농업인을 위한 농업 안전 건강정보이해력 도구 개발 = Development of Agricultural Safety Health Literacy Instrument for Farmers

다국어 초록 (Multilingual Abstract)

Background: Health literacy in the workplace plays a crucial role in preventing work-related diseases and injuries. Health literacy refers to the complex ability to access health information, obtain necessary information, understand and assess its appropriateness, and use it for health management, disease prevention, and utilization of medical services. Agriculture is one of the most dangerous professions worldwide, necessitating new approaches to protect the safety and health of farmers.

Objective: The objective of this study is to develop an instrument to measure Agricultural Safety Health Literacy(ASHL) based on the existing occupational health literacy tools and to validate the reliability and validity of the developed instrument.

Methods: The development of the instrument involved preliminary item development, expert evaluation, and preliminary testing. As a result, a instrument with 22 items across five factors—access, understanding, appraise, apply, and attitude—was defined as the Agricultural Safety Health Literacy(ASHL) instrument. The survey was conducted on 245 farmers living in four cities and counties in Gyeongnam, and data collection was conducted from May 11 to May 31, 2024. Cronbach's α, a coefficient that measures the internal consistency of each item, was measured for reliability verification. Exploratory factor analysis and confirmatory factor analysis were performed to examine the construct validity, and predictive validity was evaluated using a paired t-test for changes in health literacy before and after education.

Results: The overall Cronbach's α for the instrument was 0.92, indicating high reliability. The Cronbach's α for the subdomains were 0.75 for access, 0.82 for understanding, 0.83 for appraise, 0.77 for apply, and 0.88 for attitude, demonstrating good reliability. As a result of exploratory factor analysis, five factors were extracted and 64.4% of the total variance was explained. As a result of confirmatory factor analysis, the goodness-of-fit index was shown as GFI=0.851, AGFI=0.816, CFI=0.901, NFI=0.835, RMSEA=0.071, and χ²/df=2.2. The score change before and after the educational intervention was confirmed to have predictive validity with a significant increase in all areas(p<0.005).

Conclusion: This study is significant in that it is the development of a instrument for understanding agricultural safety health literacy to evaluate the health and safety of farmers. The developed instrument will be used to improve the health behavior of farmers and to prevent and manage various health problems that may occur in the agricultural working environment.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구 배경 및 필요성 1
• 2. 연구목적 4
• Ⅱ. 연구방법 5
• 1. 연구설계 5
• 2. 연구대상 5
• 3. 도구개발과정 6
• 4. 자료 분석 12
• 5. 윤리적 고려 13
• Ⅲ. 연구결과 14
• 1. 대상자의 일반적 특성 14
• 2. 신뢰도 검증 16
• 3. 타당도 검증 18
• Ⅳ. 논의 25
• Ⅴ. 요약 31
• 참고문헌 33
• 부록 38