Yu Ruby, Cheung Osbert, Leung Jason, Tong Cecilia, Lau Kevin, Cheung Johnny, Woo Jean
Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong.
BMJ Open. 2019 May 10;9(5):e023332. doi: 10.1136/bmjopen-2018-023332.
To evaluate the psychometric properties of the Hong Kong version of Neighbourhood Cohesion Instrument (HK-NCI) and examine whether neighbourhood social cohesion as measured using HK-NCI would be associated with evaluative, hedonic and eudaemonic well-being.
A validation analysis followed by a cross-sectional analysis of a community-based survey.
Communities in two districts (Sha Tin and Tai Po) in Hong Kong.
301 community-dwelling Chinese men and women aged 60 years and older normally residing in Sha Tin or Tai Po for not less than six consecutive months at the time of participation in the study were interviewed.
Neighbourhood social cohesion was measured using the 15-item HK-NCI. The Social Cohesion Scale (SCS) and the Brief Sense of Community Scale (BSCS) were administered for assessing the validity of the HK-NCI. Evaluative (life satisfaction), hedonic (feelings of happiness) and eudaemonic well-being (sense of purpose and meaning in life) were examined. Socio-demographic characteristics, lifestyle and health behaviours, medical history, and neighbourhood characteristics were used as covariates.
For homogeneity, internal consistency of HK-NCI (α=0.813) was good. For stability (test-retest reliability), the averages of mean scores of the 15 items suggested an acceptable repeatability with an intra-class correlation coefficient=0.701(95% CI 0.497 to 0.832). HK-NCI was correlated with SCS (r=0.515-0.635, p<0.001) and BSCS (r=0.500-0.612, p<0.001). Neighbourhood social cohesion was positively and independently associated with life satisfaction, feelings of happiness and sense of purpose and meaning in life (all p values <0.05). Stratified analyses indicated that neighbourhood social cohesion was more strongly associated with all dimensions of subjective well-being in 'young-old' subgroup, and with sense of purpose and meaning in life for women.
The HK-NCI has adequate levels of internal consistency and test-retest reliability. In addition, higher levels of neighbourhood social cohesion were associated with better subjective well-being among older Chinese people.
评估香港版邻里凝聚力量表（HK-NCI）的心理测量特性，并检验使用HK-NCI测量的邻里社会凝聚力是否与评价性、享乐性和幸福主义幸福感相关。
先进行效度分析，然后对一项基于社区的调查进行横断面分析。
香港两个区（沙田和大埔）的社区。
对301名年龄在60岁及以上、通常居住在沙田或大埔且在参与研究时连续居住不少于6个月的社区中国男女进行了访谈。
使用包含15个条目的HK-NCI测量邻里社会凝聚力。采用社会凝聚力量表（SCS）和社区归属感简表（BSCS）评估HK-NCI的效度。考察评价性幸福感（生活满意度）、享乐性幸福感（幸福感）和幸福主义幸福感（生活目的和意义感）。将社会人口学特征、生活方式和健康行为、病史以及邻里特征用作协变量。
在同质性方面，HK-NCI的内部一致性良好（α=0.813）。在稳定性（重测信度）方面，15个条目的平均得分均值表明具有可接受的重复性，组内相关系数=0.701（95%CI 0.497至0.832）。HK-NCI与SCS（r=0.515 - 0.635，p<0.001）和BSCS（r=0.500 - 0.612，p<0.001）相关。邻里社会凝聚力与生活满意度、幸福感以及生活目的和意义感呈正相关且独立相关（所有p值<0.05）。分层分析表明，邻里社会凝聚力在“年轻老人”亚组中与主观幸福感的所有维度关联更强，在女性中与生活目的和意义感关联更强。
HK-NCI具有足够的内部一致性和重测信度。此外，较高水平的邻里社会凝聚力与中国老年人更好的主观幸福感相关。
