Department of Health Statistics, School of Public Health, the Fourth Military Medical University, 710032, Xi'an, Shaanxi, China.
The Medical Department, Xijing Hospital, the Fourth Military Medical University, Xi'an, Shaanxi, China.
BMC Public Health. 2024 Feb 26;24(1):610. doi: 10.1186/s12889-024-18085-w.
There is currently no widely accepted multidimensional health assessment questionnaire for individuals in the Chinese People Liberation Army (PLA). This study developed a multidimensional health survey questionnaire (Comprehensive Health Self-Assessment Questionnaire, CHSAQ) suitable for personnel in the PLA and conducted a preliminary examination of its reliability, validity, and discriminative ability.
After 183 items from 32 dimensions were selected to form the initial version of the CHSAQ, three groups of soldiers were selected from May 2022 to April 2023 and completed three survey rounds (with 183, 131, and 55 valid items). The items were screened based on classic test theory. After screening, the final questionnaire entries were formed, the structure of the questionnaire was explored through exploratory factor analysis and confirmatory factor analysis, and its reliability, structural validity, and discriminative ability were evaluated.
The final questionnaire consisted of 8 dimensions and 55 items on job satisfaction, anxiety and depression, daily activities, physical function, the otolaryngology system, the integumentary system, sleep disorders, and the visual system. The total cumulative variance contribution rate was 64.648% according to exploratory factor analysis. According to the confirmatory factor analysis, the normed fit index (NFI) was 0.880, and the comparison fit index (CFI) was 0.893 (close to 0.90). The Cronbach's α coefficient of the total questionnaire was 0.970, the split half reliability coefficient was 0.937, and the retest reliability coefficient was 0.902. The results are presented as different pairwise comparisons.
Our study developed a self-report questionnaire for evaluating the comprehensive health status of personnel in the PLA in accordance with the standard procedure for questionnaire development. Our findings also showed that the CHSAQ for individuals in the PLA has good reliability and structural validity.
目前，中国人民解放军（PLA）尚无被广泛认可的多维健康评估问卷。本研究开发了一种适合 PLA 人员的多维健康调查问卷（综合健康自我评估问卷，CHSAQ），并对其信度、效度和区分能力进行了初步检验。
从 32 个维度中选取 183 个项目形成 CHSAQ 的初始版本，然后于 2022 年 5 月至 2023 年 4 月选取 3 组士兵完成 3 轮调查（有效条目分别为 183、131 和 55）。根据经典测试理论对条目进行筛选。经过筛选，形成最终问卷条目，通过探索性因子分析和验证性因子分析探讨问卷结构，并评价其信度、结构效度和区分能力。
最终问卷由 8 个维度和 55 个条目组成，涉及工作满意度、焦虑和抑郁、日常活动、身体功能、耳鼻喉系统、皮肤系统、睡眠障碍和视觉系统。根据探索性因子分析，总累积方差贡献率为 64.648%。根据验证性因子分析，归一化拟合指数（NFI）为 0.880，比较拟合指数（CFI）为 0.893（接近 0.90）。问卷总 Cronbach's α 系数为 0.970，分半信度系数为 0.937，重测信度系数为 0.902。结果呈现为不同的两两比较。
本研究按照问卷开发的标准程序，为评估 PLA 人员的综合健康状况制定了一份自评问卷。我们的研究结果还表明，该问卷具有良好的信度和结构效度。
