Evaluation of reliability and validity, and application on the Simplified Rating Questionnaire of Social Ecological Risks in Adolescents
10.16835/j.cnki.1000-9817.2023.11.019
- VernacularTitle:青少年社会生态学风险因素评定简短问卷信效度评价及应用
- Author:
WANG Jiaojiao, ZHANG Yi, XIE Yang, ZHANG Xinyu, ZHANG Xianglin, WAN Yuhui, TAO Fangbiao
1
Author Information
1. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei (230032) , Anhui Province, China
- Publication Type:Journal Article
- Keywords:
Cumulative ecological risk;
Mental health;
Questionnaires;
Adolescent
- From:
Chinese Journal of School Health
2023;44(11):1679-1682
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a simplified Rating Questionnaire of Social Ecological Risks in Adolescents and to evaluate the reliability and predictive validity of the brief questionnaire, so as to provide data and evidence support for building the evaluation system of cumulative social ecological risk exposure.
Methods:A large cross sectional was conducted in eight areas, including Shenzhen, Zhengzhou, Xuzhou, Nanchang, Shenyang, Taiyuan, Kunming and Chongqing, from October to December 2021. A total of 22 868 adolescents were included in the analysis. Data on healthy behaviors from 10 838 adolescents from Shenyang, Taiyuan, Kunming, Chongqing were used for item selection, based on factor analysis, validity and reliability evaluation. The data from Shenzhen, Zhengzhou, Xuzhou, Nanchang, including 12 030 adolescents, were used to define the partition values of the brief questionnaire, and evaluate the predictive validity.
Results:The brief questionnaire containing 25-item were developed by analyzing and choosing all items of original questionnaire, and covered seven dimensions including individual, family, school, community, policy, time and culture. The cumulative contribution rate of variance was 54.95%, the Cronbach coefficient was 0.79, and the split half coefficient was 0.70. Participants in the higher risk group had significantly higher risk of smoking ( OR =4.05, 95% CI = 2.78 -5.92), drinking ( OR =3.47, 95% CI =2.86-4.19), suicidal ideation ( OR =8.85, 95% CI =7.68-10.21), suicidal plans ( OR = 8.85, 95% CI =7.27-10.78), suicidal attempt ( OR = 8.86 , 95% CI =6.67-11.78) than individual in the lower risk group ( P < 0.05). After stratified by gender, the above positive correlations still remained significant( P <0.05).
Conclusion:The brief questionnaire, with good reliability and predictive validity, could be widely applicated in the further researches on social ecological risk factors.