Katainen Riina E, Engblom Janne R, Vahlberg Tero J, Polo-Kantola Päivi
1Department of Obstetrics and Gynecology, Turku University Hospital and University of Turku, Turku, Finland 2Department of Mathematics and Statistics 3Department of Biostatistics, University of Turku, Turku, Finland.
Menopause. 2017 Aug;24(8):923-931. doi: 10.1097/GME.0000000000000874.
The Women's Health Questionnaire (WHQ) is a validated and commonly used instrument for measuring climacteric-related symptoms. A revised version was previously developed. However, validation in a Finnish population is lacking. As it is important to use qualified instruments, we performed a validation study of the WHQ in a Finnish population.
In all, 3,421 women, aged 41 to 54 years, formed the study population. In the original 36-item WHQ, the items were rated on a 1 to 4 scale and on a binary scale (0-1). The scaling of the revised 23-item WHQ was 0 to 100. We evaluated the psychometric properties (internal consistency, correlations between the symptom domains, factor structure, and sampling adequacy) in all three versions.
For the 1 to 4 scale and on the revised version of the WHQ, the internal consistency was acceptable (the Cronbach's α coefficients >0.70) for most of the domains. On the binary scale, the majority of the coefficient values were below the acceptable level. The original symptom domains, especially those on the revised version, were recognizable from the factors in the exploratory factor analysis, but there were some limitations. The Kaiser-Meyer-Olkin values were high.
The WHQ is a valid instrument for measuring climacteric-related symptoms in Finnish middle-aged women. The psychometric properties of the revised 23-item WHQ were as good or even better than those of the original 36-item WHQ. Thus, we encourage use of the revised version.
女性健康问卷（WHQ）是一种经过验证且常用的用于测量更年期相关症状的工具。之前已开发出修订版。然而，在芬兰人群中缺乏验证。由于使用合格的工具很重要，我们在芬兰人群中对WHQ进行了一项验证研究。
共有3421名年龄在41至54岁之间的女性构成了研究人群。在最初的36项WHQ中，各项目按1至4级评分以及二元评分（0 - 1）。修订后的23项WHQ的评分范围是0至100。我们评估了所有三个版本的心理测量特性（内部一致性、症状领域之间的相关性、因子结构和抽样适当性）。
对于1至4级评分以及WHQ的修订版，大多数领域的内部一致性是可接受的（克朗巴赫α系数>0.70）。在二元评分上，大多数系数值低于可接受水平。从探索性因子分析的因子中可以识别出原始的症状领域，尤其是修订版中的那些，但存在一些局限性。凯泽 - 迈耶 - 奥尔金值较高。
WHQ是测量芬兰中年女性更年期相关症状的有效工具。修订后的23项WHQ的心理测量特性与原始的36项WHQ一样好甚至更好。因此，我们鼓励使用修订版。
