首页|疫苗犹豫量表的汉化及在我国3~17岁儿童父母中的信效度检验

疫苗犹豫量表的汉化及在我国3~17岁儿童父母中的信效度检验

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目的:翻译并修订疫苗犹豫量表(VHS量表),检验该量表在我国 3~17 岁儿童父母中的信度和效度.方法:基于Brislin翻译模式对VHS量表进行直译、回译和修正,经文化调适,形成中文版VHS量表.采用分层随机抽样,对2 641 名3~17 岁儿童父母进行问卷调查.采用临界比值法、Pearson相关分析法和内部一致性检验进行项目分析,采用内容效度指数评价量表的内容效度,采用探索性因子分析和验证性因子分析评价量表的结构效度,采用Cronbach's α系数和Guttman折半系数评价量表信度.结果:中文版VHS量表包含缺乏信心和风险2 个维度,分别有7 个、3 个条目.项目分析结果显示,各条目的临界比值为17.337~48.897(P<0.001),各条目得分与量表总分的相关系数在0.770~0.916(P<0.001).量表的内容效度指数为0.900,各条目为0.830~1.000.探索性因子分析得出2 个公因子,累计方差贡献率为76.23%,各条目因子载荷值为0.740~0.922.验证性因子分析初始模型拟合指标不理想,修正后模型各指标拟合良好(χ2/ν =2.529,RMSEA =0.034,GFI =0.989,CFI =0.996,AGFI = 0.979,IFI =0.996,TLI =0.994).量表总的Cronbach's α系数为0.875,各维度的Cronbach's α系数为0.953(缺乏信心)和0.744(风险);Guttman折半系数为0.836.结论:中文版VHS量表信效度良好,可作为评估国内父母对儿童疫苗犹豫的测评工具.
Reliability and validity of the Chinese version of the Vaccine Hesitancy Scale among parents with children aged 3-17 years in China
Aim:To translate and revise the Vaccine Hesitancy Scale(VHS)and test its reliability and validity among parents with children aged 3-17 years in China.Methods:Based on the Brislin translation model,the VHS was translated,back-translated and revised,and the Chinese version of VHS was formed after cultural adjustment.Using stratified random sampling,2 641 parents with children aged3-17 years were surveyed by questionnaire.The critical ratio method,the Pear-son correlation analysis method and the internal consistency test were used for item analysis,the content validity index was used to evaluate the content validity of the scale,and the exploratory factor analysis and confirmatory factor analysis were used to evaluate the structural validity of the scale.Cronbach's alpha coefficient and Guttman's halved coefficient were used to evaluate the reliability of the scale.Results:The Chinese version of VHS included two dimensions of lack of confidence and risk,with 7 and 3 items respectively.The results of item analysis showed that the critical ratio for each item was 17.337-48.897(P<0.001),and the correlation coefficient between each item's score and the total scale score was 0.770-0.916(P<0.001).Thecontent validity index of the scale was0.900,and each item ranged from0.830 to1.000.Exploratory factor analysis obtained 2 common factors,the cumulative variance explained 76.23%,and the loading value of each item on the common factor was0.740-0.922.Confirmatory factor analysis showed that the initial model fitting indicators were not ideal,and the revised model fit well(χ2/ν =2.529,RMSEA =0.034,GFI =0.989,CFI =0.996,AGFI =0.979,IFI = 0.996,TLI = 0.994).The overall Cronbach's α coefficient of the scale was 0.875,and the Cronbach's α coefficients of each dimension were 0.953(lack of confidence)and 0.744(risk);the Guttman's halved coefficient was 0.836.Conclu-sion:The Chinese version of the VHS has good reliability and validity,and can be used as a tool for evaluating the hesitation of children's vaccines by domestic parents.

vaccine hesitancyscaleparentreliabilityvalidity

于丞丞、夏青云、李泉漫、马铭泽、赵丽培、吴建

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郑州大学公共卫生学院社会医学与卫生事业管理学教研室 郑州 450001

河南省卫生健康经济与技术评估(工程研究)中心 郑州 450001

疫苗犹豫 量表 父母 信度 效度

健康中原行动动态监测与综合评价平台项目河南省研究生教育改革与质量提升工程项目郑州大学研究生自主创新项目

20220134BYJS2021KC0720211207

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(2)
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