Abstract
Objectives: To develop a Brief Haze Weather Health Protection Behavior Assessment Scale-Adolescent Version (BHWHPBAS-AV).Methods: Considering primary prevention, secondary prevention and tertiary prevention as a theoretical basis, researchers developed a Brief Haze Weather Health Protection Behavior Assessment Scale-Adolescent Version-I(BHWHPBAS-AV-I). After performing 6 reviews by related experts, and after conducting six adolescent tests for BHWHPBAS-AV-I, researchers developed an updated BHWHPBAS-AV-II. Out of the 20 districts in Baoding, two districts were randomly selected; moreover, two middle schools from these two districts were also randomly selected. Considering one class as a unit, researchers subsequently randomly selected 22 classes by using stratified sampling. In the end, 1,025 valid questionnaires were used as part of the study. At which point, researchers investigated the validity and reliability of the scale and obtained the final scale (BHWHPBAS-AV).Results: BHWHPBAS-AV Cronbach's α = 0.878, content validity = 0.948, and factor cumulative contribution rate = 54.058% using exploratory factor analysis. By confirmatory factor analysis, Chi square value (χ2) = 271.791, degrees of freedom (df) = 94, Chi square value/degrees of freedom (χ2/df) = 2.891, root-mean-square error of approximation (RMSEA) = 0.051, normed fit index (NFI) = 0.930, incremental fit index (IFI) = 0.953, goodness of fit index (GFI) = 0.955, Tueker-Lewis index (TLI) = 0.940, comparative fit index (CFI) = 0.953. BHWHPBAS-AV was composed of 16 items as well as 3 dimensions.Conclusions: A BHWHPBAS-AV scale that has an acceptable reliability and validity can be applied to assess adolescent haze weather health protection behavior, and can also help school teachers, as well as medical staff working in community health care institutions, to perform targeted behavioral interventions and deliver health education programs to adolescents.
Highlights
Air pollution has become a serious global problem, influencing the health level of millions of people around the world [1]
Adolescents were classified into three groups according to the method of medical insurance they used, including urban medical insurance, new rural cooperative medical system and self-paying, accounting for 58.0% 29.9 and 12.2% respectively
The results revealed that the Bartlett sphericity test value was 5668.801 and the Kaiser-Meyer-Olkin value (KMO) was 0.895
Summary
Air pollution has become a serious global problem, influencing the health level of millions of people around the world [1]. As an important manifestation of air pollution, haze weather may cause serious short-term harm, as well as have a long-term negative impact on human health This may lead to further issues in public health, especially regarding the growth and development of children and adolescents [3,4,5,6,7,8]. The particulate matter that contributes to haze weather can directly enter the respiratory system and subsequently adhere to the respiratory mucosa or deposit in the alveoli, which results in damage to the respiratory tract and alveolar epithelial cells This may reduce the lung capacity of adolescents and cause asthma, rhinitis, bronchitis, pneumonia, and lung cancer [9, 11, 14]. An increased social awareness will surely reduce the burden haze weather has on families, schools, the government, and society in general [18]
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