儿童和青少年体重自我污名问卷及体重偏见内化量表的心理测量特性与测量不变性
Psychometric properties and measurement invariance of the Weight Self-Stigma Questionnaire and Weight Bias Internalization Scale in children and adolescents.
作者信息
Pakpour Amir H, Tsai Meng-Che, Lin Yi-Ching, Strong Carol, Latner Janet D, Fung Xavier C C, Lin Chung-Ying, Tsang Hector W H
机构信息
Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
出版信息
Int J Clin Health Psychol. 2019 May;19(2):150-159. doi: 10.1016/j.ijchp.2019.03.001. Epub 2019 Apr 18.
UNLABELLED
Given the negative consequences of weight bias, including internalized weight stigma, on health outcomes, two instruments-the Weight Self-Stigma Questionnaire (WSSQ) and Weight Bias Internalization Scale (WBIS)-have been developed. However, their psychometric properties are yet to be tested for Asian pediatric populations.
METHOD
Participants aged 8 to 12 years ( = 287; 153 boys) completed the WSSQ and the WBIS, and they were classified into either a group with overweight or a group without overweight based on self-reported weight and height.
RESULTS
Both WSSQ and WBIS had their factor structures supported by confirmatory factor analyses (CFAs). The measurement invariance of two-factor structure was further supported for WSSQ across gender and weight status. The measurement invariance of single-factor structure was supported for WBIS across gender but not across weight status.
CONCLUSIONS
WSSQ and WBIS were both valid to assess the internalization of weight bias. However, the two instruments demonstrated different properties and should be applied in different situations.
未标注
鉴于体重偏见(包括内化的体重耻辱感)对健康结果产生的负面后果,已开发出两种工具——体重自我耻辱感问卷(WSSQ)和体重偏见内化量表(WBIS)。然而,它们的心理测量特性尚未在亚洲儿科人群中进行测试。
方法
8至12岁的参与者(n = 287;153名男孩)完成了WSSQ和WBIS,并根据自我报告的体重和身高被分为超重组或非超重组。
结果
WSSQ和WBIS的因子结构均得到验证性因子分析(CFA)的支持。WSSQ在性别和体重状况方面,两因子结构的测量不变性得到进一步支持。WBIS在性别方面单因子结构的测量不变性得到支持,但在体重状况方面则不然。
结论
WSSQ和WBIS都可有效评估体重偏见的内化。然而,这两种工具表现出不同的特性,应在不同情况下应用。