Public Health Agency of Canada.
Health Rep. 2023 Aug 16;34(8):16-30. doi: 10.25318/82-003-x202300800002-eng.
The Public Health Agency of Canada monitors the psychological and social well-being of Canadian youth using the Children's Intrinsic Needs Satisfaction Scale (CINSS). Validation analyses of the CINSS have been conducted, but not in the 2019 Canadian Health Survey on Children and Youth (CHSCY), a more recent and representative national survey with a different sampling frame, collection method and other measured outcomes. This study tested the validity of the CINSS in the 2019 CHSCY.
Data were collected in all provinces and territories from February 11 to August 2, 2019. The CINSS was administered to respondents aged 12 to 17 years and was designed to assess relatedness, autonomy and competence at home, at school and with friends. Descriptive statistics for CINSS items and subscales were obtained. Confirmatory factor analysis (CFA) was conducted to test how well a correlated traits correlated uniqueness (CTCU) model fit the CINSS data. Associations with mental health and other psychosocial variables were examined.
In general, items within the CINSS were correlated in expected ways, and support was found for a CTCU model in the CFA. While response distributions on the CINSS items were skewed, the CINSS subscales had acceptable internal consistency and were associated with self-rated mental health, happiness, life satisfaction, perceived stress, bullying victimization and behaviour problems in line with expectations.
This study supports the validity of the CINSS. Inclusion of the CINSS in future youth health surveys would allow for continued public health surveillance of the psychological and social well-being of youth in Canada.
加拿大公共卫生局使用儿童内在需求满足量表（CINSS）监测加拿大青年的心理和社会福祉。已经对 CINSS 进行了验证分析，但没有在最近的、更具代表性的全国性调查——2019 年加拿大儿童和青年健康调查（CHSCY）中进行，该调查采用了不同的抽样框架、收集方法和其他测量结果。本研究测试了 CINSS 在 2019 年 CHSCY 中的有效性。
数据于 2019 年 2 月 11 日至 8 月 2 日在所有省份和地区收集。CINSS 对 12 至 17 岁的受访者进行了评估，旨在评估家庭、学校和朋友中的相关、自主和能力。获得了 CINSS 项目和子量表的描述性统计数据。进行验证性因素分析（CFA）以测试相关特质相关独特性（CTCU）模型如何拟合 CINSS 数据。检验了与心理健康和其他心理社会变量的关联。
一般来说，CINSS 中的项目以预期的方式相关，并且在 CFA 中发现了 CTCU 模型的支持。虽然 CINSS 项目的反应分布存在偏态，但 CINSS 子量表具有可接受的内部一致性，并且与自我报告的心理健康、幸福感、生活满意度、感知压力、欺凌受害和行为问题相关，符合预期。
本研究支持 CINSS 的有效性。在未来的青年健康调查中纳入 CINSS 将允许继续对加拿大青年的心理和社会福祉进行公共卫生监测。
