School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Rd., Qiaokou District, Wuhan, 430030, Hubei Province, China.
BMC Med Educ. 2020 Jun 17;20(1):197. doi: 10.1186/s12909-020-02111-7.
The increasing of older adults has led to enormous demand for medical care. However, as a group with unique needs and characteristics, older adults are often discriminated against in the medical field. In this paper, we aimed to translate the Fraboni Scale of Ageism (FSA) into Chinese and examine its construct validity, content validity, and reliability in Chinese mainland medical students. In order to evaluate the prevalence of ageism in Chinese medical students and prompt medical college to adopt necessary teaching methods to mitigate ageism in medical students.
By Brislin's translation guidelines, FSA was translated to Chinese. The convenient sampling method was used to select samples for this survey, including 1,974 students from two medical schools in central and north China. Construct validity was verified by the exploratory and confirmatory factor analysis. The content validity index (CVI) was used to assess content validity. The Cronbach's alpha coefficients and intraclass correlation coefficient (ICC) were used to estimate reliability.
The alpha coefficients for FSA (Chinese version) was 0.81 and ICC was 0.87. The CVI was 0.93. Three factors were identified by exploratory factor analysis explaining 34.84% of the total variance and a three-factor model was confirmed to fit by confirmatory factor analysis.
FSA (Chinese version) is a reliable and valid scale for measuring discrimination degree against older adults in Chinese medical students.
老年人数量的增加导致对医疗保健的需求巨大。然而，作为一个具有独特需求和特征的群体，老年人在医疗领域往往受到歧视。本文旨在将 Fraboni 年龄歧视量表（FSA）翻译成中文，并在中国内地医学生中检验其建构效度、内容效度和信度。以便评估中国医学生中年龄歧视的流行程度，并促使医学院采取必要的教学方法来减轻医学生中的年龄歧视。
根据 Brislin 的翻译指南，将 FSA 翻译成中文。本研究采用便利抽样法，选取中国中部和北部两所医学院的 1974 名学生作为样本。采用探索性和验证性因子分析验证建构效度。内容效度指数（CVI）用于评估内容效度。Cronbach's alpha 系数和组内相关系数（ICC）用于评估信度。
FSA（中文版）的 alpha 系数为 0.81，ICC 为 0.87。CVI 为 0.93。探索性因子分析确定了三个因子，解释了总方差的 34.84%，验证性因子分析证实了三因子模型拟合良好。
FSA（中文版）是一种可靠有效的测量中国医学生对老年人歧视程度的量表。
