Calsina-Rosa Esmeralda, Huaycani-Cotrado Ruth, Yucra-Ticona Evelyn Magaly, Cjuno Julio
Universidad Peruana Unión, Escuela Profesional de Psicología, Juliaca, Perú.
Universidad César Vallejo, Escuela de Medicina, Piura, Perú.
Rev Peru Med Exp Salud Publica. 2025 Aug 25;42(2):175-183. doi: 10.17843/rpmesp.2025.422.14426.
Motivation for the study: Intimate partner violence is a serious public health problem, with higher prevalence in indigenous communities. Therefore, it is essential to have culturally and linguistically appropriate tools that allow for early screening of this form of violence among Quechua-speaking women. Main findings: The Women's Abuse Screening Tool (WAST) adapted to Collao Quechua showed evidence of internal and external validity, optimal reliability, and invariance of measurement according to age, educational level, place of residence, and monthly family income in a sample of Quechua-speaking women. Implications: The Collao Quechua WAST can be implemented as a screening tool in primary health care services and in state institutions that address cases of intimate partner violence in regions where Collao Quechua is spoken, promoting early detection and timely response to this problem.
OBJECTIVES.: To determine the validity, measurement invariance, and reliability of the Women's Abuse Screening Tool (WAST) in the Collao Quechua language for Peruvian women.
MATERIALS AND METHODS.: A psychometric study was conducted to adapt the WAST to the Collao Quechua language of Puno and Cusco in a non-probability sample of 521 women, 46.1% of whom were between the ages of 18 and 34. Initially, the WAST was directly and reverse translated, then five expert judges reviewed the Collao Quechua version, and a focus group of women confirmed the clarity and comprehensibility of the items. Multigroup confirmatory factor analysis (CFA) was used for measurement invariance, reliability analysis, and external validity using Spearman's rho.
RESULTS.: The unidimensional model of the Collao Quechua WAST reported adequate goodness-of-fit values (CFI= 0.995; TLI= 0.992; SRMR=0.051; RMSEA=0.063) and showed measurement invariance by age, educational level, place of residence, and monthly family income (Δ CFI or Δ RMSEA < 0.01). In terms of external validity, the Collao Quechua WAST and the Patient Health Questionnaire (PHQ-9) showed a direct relationship with moderate strength (Rho=0.618, p=0.001); it also reported optimal reliability, α =0.860 and ω=0.867.
CONCLUSIONS.: The unidimensional Collao Quechua WAST showed validity of its internal structure, external validity, invariance by age, educational level, place of residence, and monthly family income, and optimal reliability. Its use is recommended for screening for intimate partner violence in women who speak Collao Quechua.
Motivation for the study: Intimate partner violence is a serious public health problem, with higher prevalence in indigenous communities. Therefore, it is essential to have culturally and linguistically appropriate tools that allow for early screening of this form of violence among Quechua-speaking women. Main findings: The Women's Abuse Screening Tool (WAST) adapted to Collao Quechua showed evidence of internal and external validity, optimal reliability, and invariance of measurement according to age, educational level, place of residence, and monthly family income in a sample of Quechua-speaking women. Implications: The Collao Quechua WAST can be implemented as a screening tool in primary health care services and in state institutions that address cases of intimate partner violence in regions where Collao Quechua is spoken, promoting early detection and timely response to this problem.
研究动机：亲密伴侣暴力是一个严重的公共卫生问题，在土著社区中更为普遍。因此，拥有文化和语言上合适的工具对于在讲克丘亚语的女性中早期筛查这种暴力形式至关重要。主要发现：改编为科拉奥克丘亚语的妇女虐待筛查工具（WAST）在讲克丘亚语的女性样本中显示出内部和外部效度、最佳信度以及根据年龄、教育水平、居住地点和家庭月收入的测量不变性的证据。启示：科拉奥克丘亚语WAST可以作为一种筛查工具在初级卫生保健服务以及在讲科拉奥克丘亚语地区处理亲密伴侣暴力案件的国家机构中实施，促进对这一问题的早期发现和及时应对。
确定妇女虐待筛查工具（WAST）在秘鲁女性的科拉奥克丘亚语中的效度、测量不变性和信度。
进行了一项心理测量学研究，以将WAST改编为普诺和库斯科的科拉奥克丘亚语，样本为521名女性的非概率样本，其中46.1%年龄在18至34岁之间。最初，对WAST进行了直接和反向翻译，然后五名专家评委审查了科拉奥克丘亚语版本，一个女性焦点小组确认了条目的清晰度和可理解性。使用多组验证性因素分析（CFA）进行测量不变性、信度分析以及使用斯皮尔曼等级相关系数进行外部效度分析。
科拉奥克丘亚语WAST的单维模型报告了足够的拟合优度值（CFI = 0.995；TLI = 0.992；SRMR = 0.051；RMSEA = 0.063），并显示出在年龄、教育水平、居住地点和家庭月收入方面的测量不变性（ΔCFI或ΔRMSEA < 0.01）。在外部效度方面，科拉奥克丘亚语WAST与患者健康问卷（PHQ - 9）显示出中等强度的直接关系（Rho = 0.618，p = 0.001）；它还报告了最佳信度，α = 0.860和ω = 0.867。
单维的科拉奥克丘亚语WAST显示出其内部结构的效度、外部效度、在年龄、教育水平、居住地点和家庭月收入方面的不变性以及最佳信度。建议将其用于对讲科拉奥克丘亚语的女性进行亲密伴侣暴力的筛查。
研究动机：亲密伴侣暴力是一个严重的公共卫生问题，在土著社区中更为普遍。因此，拥有文化和语言上合适的工具对于在讲克丘亚语的女性中早期筛查这种暴力形式至关重要。主要发现：改编为科拉奥克丘亚语的妇女虐待筛查工具（WAST）在讲克丘亚语的女性样本中显示出内部和外部效度、最佳信度以及根据年龄(1)、教育水平、居住地点和家庭月收入的测量不变性的证据。启示：科拉奥克丘亚语WAST可以作为一种筛查工具在初级卫生保健服务以及在讲科拉奥克丘亚语地区处理亲密伴侣暴力案件的国家机构中实施，促进对这一问题的早期发现和及时应对。 (1)此处原文中“年龄”后多了个“,”，翻译时已修正。
