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评估与艾滋病相关的复原力筛查工具的因素结构和心理测量特性:黄金研究

Assessing the Factor Structure and Psychometric Properties of the HIV-Related Resilience Screener: The GOLD Studies.

作者信息

Krause Kristen D, Brennan-Ing Mark, Halkitis Perry N

机构信息

Center for Health, Identity, Behavior, and Prevention Studies (CHIBPS), Rutgers School of Public Health, Rutgers University, Newark, NJ, USA.

Department of Urban-Global Public Health, Rutgers School of Public Health, Rutgers University, Newark, NJ, USA.

出版信息

AIDS Behav. 2023 May;27(5):1703-1715. doi: 10.1007/s10461-022-03902-3. Epub 2022 Nov 12.

Abstract

People who are 50 and older constitute the majority of those living with HIV/AIDS (PLWHA) in the US. Aging PLWHA face myriad biopsychosocial health challenges related to HIV/AIDS and the aging process. Resilience may act as a buffer to the negative impact of these challenges however measuring it among PLWHA has been inconsistent, so the HIV-Related Resilience Screener (HIV-RRS) was developed. Data for the present study are drawn from 250 sociodemographically diverse HIV-positive gay men ages 50-69 in NYC. Tests of reliability and validity were conducted, and an Exploratory Factor Analysis indicated a three-factor model was the most parsimonious solution. Items were examined for their underlying relationships and labeled: adaptive coping, optimism, and effective coping. The total HIV-RRS yielded a Cronbach's α of 0.84. Convergent and face validity were established using psychosocial and physical outcomes. The HIV-RRS is a psychometrically sound instrument to assess resilience among older HIV-positive gay men.

摘要

50岁及以上的人群构成了美国艾滋病毒/艾滋病感染者(PLWHA)的大多数。老年艾滋病毒/艾滋病感染者面临着与艾滋病毒/艾滋病以及衰老过程相关的无数生物心理社会健康挑战。复原力可能会缓冲这些挑战的负面影响,然而在艾滋病毒/艾滋病感染者中对其进行测量的结果并不一致,因此开发了艾滋病毒相关复原力筛查工具(HIV-RRS)。本研究的数据来自纽约市250名社会人口统计学特征各异、年龄在50 - 69岁的艾滋病毒呈阳性的男同性恋者。进行了信度和效度测试,探索性因素分析表明三因素模型是最简约的解决方案。对各个项目的潜在关系进行了检验并进行了标注:适应性应对、乐观主义和有效应对。HIV-RRS总分的克朗巴哈系数为0.84。使用心理社会和身体结果确定了聚合效度和表面效度。HIV-RRS是一种心理测量学上可靠的工具,用于评估老年艾滋病毒呈阳性男同性恋者的复原力。

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