tract infections at the secondary level and below accounted for 66.2%. One-way ANOVA analysis showed that women's childbearing age, educational level, occupation, husband's educational level and occupation, marital status, household location affect their knowledge, attitudes, beliefs and behavior (P<0.01). Multiple linear regression analysis showed that educational level, occupation, household income, marital status are the main factors.(P<0.01),R=0.445, R2=0.198.Conclusions(1) KAP Scale for the female reproductive tract infections was preliminary completion.(2) Reliability studies have shown that the scale homogeneity, test-retest reliability and split-half reliability is better, to achieve psychometric requirements.Validity studies have shown that the scale content validity, construct validity and discriminant validity is better, to achieve scale preparation of the basic requirements.(3) KAP of reproductive tract infections for women of childbearing age is poor. The main affect factors were educational level, occupation, household income, marital status.(4) Give priority to carriing out health education for Child-bearing age female of different ages, different educational level, different household income and the different household location and ensure that the rural population and the elderly, low education, low income levels to improve the reproductive health on the bases of improvement of the productive tract infection KAP levels of the whole population... |
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