Rajmil Luis, Berra Silvina, Estrada Maria Dolors, Serra-Sutton Vicky, Rodríguez Maica, Borrell Carme, Riley Anne, Starfield Barbara
Agència d'Avaluació de Tecnologia i Recerca Mèdiques, Barcelona, Spain.
Gac Sanit. 2004 Jul-Aug;18(4):305-11. doi: 10.1016/s0213-9111(04)72017-8.
To analyze the reliability and validity of the domains of the Child Health and Illness Profile-Child Edition Parent Report Form (CHIP-CE/PRF) included in the Barcelona Health Survey conducted in 2000 and to obtain population-based reference values.
Data were obtained from proxy-respondent interviews of children aged 5-14 years old (n = 836) participating in the Barcelona Health Survey 2000. The 4 subdomains of the parent version of the CHIP-PRF included in the health survey were: satisfaction with health, and physical discomfort, emotional discomfort, and limitation of activities of the discomfort domain. Internal consistency was assessed using Cronbach's alpha coefficients. An exploratory factor analysis was carried out and analysis of covariance was performed to assess the construct validity of the subdomains.
In all the subdomains assessed, Cronbach's alpha was above 0.70 (range, 0.76-0.98). In the factorial analysis, almost all the items (31/35) presented the highest load in their corresponding subdomain. Most of the expected mean differences among groups were confirmed. Girls aged 10-14 years old scored the lowest, both in satisfaction with health (48.93; 95% confidence interval [CI 95%], 47.40-50.47) and in discomfort (48.87; CI 95%, 47.51-50.22). No differences were found according to the social class of the head of the family.
The present study provides a useful measure of perceived health status in a child health survey.
分析2000年巴塞罗那健康调查中儿童健康与疾病状况量表-儿童版家长报告表（CHIP-CE/PRF）各领域的信度和效度，并获得基于人群的参考值。
数据来自对参与2000年巴塞罗那健康调查的5至14岁儿童（n = 836）的代理受访者访谈。健康调查中包含的CHIP-PRF家长版的4个子领域为：对健康的满意度、身体不适、情绪不适以及不适领域的活动受限。使用克朗巴哈系数评估内部一致性。进行探索性因素分析并进行协方差分析以评估子领域的结构效度。
在所有评估的子领域中，克朗巴哈系数均高于0.70（范围为0.76 - 0.98）。在因素分析中，几乎所有项目（31/35）在其相应子领域中的载荷最高。证实了各组之间大多数预期的均值差异。10至14岁的女孩在健康满意度（48.93；95%置信区间[CI 95%]，47.40 - 50.47）和不适程度（48.87；CI 95%，47.51 - 50.22）方面得分最低。未发现根据家庭户主社会阶层的差异。
本研究为儿童健康调查中感知健康状况提供了有用的测量方法。
