慢性乙肝病毒感染者歧视测量量表信效度的初步研究  

Preliminary study on validity and reliability of the chronic HBV-infections related stigma scale

作　　者：冯丽芬[1,2] 谢俊强[3] 邹霞[1] 黄静芝[1] 郭为林[1] 顾菁[1,2] 郝元涛[1,2] 

机构地区：[1]中山大学公共卫生学院,广州510080 [2]中山大学公共卫生学院卫生信息研究中心,广州510080 [3]中山大学附属第三医院感染科,广州510080

出　　处：《中华行为医学与脑科学杂志》2012年第4期370-372,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：基金项目：“十一五”国家科技重大专项（2009ZX10001-018）

摘　　要：目的考察慢性乙肝病毒感染者歧视测量量表的信度与效度。方法通过文献分析，结合专家和患者访谈，形成描述患者受歧视的项目并构建维度，编制量表初稿。通过便利抽样的方法选取151名慢性乙肝病毒感染者进行调查，并分析量表的信度和效度。结果量表应答率为94．5％；量表各维度的Cronbachgo【系数介于0．75～0．87之间；量表各条目与其所属维度之间的相关较强（r值为0．62～0．86），而与其他维度的相关较弱（r值为0．14～0．55）；量表能较好地区分低分组[各维度得分分别为（1．89±0．30）分，（1．86±0．29）分，（1．96±0．23）分，（2．29±0．45）分，（1．59±0．42）分]与高分组[各维度得分分别为（3．62±0．44）分，（3．99±0．41）分，（3．79±0．37）分，（4．13±0．34）分，（3．10±0．53）分]患者的得分（均P〈0．01）；证实性因子分析结果显示相对拟合指数CFI为0．94，非范拟合指数NNFI为0．92，近似误差均方根RMSEA为0．087。结论慢性乙肝病毒感染者歧视测量量表具有良好的信度和效度。Objective To evaluate the reliability and validity of the chronic HBV-infections related stigma scale. Methods The initial items and construct of the scale were developed according to theoretical analysis and interviews of experts and patients. A total of 151 patients with chronic HBV-infection were administered by conven- ient sampling method in this pilot study. The reliability and the validity of the scale were then evaluated. Results The response rate of the scale was 94.5%. The Cronbaeh ct coefficients of all dimensions ranged from 0. 754）. 87. The results of correlation analysis showed that there were higher correlation coefficients （ r ranged from 0. 624）. 86） between items and their hypothesized subscales than those with other subscales （ r ranged from 0.14- 0.55）. The scale distinguished between patients with low subscale scores （ the subscale scores were （ 1.89 ±0. 30） , （ 1.86 ± 0.29 ） , （ 1.96 ± 0.23 ）, （ 2.29 ±0.45 ）, （ 1.59 ± 0.42） independently） and those with high sub- scale scores（ the subseale scores were （3.62 ±0.44）, （3.99 ±0.41 ）, （3.79 ±0.37）, （4.13 ±0.34）, （ 3.10±0.53 ） independently） （P 〈 0.01 ）. Confirmatory factor analysis showed that the main indices of goodness of fit CFI was 0.94, NNFI 0.92, RMSEA 0. 087. Conclusion The chronic HBV-infections related stigma has good psycho- metric properties regarding to reliability and validity.

关 键 词：慢性乙肝 歧视 量表 信度 效度 

分 类 号：R512.62[医药卫生—内科学]