Objective:To study the current situation and influencing factors of the ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis based on a feasible ability theory.Methods:A self-developed evaluation tool was used to assess the ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis. A questionnaire survey was conducted in 2024 via the Wenjuanxing platform to evaluate the current status of their ability and scores. A multivariate logistic regression model was employed to analyze the factors affecting the ability of these personnel.Results:A total of 2 879 questionnaires were collected, of which 2 751 were valid, with a validity rate of 95.55%. Among the valid questionnaires, 917 (33.33%) were filled out by personnel from the endemic areas. The overall ability score of grassroots personnel was (14.74 ± 2.56) points, with welfare scoring (3.45 ± 0.62) points, autonomy scoring (3.57 ± 0.89) points, subjectivity scoring (3.81 ± 0.69) points, and achievement scoring (3.79 ± 0.69) points. Multivariate logistic regression analysis showed that income and employment type were associated with the ability scores of grassroots personnel ( OR = 0.61, 1.31, 95% CI: 0.45 - 0.94, 0.89 - 1.94, P < 0.05). Conclusions:The ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis is at a moderate level, and there is still room for improvement. Income and employment type are the main factors affecting their ability scores. Efforts should be made to improve salary and welfare benefits, refine professional title promotion mechanism, attract high-level talent, and enhance personnel stability, thus more effectively enhance the ability of grassroots personnel in prevention and control of drinking water-borne endemic fluorosis.

Objective:Based on the characteristics of grassroots disease prevention and control centers, medical institutions, and personnel involved in the prevention and control of drinking water-borne endemic fluorosis in China, the aim of this study is to develop a competency evaluation tool for grassroots personnel involved in the prevention and treatment of the disease.Methods:Through literature review and expert consultation, a competency evaluation tool was designed and developed. The tool was distributed nationwide via the Wenjuanxing platform. Valid data were collected and analyzed for item discrimination, validity, and reliability to assess its measurement effectiveness.Results:A total of 150 valid questionnaires were collected, covering 13 provinces across China (67 males, 83 females). The evaluation tool demonstrated significant differences in scores between high and low groups for all items ( P < 0.001). The correlation coefficients between each item and its corresponding factor ranged from 0.77 to 0.87, with factor loadings ranged from 0.68 to 0.97. In the validity analysis, root mean square error of approximation ( RMSEA) was 0.07, and standardized root mean square residual ( SRMR) was 0.03. The goodness-of-fit indices were as follows: goodness-of-fit index (GFI) = 0.94, normed fit index (NFI) = 0.96, incremental fit index (IFI) = 0.95, tucker-lewis index(TLI) = 0.96, and comparative fit index (CFI) = 0.96. In the reliability analysis, the overall Cronbach's α coefficient was 0.91, and the split-half coefficient was 0.88. Conclusions:The competency evaluation tool for grassroots personnel in the prevention and treatment of drinking water-borne endemic fluorosis exhibits high item discrimination, as well as good overall reliability and validity. It can be used to evaluate the competency of prevention and treatment personnel and to study influencing factors.

Objective:To study the current situation and influencing factors of the ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis based on a feasible ability theory.Methods:A self-developed evaluation tool was used to assess the ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis. A questionnaire survey was conducted in 2024 via the Wenjuanxing platform to evaluate the current status of their ability and scores. A multivariate logistic regression model was employed to analyze the factors affecting the ability of these personnel.Results:A total of 2 879 questionnaires were collected, of which 2 751 were valid, with a validity rate of 95.55%. Among the valid questionnaires, 917 (33.33%) were filled out by personnel from the endemic areas. The overall ability score of grassroots personnel was (14.74 ± 2.56) points, with welfare scoring (3.45 ± 0.62) points, autonomy scoring (3.57 ± 0.89) points, subjectivity scoring (3.81 ± 0.69) points, and achievement scoring (3.79 ± 0.69) points. Multivariate logistic regression analysis showed that income and employment type were associated with the ability scores of grassroots personnel ( OR = 0.61, 1.31, 95% CI: 0.45 - 0.94, 0.89 - 1.94, P < 0.05). Conclusions:The ability of grassroots personnel involved in prevention and control of drinking water-borne endemic fluorosis is at a moderate level, and there is still room for improvement. Income and employment type are the main factors affecting their ability scores. Efforts should be made to improve salary and welfare benefits, refine professional title promotion mechanism, attract high-level talent, and enhance personnel stability, thus more effectively enhance the ability of grassroots personnel in prevention and control of drinking water-borne endemic fluorosis.

Objective:Based on the characteristics of grassroots disease prevention and control centers, medical institutions, and personnel involved in the prevention and control of drinking water-borne endemic fluorosis in China, the aim of this study is to develop a competency evaluation tool for grassroots personnel involved in the prevention and treatment of the disease.Methods:Through literature review and expert consultation, a competency evaluation tool was designed and developed. The tool was distributed nationwide via the Wenjuanxing platform. Valid data were collected and analyzed for item discrimination, validity, and reliability to assess its measurement effectiveness.Results:A total of 150 valid questionnaires were collected, covering 13 provinces across China (67 males, 83 females). The evaluation tool demonstrated significant differences in scores between high and low groups for all items ( P < 0.001). The correlation coefficients between each item and its corresponding factor ranged from 0.77 to 0.87, with factor loadings ranged from 0.68 to 0.97. In the validity analysis, root mean square error of approximation ( RMSEA) was 0.07, and standardized root mean square residual ( SRMR) was 0.03. The goodness-of-fit indices were as follows: goodness-of-fit index (GFI) = 0.94, normed fit index (NFI) = 0.96, incremental fit index (IFI) = 0.95, tucker-lewis index(TLI) = 0.96, and comparative fit index (CFI) = 0.96. In the reliability analysis, the overall Cronbach's α coefficient was 0.91, and the split-half coefficient was 0.88. Conclusions:The competency evaluation tool for grassroots personnel in the prevention and treatment of drinking water-borne endemic fluorosis exhibits high item discrimination, as well as good overall reliability and validity. It can be used to evaluate the competency of prevention and treatment personnel and to study influencing factors.