Adolescent Active Health Behavior Scale – Chinese Version

Description

The adolescent period is a crucial transition phase from childhood to adulthood, and health-related issues during this time can directly affect the health of individuals in both adolescence and adulthood. In recent years, the overall trend of childhood and adolescent obesity in China has been on the rise. By 2025, it is projected that there will be 206 million children and adolescents aged 5 to 19 who are obese, and by 2030, this number will increase to 254 million. The “2022 National Blue Book on Depression” indicates that individuals under 18 account for 30.28% of the depression population. However, research shows that there is limited understanding of youth health behavior issues in various countries and regions, with some problems even being overlooked. This includes unhealthy dietary habits, low physical activity levels, substance abuse, risky sexual behaviors, and problematic social media use.

Authors and Contact Email

樊可馨, 路致远, 李素云, 等. (information not available)

Purpose

The purpose of the study was to develop a scale to measure adolescents’ active health behaviors, allowing for better understanding and intervention in youth health issues.

Test Year

2024

Administration Method and Scoring

The Adolescents Active Health Behavior Scale (AAHBS) was compiled using a 5-point Likert scale scoring method, where the responses are rated as “从不 (Never), 很少 (Rarely), 有时 (Sometimes), 经常 (Often), 总是 (Always)” corresponding to scores of 1 to 5, respectively. A higher score indicates a higher level of active health behaviors among adolescents.

Reliability and Validity

The scale demonstrates good reliability and validity, with a Cronbach’s α coefficient of 0.946 and a split-half reliability of 0.847.

Factors and Subscales

The scale includes five dimensions:
– 健康责任 (Health Responsibility)
– 体育活动 (Physical Activity)
– 营养膳食 (Nutritional Diet)
– 精神心理 (Mental and Psychological)
– 节制自律 (Self-Discipline)

Keywords

Adolescents, Health Behavior, Scale, Reliability, Validity

Items in Chinese

A1 积极获取自我健康管理知识和信息
A2 积极参加健康教育活动或课程
A3 主动实施制定的健康计划
A4 在有需要时，主动寻求健康指导、咨询或帮助
A5 主动向家长、老师或校医等人报告不正常症状
B1 主动参加中高等强度身体活动 (如游泳、户外骑行、有氧舞蹈、爬楼梯等)
B2 乐于参加休闲性或娱乐性的运动（如健身操、跳舞、跳绳等）
B3 日常生活中，主动找机会运动（如饭后散步、尽量走楼梯而不坐电梯、少坐车多步行等）
B4 乐于和朋友一起锻炼运动
B5 主动和家人一起锻炼运动
C1 能够坚持每天三餐规律饮食
C2 主动吃蔬菜水果等食物
C3 主动吃鱼、禽、肉、蛋等优质蛋白食物
C4 主动摄入适量的奶及奶制品
C5 主动留意食品包装上有关营养成分（如脂肪和钠含量）的标签
C6 主动减少油炸类等超加工食物的摄入
D1 每天找时间放松自己以缓解紧张的情绪或压力
D2 每天找时间做自己喜欢的事（如听音乐、玩乐高等）
D3 主动和身边的人讨论自己的问题并试图解决（影响自己精神和心理的问题）
D4 感到压力时，会主动采取一些行动排解压力（如与朋友沟通、寻求家人的帮助）
E1 看到亲人或朋友在吸烟或饮酒时积极劝阻
E2 主动避开吸烟饮酒等行为
E3 坚持每天保持8～9 h的睡眠（保持规律作息）
E4 主动减少屏幕暴露时间（如看电视、玩手机、电脑等）

Items in English

A1 Actively acquire self-health management knowledge and information
A2 Actively participate in health education activities or courses
A3 Actively implement the established health plan
A4 Proactively seek health guidance, consultation, or help when needed
A5 Proactively report abnormal symptoms to parents, teachers, or school doctors
B1 Actively participate in moderate to high-intensity physical activities (such as swimming, outdoor cycling, aerobic dance, climbing stairs, etc.)
B2 Enjoy participating in recreational or entertainment sports (such as fitness exercises, dancing, skipping rope, etc.)
B3 Proactively find opportunities to exercise in daily life (such as walking after meals, choosing stairs over elevators, walking more than using vehicles, etc.)
B4 Enjoy exercising with friends
B5 Actively exercise with family
C1 Ensure regular meals three times a day
C2 Proactively eat vegetables, fruits, and similar foods
C3 Proactively consume quality protein foods such as fish, poultry, meat, and eggs
C4 Actively intake an appropriate amount of milk and dairy products
C5 Proactively pay attention to nutritional labels on food packaging (such as fat and sodium content)
C6 Actively reduce the intake of fried and ultra-processed foods
D1 Set aside time daily to relax and relieve tension or stress
D2 Set aside time daily to do things you enjoy (such as listening to music, playing with LEGO, etc.)
D3 Proactively discuss personal issues with those around you and attempt to resolve them (issues affecting your mental and emotional well-being)
D4 Take proactive actions to relieve stress when feeling pressured (such as communicating with friends, seeking help from family)
E1 Actively discourage family or friends from smoking or drinking
E2 Proactively avoid behaviors such as smoking and drinking
E3 Ensure 8-9 hours of sleep each day (maintain regular sleep patterns)
E4 Proactively reduce screen exposure time (such as watching TV, using phones, computers, etc.)

References

樊可馨, 路致远, 李素云, 等.青少年主动健康行为量表的编制及信效度检验[J].现代预防医学,2024,51(19):3529-3534.DOI:10.20043/j.cnki.MPM.202405382.