亚健康评定量表评价安徽省城镇居民亚健康状态的信效度研究  

Reliability and Validity of Sub-health Measurement Scale Version 1.0 for Evaluating the Sub-health Status of Anhui Urban Residents

作　　者：林沅锜 许军[1] 李文源[2] 吴伟旋 夏聪[1] LIN Yuan-q;XU Jun;LI Wen-yuan;WU Wei-xuan;XIA Cong(Department of Health Economic Management,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Hospital Office,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院卫生经济管理科,广东省广州市510515 [2]南方医科大学南方医院医院办公室,广东省广州市510515

出　　处：《中国全科医学》2018年第15期1845-1851,共7页Chinese General Practice

基　　金：国家自然科学基金资助项目(71673126);广东省自然科学基金资助项目(2015A030313267);广州市公共卫生服务体系建设研究基地课题成果(C1034569)

摘　　要：目的分析亚健康评定量表(SHMS V1.0)测评安徽省城镇居民亚健康状态的信度和效度。方法 2016年11月—2017年3月,在安徽省行政区域划分的基础上,采用分层随机抽样法抽取合肥市、铜陵市、阜阳市3个市,并按照性别(1∶1)进行抽样,根据纳入与排除标准,最终选取合肥市400名、铜陵市400名和阜阳市350名共1 150名城镇居民为调查对象。采用自行设计的亚健康状态调查问卷进行调查,其包括城镇居民一般情况调查表和SHMS V1.0两部分。采用内部一致性信度和分半信度考评SHMS V1.0的信度;采用各条目得分与各维度得分的相关系数,各维度得分与各子量表得分的相关系数,各维度的Cronbach'sɑ系数、各维度得分间及其与SHMS V1.0总分的相关系数评价SHMS V1.0的内容效度;运用探索性因子分析和验证性因子分析考评SHMS V1.0的结构效度。结果本研究共发放调查问卷1 150份,收回有效问卷1 078份,有效回收率为93.74%。SHMS V1.0、生理亚健康子量表(PS)、心理亚健康子量表(MS)、社会亚健康子量表(SS)的Cronbach'sɑ系数分别为0.928、0.847、0.875和0.857,Spearman-Brown系数分别为0.847、0.749、0.809和0.742,Guttman折半信度系数分别为0.847、0.745、0.807和0.731。SHMS V1.0各条目得分与其相应维度得分的相关系数为0.711~0.901(P<0.05);SHMS V1.0各维度得分与其相应子量表得分的相关系数为0.642~0.906(P<0.05);SHMS V1.0各维度的Cronbach'sɑ系数均大于该维度与其他维度得分或SHMS V1.0总分的相关系数(P<0.05)。SHMS V1.0的KMO=0.901,Bartlett's球形检验χ2=8 753.858,自由度为595(P<0.001),表明适合进行因子分析。探索性因子分析共提取8个公因子,其累积方差贡献率达63.319%,且每个条目均在其中1个公因子上有较大负荷值(>0.400)。经验证性因子分析,最终模型拟合效果理想:自由度比值(CMIN/DF)=2.009,规范适配指标(NFI)=0.858,相对适配指数(RFI)=0.835,增值适配指标(IObjective To analyze the reliability and validity of Sub-health Measurement Scale Version 1.0（SHMS V1.0） in measuring the sub-health status of urban residents in Anhui Province.Methods We carried out this study from November 2016 to March 2017.The 1 150 urban residents（selected based on male to female ratio of 1∶1） enrolled in accordance with the inclusion and exclusion criteria of the study,were from a stratified random sample of 3 prefecture-level cities of Anhui Province（400 from Hefei,400 from Tongling,and 350 from Fuyang）.We used a self-designed Subhealth Questionnaire（consisting of Urban Resident Demographic Questionnaire and SHMS V1.0） for collecting the data about sub-health.Psychometric properties of SHMS V1.0 including the reliability（internal consistency reliability and splithalf reliability）,content validity（item-dimension correlation,correlation between dimension and subscale,Cronbach＇s ɑfor each dimension,dimension-total correlation） and structural validity（exploratory factor analysis and confirmatory factor analysis） were assessed.Results A total of 1 078（93.74%） residents returned responsive questionnaires.The Cronbach＇s ɑfor SHMS V1.0,physiological sub-health scale（PS）,mental sub-health subscale（MS）,and social sub-health subscale（SS） was 0.928,0.847,0.875 and 0.857,respectively.The Spearman-Brown coefficients for them were 0.847,0.749,0.809 and 0.742,respectively.The Guttman coefficients for them were 0.847,0.745,0.807 and 0.731,respectively.The itemto-own-dimension correlation coefficients of SHMS V1.0 ranged from 0.711 to 0.901（P〈0.05）.The correlation coefficients of dimension to its corresponding subscale were 0.642-0.906（P〈0.05）.The Cronbach ＇s ɑ of each dimension is greater than the correlation coefficients of this dimension with other dimensions or the SHMS V1.0（P〈0.05）.The KMO of SHMS V1.0=0.901,the Bartlett＇s spherical test χ2=8 753.858,and the degrees of freedom was 595（P0.001）,indicating that it was suitable

关 键 词：健康状况 亚健康评定量表 城镇居民 信度 效度 

分 类 号：R195[医药卫生—卫生统计学]