Gehlert Sarah, Chang Chih-Hung, Bock R Darrell, Hartlage S Ann
School of Social Service Administration, University of Chicago, 969 E. 60th Street, Chicago, IL 60637, USA.
J Clin Epidemiol. 2006 May;59(5):525-33. doi: 10.1016/j.jclinepi.2005.09.008. Epub 2006 Mar 13.
The Women's Quality of Life Questionnaire (WOMQOL) was developed to measure aspects of the health of women of reproductive age with no known pathology.
Five experts in women's health and mental health rated a pool of 140 items as very significant, somewhat significant, or insignificant to women's health. Sixty-seven items were retained and formatted as a self-reported questionnaire with dichotomous responses to each statement ("true" and "false"). A total of 1,207 women completed the instrument during the follicular and late luteal phases of their menstrual cycles. Dichotomous response data from the follicular phases were analyzed using item response theory-based full-information item factor analysis to identify interpretable factors. Measurement invariance of the obtained factors across cycle phases and age cohorts was further evaluated using differential item functioning (DIF).
Four primary factors, made up of the 10 items with highest factor loading in each factor, were found to measure physical, mental, social, and spiritual health. No items were found to display DIF across the phases of menstrual cycles or age cohorts.
Although additional studies of diverse groups of women are advised, the final 40-item WOMQOL is a psychometrically sound measure that can be used to evaluate the quality of life of women of reproductive age in the general population.
开发女性生活质量问卷（WOMQOL）以测量无已知病理状况的育龄女性的健康状况。
五位女性健康和心理健康专家将140个条目分为对女性健康非常重要、有些重要或不重要三类。保留了67个条目，并将其整理成一份自我报告问卷，每个陈述有二分制回答（“是”和“否”）。共有1207名女性在月经周期的卵泡期和黄体晚期完成了该问卷。使用基于项目反应理论的全信息项目因子分析对卵泡期的二分制反应数据进行分析，以确定可解释的因子。使用差异项目功能（DIF）进一步评估所获得的因子在不同周期阶段和年龄组中的测量不变性。
发现由四个主要因子组成，每个因子中因子载荷最高的10个条目，分别测量身体、心理、社会和精神健康。未发现任何条目在月经周期各阶段或年龄组中显示出差异项目功能。
尽管建议对不同女性群体进行更多研究，但最终的40项WOMQOL是一种心理测量学上可靠的测量工具，可用于评估一般人群中育龄女性的生活质量。
