Sexual and reproductive health literacy in early puberty:Formulation of its assessment questionnaire for among 7-14 years old low-age adolescents and their caregivers

ObjectiveTo formulate evaluation questionnaires on early puberty sexual and reproductive health literacy for low-age adolescents and their parents on the basis of the WHO conceptual framework and evaluation index system.

MethodsThrough the Delphi expert consultation a evaluation index framework was formed, and the first draft of the questionnaires were prepared according to the indicators based on the framework.Expert surface validity certification and cognitive interviews were conducted to optimize questionnaires.The survey was conducted for junior high school students and 7-14 yrs children′s parents in the four districts of Shanghai, and the data was collected for project analysis and reliability and validity testing.

ResultsThe professionalism and readability of the questionnaires was improved by qualitative research, and the surface validity was good.The Cronbach α coefficients of the four sets of questionnaires were between 0.86-0.90.The Guttman split coefficients were between 0.77-0.86.The retest correlation coefficients were between 0.75-0.83.The internal and external reliability was good.Four sets of questionnaires confirmatory factor analysis were well fitted in 12 models of health service utilization, disease prevention, and health promotion.

ConclusionThe questionnaires formulated in this study prove to have relatively good reliability and validity, which could be used to monitor and evaluate the level of sexual reproductive health literacy in early adolescents.