华南预防医学 ›› 2016, Vol. 42 ›› Issue (1): 119-123.doi: 10.13217/j.scjpm.2016.0119

• 论著 • 上一篇    下一篇

亚健康评定量表评价珠三角新生代农民工亚健康状况的信度和效度研究

黄小微,许军,吴伟旋,崔周国   

  1. 南方医科大学南方医院,广东 广州 510515
  • 出版日期:2016-05-20 发布日期:2016-05-24
  • 通讯作者: 许军 E-mail:drugstat@163.com
  • 作者简介:黄小微(1985—),女,在读硕士研究生,研究方向:健康评价与生存质量测量
  • 基金资助:
    广东省科技计划项目(2012B031800145)

Reliability and validity of Subhealth Measurement Scale for measuring subhealth of newgeneration migrant workers in Pearl River Delta

HUANG Xiao-wei, XU Jun,WU Wei-xuan, CUI Zhou-guo   

  1. Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China
  • Online:2016-05-20 Published:2016-05-24

摘要: 目的考评亚健康评定量表(SHMS V1. 0)应用于珠江三角洲新生代农民工亚健康状况测量的信度、效度。方法采用区域分层抽样的方法抽取珠江三角洲7个地级市新生代农民工进行调查,调查内容包括调查对象一般情况、生活方式及经历事件、亚健康评定量表(SHMS V1.0)、与健康有关的生存质量测量量表SF-36(SF-36)。采用分半信度和内部一致性信度评价量表的信度,用结构效度、效标效度及量表反应度评价量表的效度。结果共发放1 500份调查问卷,回收有效问卷共1 238份,有效回收率为82.53%。调查对象中男性530人(占42.8%),婚姻状况以已婚为主,共807人(占65.2%),文化程度以初中及以下为主,共562人(占45.4%)。SHMS V1. 0的Cronbach′α系数为0.923;分半信度为0.855。各维度与其所在子量表的相关系数介于0.520~0.890之间,相关性较大,与其他的子量表相关系数较小。经最大方差旋转法,结果提取7个主成分,累积贡献率达63.576%,每个条目均在其中1个因子上有较高负荷值,介于0.588~0.886之间,在其他6个因子上的负荷值则较低。SHMS V1. 0总得分与SF-36总分的相关系数为0. 750(P<0.01)。天花板/地板效应显示SHMS V 1. 0生理、心理和社会子量表及总量表最高分所占比例介于0.08~3.23之间,最低分所占比例介于0.08~0.72之间,最高分和最低分所占比例较小,提示该量表反应度较好具有较灵敏的反应度。结论应用SHMSV 1. 0评价珠江三角洲新生代农民工亚健康状态可靠、有效且灵敏度高。

Abstract: ObjectiveTo assess the reliability and validity of the Sub-health Measurement Scale Version 1.0 (SHMS V1.0) for measuring the sub-health status of new-generation migrant workers in the Pearl River Delta (PRD). MethodsA regional stratified sampling method was used to select the new-generation migrant workers in 7 prefecture-level cities in PRD. The survey contents included general information, lifestyle and experience events, SHMS V1.0, and the short form 36 health survey questionnaire (SF-36). Methods of sub reliability half reliability and internal consistency for reliability rating scale, construct validity, criterion validity, and responsiveness scale for validity assessment scale were used. ResultsA total of 1 500 questionnaires were distributed and 1 238 valid ones were recovered, with an effective response rate of 82.53%. Of the 1 238 responders, 530 (42.8%) were male, 807 (65.2%) were married, and 562 (45.4%) had educational level at junior middle school or below. The Cronbach's α coefficient of SHMS V1. 0 was 0.923 and the split-half reliability was 0.855. The scale of correlation coefficient of each dimension and the subscale was between 0.520 and 0.890, indicating the correlation was larger and the correlation coefficient of other subscale was smaller. Extracted 7 principal components by varimax rotation method, the cumulative contribution rate was 63.576%. Each entry had higher load value on one factor (between 0.588 and 0.886), but had lower load value on the other 6 factors. The correlation coefficient between total score of SHMS V1. 0 and total score of SF-36 was 0.750 (P<0.01). The ceiling/floor effect revealed high sensitive that top score percentage of physiological, psychological, and social subscales in total scale was between 0.08 and 3.23 and lowest score proportion of each subscale in the total scale ranged from 0.08 to 0.72. The proportion of highest and lowest scores was small, suggesting that the responsiveness of the scale was sensitive. ConclusionSHMS V1.0 is a reliable, valid, and sensitive measurement scale for measuring the sub-health of the new-generation migrant workers in PRD.

中图分类号: 

  • R195.4