University of Pittsburgh School of Medicine, United States.
University of Pittsburgh School of Medicine, United States; Division of Adolescent and Young Adult Medicine, Children's Hospital of Pittsburgh, United States.
Prev Med. 2020 Oct;139:106185. doi: 10.1016/j.ypmed.2020.106185. Epub 2020 Jun 25.
In response to growing evidence of associations between harmful masculinities and adverse health outcomes, researchers developed the Man Box Scale to provide a standardized measure to assess these inequitable gender attitudes. In 2019, we evaluated the psychometric properties of the 17-item Man Box Scale and derived a 5-item short form. Using previously collected data (in 2016) from men aged 18-30 years across the United States (n = 1328), the United Kingdom (n = 1225), and Mexico (n = 1120), we conducted exploratory (EFA) and confirmatory factor analyses (CFA), assessed convergent validity by examining associations of the standardized mean Man Box Scale score with violence perpetration, depression, and suicidal ideation, and assessed internal consistency reliability of the full scale. We used item response theory (IRT) to derive a 5-item short form, and conducted CFA and additional assessments for reliability and convergent validity. We identified a single underlying factor with 15 items across all three countries. CFA resulted in good model fit. We demonstrated significant associations of standardized mean Man Box Scale score with violence perpetration (OR range = 1.57-5.49), depression (OR range = 1.19-1.73), and suicidal ideation (OR range = 1.56-2.59). IRT resulted in a 5-item short form with good fit through CFA and convergent validity, and good internal consistency. The Man Box Scale assesses harmful masculinities and demonstrates strong validity and reliability across three diverse countries. This scale, either short or long forms, can be used in future prevention research, clinical assessment and decision-making, and intervention evaluations.
针对有害的男子气概与不良健康结果之间关联的日益增多的证据，研究人员开发了男子气概盒子量表，以提供一种评估这些不平等性别态度的标准化衡量标准。2019 年，我们评估了 17 项男子气概盒子量表的心理测量学特性，并得出了一个 5 项简短形式。使用之前从美国（n=1328）、英国（n=1225）和墨西哥（n=1120）18-30 岁男性收集的数据（2016 年），我们进行了探索性（EFA）和验证性因素分析（CFA），通过检查男子气概盒子量表标准化均值与暴力行为、抑郁和自杀意念的关联来评估聚合效度，并评估全量表的内部一致性可靠性。我们使用项目反应理论（IRT）得出一个 5 项简短形式，并进行了 CFA 以及可靠性和聚合效度的其他评估。我们在所有三个国家都确定了一个由 15 个项目组成的单一潜在因素。CFA 结果表明模型拟合良好。我们证明了男子气概盒子量表标准化均值与暴力行为（OR 范围=1.57-5.49）、抑郁（OR 范围=1.19-1.73）和自杀意念（OR 范围=1.56-2.59）之间存在显著关联。IRT 产生了一个 5 项简短形式，通过 CFA 和聚合效度以及良好的内部一致性具有良好的拟合。男子气概盒子量表评估了有害的男子气概，并在三个不同的国家表现出很强的有效性和可靠性。无论是简短形式还是长形式，该量表都可以用于未来的预防研究、临床评估和决策以及干预评估。
