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评估邻里尺度的测量属性:从心理测量学到生态测量学。

Assessing the measurement properties of neighborhood scales: from psychometrics to ecometrics.

作者信息

Mujahid Mahasin S, Diez Roux Ana V, Morenoff Jeffrey D, Raghunathan Trivellore

机构信息

Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA.

出版信息

Am J Epidemiol. 2007 Apr 15;165(8):858-67. doi: 10.1093/aje/kwm040. Epub 2007 Feb 28.

Abstract

Most studies examining the relation between residential environment and health have used census-derived measures of neighborhood socioeconomic position (SEP). There is a need to identify specific features of neighborhoods relevant to disease risk, but few measures of these features exist, and their measurement properties are understudied. In this paper, the authors 1) develop measures (scales) of neighborhood environment that are important in cardiovascular disease risk, 2) assess the psychometric and ecometric properties of these measures, and 3) examine individual- and neighborhood-level predictors of these measures. In 2004, data on neighborhood conditions were collected from a telephone survey of 5,988 residents at three US study sites (Baltimore, Maryland; Forsyth County, North Carolina; and New York, New York). Information collected covered seven dimensions of neighborhood environment (aesthetic quality, walking environment, availability of healthy foods, safety, violence, social cohesion, and activities with neighbors). Neighborhoods were defined as census tracts or census clusters. Cronbach's alpha coefficient ranged from 0.73 to 0.83, with test-retest reliabilities of 0.60-0.88. Intraneighborhood correlations were 0.28-0.51, and neighborhood reliabilities were 0.64-0.78 for census tracts for most scales. The neighborhood scales were strongly associated with neighborhood SEP but also provided information distinct from neighborhood SEP. These results illustrate a methodological approach for assessing the measurement properties of neighborhood-level constructs and show that these constructs can be measured reliably.

摘要

大多数研究居住环境与健康之间关系的研究都使用了基于人口普查得出的邻里社会经济地位(SEP)衡量指标。有必要确定与疾病风险相关的邻里特定特征,但衡量这些特征的指标很少,而且对其测量属性的研究也不足。在本文中,作者:1)开发了对心血管疾病风险具有重要意义的邻里环境衡量指标(量表);2)评估这些指标的心理测量和生态测量属性;3)研究这些指标的个体层面和邻里层面预测因素。2004年,通过对美国三个研究地点(马里兰州巴尔的摩市、北卡罗来纳州福赛斯县和纽约市)的5988名居民进行电话调查,收集了邻里状况数据。收集的信息涵盖邻里环境的七个维度(审美质量、步行环境、健康食品供应、安全、暴力、社会凝聚力以及与邻居的活动)。邻里被定义为普查区或普查聚类。克朗巴赫α系数范围为0.73至0.83,重测信度为0.60 - 0.88。大多数量表的普查区内相关性为0.28 - 0.51,普查区的邻里信度为0.64 - 0.78。邻里量表与邻里SEP密切相关,但也提供了与邻里SEP不同的信息。这些结果说明了一种评估邻里层面构念测量属性的方法,并表明这些构念可以可靠地测量。

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