Development of an instrument to measure perceived gentrification for health research: Perceptions about changes in environments and residents (PACER).

Development of an instrument to measure perceived gentrification for health research: Perceptions about changes in environments and residents (PACER).
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开发一种测量健康研究感知中产阶级化的工具:对环境和居民变化的感知(PACER)。

DOI:
10.1016/j.ssmph.2021.100900
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发表时间:
2021-09
期刊:
SSM - population health
影响因子:
--
通讯作者:
Michael YL
Michael YL
中科院分区:
其他
文献类型:
--
作者:
Hirsch JA;Grunwald HE;Miles KL;Michael YL

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尽管有无数的潜在途径将社区变化和中产阶级化与健康联系起来,但现有的定量措施未能捕捉到个人层面的自我报告对这些过程的看法。我们开发了关于环境和居民变化的感知(PACER)调查,以衡量与健康相关的个人所经历的与中产阶级化相关的邻里变化。我们采用了多阶段的过程来开发PACER,包括范围审查,问题细化,内容效度和认知访谈。内容有效性和认知访谈进行了评估,在全国邻里指标合作伙伴关系(NNIP)和不同的任期的居民在绅士化和非绅士化的社区,以确保PACER认为不同的人在不同的城市环境中的邻里变化的复杂性。我们将该仪器用于BeHeardPhilly居民小组的样本,以评估可接受性和数据质量。最后,我们使用主成分分析(PCA)、描述性统计和相关系数评估内部一致性、维度和标准相关效度。测试显示,PACER问题以及四个结果因素(感觉、建筑环境、社会环境和负担能力)的内部一致性良好。因素和其他背景措施之间的相关性表现出较强的标准相关效度。PACER提供了一个前所未有的工具,用于测量和了解居民对与健康相关的中产阶级化相关的社区变化的看法。PACER经过严格的测试,并为健康量身定制,适用于不同环境的应用程序,以检查可能影响和改变社区的事件的变化。提出了新的邻里变化和绅士化的调查工具。该验证研究发现了较强的结构效度和可靠性。可以通过测量来研究邻里变化对居民健康的影响。
Despite a myriad of potential pathways linking neighborhood change and gentrification to health, existing quantitative measures failed to capture individual-level, self-reported perceptions of these processes. We developed the Perceptions About Change in Environment and Residents (PACER) survey to measure the gentrification-related neighborhood change experienced by individuals relevant to health. We employed a multi-stage process to develop PACER including a scoping review, question refinement, content validity, and cognitive interviews. Content validity and cognitive interviews were assessed within the National Neighborhood Indicators Partnership (NNIP) and for residents of different tenure in both gentrifying and non-gentrifying neighborhoods to ensure PACER considers the complex nature of neighborhood change for different people within different urban contexts. We piloted the instrument to a sample from the resident panel BeHeardPhilly to assess acceptability and data quality. Finally, we assessed internal consistency, dimensionality, and criterion-related validity using Principal Components Analysis (PCA), descriptive statistics, and correlation coefficients. Testing showed good internal consistency for PACER questions, as well as for each of four resulting factors (Feelings, Built Environment, Social Environment, and Affordability). Correlations between factors and other context measures demonstrated strong criterion-related validity. PACER offers an unprecedented tool for measuring and understanding resident perceptions about gentrification-related neighborhood change relevant to health. Rigorously tested and tailored for health, PACER holds utility for application across different settings to examine changes from events that may impact and shift neighborhoods. New survey tool of neighborhood change and gentrification is presented. This validation study found strong construct validity and reliability. Measures can be used to study the impacts of neighborhood change on health of residents.
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