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土耳其版个体层面堕胎耻辱感量表的信度和效度:一项方法学研究。

Reliability and validity of the Turkish version of the Individual-Level Abortion Stigma Scale: a methodological study.

机构信息

Faculty of Health Sciences, Manisa Celal Bayar University, Manisa, Turkey.

出版信息

BMJ Open. 2019 Apr 3;9(4):e024686. doi: 10.1136/bmjopen-2018-024686.

Abstract

OBJECTIVES

The aim of this study was to assess the reliability and validity of the Turkish version of the Individual-Level Abortion Stigma Scale.

SETTING

Three hospitals affiliated to Public Hospitals Union General Secretariat in Manisa, a city located in Western Turkey.

DESIGN

This was a methodological study.

PARTICIPANTS

A total of 230 women aged 22-49 years who previously underwent abortion and volunteered to participate in the study.

PRIMARY AND SECONDARY OUTCOME MEASURES

Data analysis was performed using the SPSS and LISREL software. The Content Validity Index was calculated based on the values obtained from expert opinions. In the reliability analysis, Cronbach's alpha values were calculated for the overall scale and its subscales. To test the stability of the scale over time, the scale was readministered to 30 women in the study 15 days later and the test-retest values (Pearson's correlation coefficients) were determined. In the validity analysis, the exploratory and confirmatory factor analyses were performed. In the exploratory factor analysis, the principal component analysis was performed using the varimax rotation and the factor loading of the scale was examined. Confirmatory factor analysis was performed to investigate the item-factor construct of the scale.

RESULTS

The Content Validity Index was calculated as 0.86. The Cronbach's alpha values ranged between 0.83 and 0.94. The item-total correlation coefficients ranged between 0.36 and 0.72, and the test-retest reliability was 0.96 for the overall scale and its subscales (p<0.05). The total variance revealed by five factors was 75%. Confirmatory factor analysis of the scale revealed an acceptable compliance level (root mean square error of approximation=0.092, χ/df=2.91, Goodness of Fit Index=0.831, Comparative Fit Index=0.928, p<0.001).

CONCLUSIONS

The results suggest that this scale has the potential for use in research and clinical settings to measure abortion stigma among women.

摘要

目的

本研究旨在评估土耳其版个体层面堕胎污名量表的信度和效度。

设置

位于土耳其西部马纳萨市的公立医院联盟总秘书处下属的三家医院。

设计

这是一项方法学研究。

参与者

共有 230 名年龄在 22-49 岁之间的女性,她们曾堕胎并自愿参加研究。

主要和次要结果测量

使用 SPSS 和 LISREL 软件进行数据分析。根据专家意见得出的数值计算内容效度指数。在信度分析中,计算了总体量表及其分量表的克朗巴赫α值。为了测试量表随时间的稳定性,15 天后对研究中的 30 名女性再次进行量表测试,并确定测试-重测值(皮尔逊相关系数)。在效度分析中,进行了探索性和验证性因子分析。在探索性因子分析中,使用方差极大旋转进行主成分分析,并检查了量表的因子负荷。进行验证性因子分析以研究量表的项目-因子结构。

结果

内容效度指数计算为 0.86。克朗巴赫α值在 0.83 到 0.94 之间。项目-总分相关系数在 0.36 到 0.72 之间,总体量表及其分量表的重测信度为 0.96(p<0.05)。五个因素揭示的总方差为 75%。量表的验证性因子分析显示,符合度水平可接受(近似均方根误差=0.092,χ/df=2.91,拟合优度指数=0.831,比较拟合指数=0.928,p<0.001)。

结论

结果表明,该量表具有在研究和临床环境中用于衡量女性堕胎污名的潜力。

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本文引用的文献

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Conceptualising abortion stigma.概念化堕胎污名
Cult Health Sex. 2009 Aug;11(6):625-39. doi: 10.1080/13691050902842741.

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