scholarly journals Using confirmatory factor analysis to explore associated factors of intimate partner violence in a sample of Chinese rural women: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019465 ◽  
Author(s):  
Fengsu Hou ◽  
Catherine Cerulli ◽  
Marsha N, Wittink ◽  
Eric D. Caine ◽  
Peiyuan Qiu

ObjectivesTo estimate the prevalence of intimate partner violence (IPV) among a sample of rural Chinese women and to explore associated factors.DesignCross-sectional study.SettingRural areas of Guangyuan City, Sichuan, China.ParticipantsWe recruited 1501 women, aged 16 years and older, who had been living locally for at least 2 years and reported being married or in a relationship during the past 12 months. They were among a sample of 1898 potential participants from our larger parent study on the prevalence of depressive-distress symptoms.MethodsParticipants completed demographic and social economic measures, the Short Form of the Revised Conflict Tactics Scale and the Duke Social Support Index. We applied χ2test, analysis of variance and confirmatory factor analysis for analysis.ResultsThe overall prevalence of IPV in the past 12 months was 29.05%; the prevalence of physical, psychological and sexual violence was 7.66%, 26.58% and 3.20%, respectively. The overall prevalence was highest among women aged 16–29 years, and was more common among those without a high school diploma and who saw their family’s financial status as very poor or stagnant. Women who were not victims of IPV had higher levels of social support. Confirmatory factor analysis showed that the total effects of social support on physical, psychological and sexual violence were −0.12, –0.35 and −0.12, respectively. The indirect effects of objective economic status on physical, psychological and sexual violence were −0.047, –0.014 and −0.047, respectively, but the total effect was not significant. The indirect effect of education on psychological violence was −0.056.ConclusionIPV is common in rural Guangyuan. Our data are comparable with the findings from north-west of China. Social support is an important protective factor. Future work is needed to develop, test and later disseminate potential IPV interventions, with a focus on building actual and perceived supportive social networks.

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039566
Author(s):  
Jinglou Qu ◽  
Yaxin Zhu ◽  
Liyuan Cui ◽  
Libin Yang ◽  
Yanni Lai ◽  
...  

ObjectivesThe purpose of this research was to evaluate the psychometric properties of the TeamSTEPPS Teamwork Perception Questionnaire (T-TPQ) among the Chinese residents.DesignCross-sectional study.SettingA clinical hospital of the China Medical University in Liaoning Province, China.ParticipantsA total of 664 residents were enrolled in this research. The valid response rate was 83.0% (664 of 800 residents).Main outcome measuresInternal consistency and test–retest reliability were used to assess the reliability of the questionnaire. The construct validity of the Chinese T-TPQ was evaluated by confirmatory factor analysis. Furthermore, the concurrent, convergent and discriminant validity were analysed.ResultsCronbach’s α coefficient of the T-TPQ in Chinese language was 0.923. Except for the communication dimension (0.649), the Cronbach’s α coefficient of all dimensions were satisfactory. The T-TPQ and its five dimensions reported a good test–retest reliability (0.740–0.881, p<0.01). Moreover, the results of the confirmatory factor analysis demonstrated that the construct validity of the Chinese T-TPQ was satisfactory. All dimensions significantly correlated with the Hospital Survey on Patient Safety Culture (HSOPSC) teamwork within units dimension and the Safety Attitudes Questionnaire (SAQ) teamwork climate dimension (p<0.01), and the questionnaire showed satisfactory convergent and discriminant validity.ConclusionsThe T-TPQ in Chinese language demonstrated good psychometric characteristics and was a reliable and valid questionnaire to measure the Chinese health professionals’ perception of teamwork. Thus, the Chinese version of the T-TPQ could be applied in teamwork training programmes and medical education research.


2021 ◽  
Author(s):  
SEDA KAYA ◽  
Zeynep Uzdil ◽  
Funda Pınar Çakıroğlu

Abstract PurposeIt was aimed to examine the reliability and validity of the Orthorexia Nervosa Inventory (ONI) the Turkish version in a large adult population.MethodsIn this cross-sectional study, 710 individuals were included between the ages of 18–65 years living in Turkey. Individuals were reached via an online questionnaire (including ONI, Eating Attitudes Test-26 (EAT-26) and sociodemographic characteristics). Confirmatory factor analysis (CFA) was used to test the validity of ONI. ONI contains three sub-factors (behaviors, emotions and impairments). Analyzes were made with Lisrel 8.80 program and Statistical Package for Social Sciences 22.0 package program.ResultsThe Cronbach’s alpha coefficient was 0.906 for ONI total factor scores and Cronbach’s alpha values for “behaviours”, “impairements”, and “emotions” were found to be 0.821, 0.842, and 0.809, respectively. Confirmatory factor analysis performed supported the three-factor structure of the ONI obtained in the first sample. The CMIN / df = 5.65 and the model generally fits well to the structure (RMSEA = 0.081, CFI = 0.94, NFI = 0.91, GFI = 0.86, AGFI = 0.83). A positive and moderate relationship (r = 0.418) was found between ONI and EAT-26. A positive and low level (r = 0.160) correlation was found between ONI and body mass index. There is no statistically significant difference between ONI scores according to gender (p = 0.22).ConclusionThe findings suggest Turkish version of the ONI is a valid and reliable scale for determining the tendency for orthorexia nervosa in Turkish adult population.Level of evidenceLevel V, descriptive cross-sectional study


2021 ◽  
Vol 5 ◽  
pp. 171-177
Author(s):  
Waleed M. Awwad ◽  
Nouf H. Alabdulkarim ◽  
Nojood E. Alhaidri

Objectives: Neck pain is the fourth leading cause of disability. The most common validated tool assessing its effect on the participant’s functional status is the neck disability index (NDI). We aimed to investigate the factorial structure of the Arabic NDI (NDI-Ar) using exploratory and confirmatory factor analysis (CFA) in a multioccupational sample. Methods: A cross-sectional study conducted in Saudi Arabia. A total of 641 participants completed the NDI-Ar. The Cronbach’s alpha test was used to test the reliability of the questionnaire. Exploratory factor analysis (EFA) was used to assess the existing factor structure within the 10-indicator NDI questionnaire. Parallel analysis (PA) and scree plot with the unidimensional congruence test, mean of item residual absolute loadings test, and explained common variance test were used to assess the number of the extractable factors and their unidimensionality. CFA was also carried out. Results: EFA of the NDI-Ar suggested the presence of two-factor solutions. However, the analysis with the tests of closeness to unidimensionality, PA tests, and the more rigorous CFA indicated that the two-factor solutions were not tenable, and a single latent factor solution is a better fit with the observed data measured on Middle Eastern people. Conclusion: The present study explored the factorial structure of the NDI-Ar. The two-factor solutions were not tenable and a single latent factor solution might be a better fit.


Author(s):  
Xiaorong Mao ◽  
Kang Chen ◽  
Xiuying Hu ◽  
Xianxiu Wen ◽  
Alice Yuen Loke

AbstractThe aim of this study was to test the validity and reliability of a tool for measuring the disaster resilience of healthcare disaster rescuers. A cross-sectional study involving 936 healthcare disaster rescuers of the Sichuan Disaster Response Team was conducted to establish the psychometric properties of the disaster resilience measuring tool (DRMT). Item analysis, exploratory factor analysis, confirmatory factor analysis, and correlation analysis were adopted to analyze the data. Item analysis showed that all but three items had the critical ratio over 3, which indicates adequate discriminability for inclusion in the measuring tool. The exploratory factor analysis showed that 65.93% of the total variance was explained by four factors—self-efficacy, social support, positive growth, and altruism. The confirmatory factor analysis showed goodness of fit for the four-factor model: CMIN/DF (2.846), GFI (0.916 ≥ 0.90), CFI (0.949 ≥ 0.90), AGFI (0.891 ≥ 0.80), and RMSEA (0.063 ≤ 0.08). Criterion validity demonstrated significant associations of the DRMT and the Connor-Davidson Resilience Scale (P < 0.01, r = 0.566). Convergent validity was established by correlation with stress (P < 0.05, r = − 0.095), depression (P < 0.01, r = − 0.127), posttraumatic stress disorder-PCL-C (P < 0.05, r = − 0.100), compassion satisfaction (P < 0.01, r = 0.536), and burnout (P < 0.01, r = − 0.330). The DRMT demonstrated adequate internal consistency (Cronbach’s alpha > 0.84) and stability over the two-week study period (intraclass correlation coefficient > 0.85), and a cut-off point of 61 was suggested. The disaster resilience measuring tool has satisfactory psychometric properties and is a valid, reliable, and valuable instrument for assessing disaster resilience in healthcare rescue workers. The scale needs to be tested further among other populations and those from other cultures.


Author(s):  
Mainul Haque ◽  
Muhamad Saiful Bahri Yusoff ◽  
Md. Anwarul Azim Majumder ◽  
Zainal Zulkifli ◽  
Farah Hanani Binti Mohd Nasir

  Objectives: The DREEM inventory has been universally established as a generic instrument to assess health-related educational programs. There were some apprehensions regarding the psychometric properties of the DREEM raised in last few years. This study evaluated first ever the psychometric properties of the Bahasa Melayu version of the DREEM in a sample of Malaysian medical students.Methods: A cross-sectional study was carried and universal sampling method was applied. Researchers selected 1-5th-year medical students of Universiti Sultan Zainal Abidin, Malaysia, as study subjects. Researchers collected data through a guided self-administered questionnaire during a face-to-face session.Results: Confirmatory factor analysis (CFA) showed that the one factor model of DREEM-M (Model A), consisting 50 items were not fit, indicating it was a multidimensional instrument. On further CFA, it appeared that the proposed five-factor structure was not fit (Model B) as all the goodness-of-fit indices did not signify a model fit.Conclusions: The study findings revealed that the DREEM inventory 50-item inventory failed to achieve a model fit, but it demonstrated a high of internal consistency. The proposed 19-item DREEM-M revealed good model fit.


Author(s):  
Moh. Irma Sukarelawan ◽  
Dwi Sulisworo ◽  
Jumadi Jumadi ◽  
Heru Kuswanto ◽  
Siti Anisatur Rofiqah

<span lang="EN-US">This cross-sectional study aimed to validate students' metacognition awareness inventory in Heat and Temperature material. A total of 167 public senior high school students in Yogyakarta, Indonesia were selected through convenience sampling technique. The heat and temperature metacognition awareness inventory (HeTMAI) inventory consists of six factors, namely: 1) Knowledge of cognition; 2) Planning; 3) Monitoring; 4) Evaluation; 5) Debugging; and 6) Information management. HeTMAI used a 5-point Likert scale. The data was analyzed using the confirmatory factor analysis (CFA) method through the Maximum Likelihood approach. All statistics were found to meet acceptance values. The four GOF indices (χ2/df=2.36, CFI=0.97, TLI=0.97, and SRMR=0.06) have supported the fit of the six-factor HeTMAI model. Standardized factor loading (SFL), construct reliability (CR), average variance extracted (AVE) and discriminant values provide evidence that HeTMAI has sufficient convergent and discriminant validity. Cronbach's alpha value of 0.96 indicated HeTMAI has very adequate evidence of reliability.</span>


2020 ◽  
Author(s):  
Ivan Mubangizi ◽  
Etheldreda Nakimuli-Mpungu ◽  
Ismael Kawooya ◽  
Christine Sekaggya-wiltshire

Abstract BACKGROUND Depression among patients with sickle cell disease (SCD) is under diagnosed and undertreated due to the overlap of symptoms and signs of SCD and depression. The study sought to determine the prevalence and factors associated with depression among adults attending the SCD out-patient clinic in Mulago Hospital, Uganda. METHODS This was a cross sectional study in which 255 adults with SCD were enrolled. Participants were evaluated for depression using the Self Report Questionnaire (SRQ-20) and a score of 6 was considered diagnostic of depression. Demographic data was collected with a pre-tested study questionnaire. Perceived social support was measured using the 12-item multidimensional social support scale and, self-esteem was measured using the Rosenberg Self-Esteem Scale. Blood samples were taken to obtain a complete blood count. Modified poisson regression analyses were used to determine associations of depression. RESULTS The prevalence of depression was 68.2% (95% C.I; 62–74) with a median age of 21 years. The factors independently associated with depression were pain crisis in the last month (prevalence ratio (PR) = 1.07, 95% CI: 1.04–1.07, p = 0.001), history of a hospital admission in the past 6 months (PR = 1.04, 95% CI: 1.01–1.07, p = 0.012), formal education (PR = 0.79, 95% CI: 0.59–0.97, P = 0.008) and a low social support rating (PR = 0.67, 95% CI: 0.53–0.84, P = 0.0019) CONCLUSIONS The prevalence of depression in adults with SCD is high with up to two thirds of patients having some form of depression. The major risk factors were low level of education, low social support, pain crises in the past month and hospital admissions in the last 6 months.


2021 ◽  
Vol 31 (3) ◽  
pp. 376-386
Author(s):  
Marcella Moreira Aguiar ◽  
Monalisa Nascimento dos Santos Barros ◽  
Antonio Macedo ◽  
Maria Inês Rosselli Puccia ◽  
Ana Telma Pereira

Introduction: fear is one of the main factors associated with psychopathological disor-ders evidenced in the context of the COVID-19 pandemic. Objective: translate and validate Fear of COVID–19 Scale (FCV-19S) into Portuguese Brazilian version, named Covid-19 Fear Scale (EMC-19). Methods: cross-sectional study with 364 individuals recruited through social networks, considering as inclusion criteria: being over 18 years old and fluent in Portuguese. After participant consentment an electronic form was completed, which included the prelimi-nary Portuguese version and EMC-19, in addition to sociodemographic variables. Data processing was performed using the SPSS 26 version. For parametric measures, Pear-son’s coefficient and Student’s T were used, and for non-parametric measures the U of Mann Whitney. The magnitude of the correlation coefficients was classified according to Cohen’s criteria and the confirmatory factor analysis using AMOS 26.0. For internal con-sistency, Cronbach’s alpha. Results: mean age of 33.11 years (±10,047), most of them female (n=332; 91,2%), with higher education (n=286; 78,6%), married (n=225, 61,8 %) and with children (n=300, 82,4%). Exploratory factorial analysis/EFA and confirmatory factor analysis/CFA made. Only one component emerged from the CFA, with an explained variance of 55,49%, re-sulting in a one-dimensional model with satisfactory adjustment indexes (X2/gl=2,135; RMSEA=0,061; CFI, TLI, GFI<0,095). Cronbach’s alpha coefficient is 876. Conclusions: the construct validity of the one-dimensional structure of the EMC-19 was demonstrated, as well as its good internal consistency.


BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e055227
Author(s):  
Belén Sanz-Barbero ◽  
Carme Saurina ◽  
Laura Serra ◽  
Gemma Renart Vicens ◽  
Laura Vall-Llosera Casanovas ◽  
...  

ObjectivesTo analyse the prevalence of sexual violence (SV) and associated factors in Spanish young adults in the last year and before, during and after the COVID-19 lockdown.DesignCross-sectional study based on the online ‘SV in Young People Survey’ (2020).SettingNon-institutionalised population residing in Spain.Participants2515 men and women aged 18–35 years old. The participants were obtained from a probability based, online closed panel of adults aged 16 or older that is representative of the non-institutionalised population. The sample designed includes quotas by sex, age, region and country of origin.Outcomes measures and analysesSV victimisation by sociodemographics, sexual attraction and couple-related characteristics during the past year and before, during and after the COVID-19 lockdown (March–June 2020). Prevalence ratios were calculated using robust Poisson regression models.ResultsIn Spain, 8.5% of young people experienced SV during the past year. The greatest prevalence was observed in women with bisexual attraction (17.5%) and in men with homosexual attraction (14.2%). During the COVID-19 lockdown, the prevalence of SV victimisation was lower (1.9%), but unwanted intercourses increased, affecting 64.4% of those exposed to SV during the period. People with homosexual or bisexual attraction were more likely to experience SV in all of the studied periods (PRbefore: 2.01; p<0.001; PRduring: 2.63 p=0.002; PRafter: 2.67; p<0.001). Women were more likely than men to experience SV prior to the lockdown, while no cohabitation increased the likelihood to experience SV after this periodConclusionsSV victimisation in Spanish youth is high. During COVID-19, there were changes in the magnitude of factors associated with SV. It seems that SV events decreased in people who did not live with their partners, but unwanted intercourses increased. The development of prevention strategies to address SV in youth should take into account social inequalities by sex, sexual orientation and origin.


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