Reliability of perceived neighbourhood conditions and the effects of measurement error on self-rated health across urban and rural neighbourhoods.

Reliability of perceived neighbourhood conditions and the effects of measurement error on self-rated health across urban and rural neighbourhoods.
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DOI:
10.1136/jech.2009.103325
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发表时间:
2012-04
影响因子:
6.3
通讯作者:
Schootman M
Schootman M
中科院分区:
医学2区
文献类型:
--
作者:
Pruitt SL;Jeffe DB;Yan Y;Schootman M

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有限的心理测量研究已经检查了邻里条件的自我报告措施的可靠性,测量误差对邻里条件和健康之间的关联的影响,以及邻里阶层(城市与农村和低与高贫困)之间的可靠性的潜在差异。我们使用5个量表(社会和身体障碍,社会控制,社会凝聚力,恐惧)和4个单项(多维邻居)评估了自我报告的感知邻居状况的整体和分层可靠性。我们还评估了这些条件与自测健康的测量误差校正关联。使用随机数字拨号,367名没有乳腺癌的妇女(来自一项更大的研究的匹配对照组)接受了两次采访,间隔2-3周。我们评估了重测(组内相关系数[ICC]/加权Kappa [k])和内部一致性信度(Cronbach α)。使用bootstrap方法测试了相邻层之间的可靠性差异。回归校准校正了测量误差的估计值。所有测量结果均表现出令人满意的内部一致性(α≥.70),以及在全样本中的中度(ICC/k=.41-.60)或显著(ICC/k=.61-.80)重测信度。内部一致性没有不同的邻里阶层。重测信度显着较低的农村(与城市)居民的2个量表(社会控制,身体障碍)和2个多维的邻居项目;重测信度较高的身体障碍和低1个项目的多维的邻居项目之间的高(与低)贫困阶层。测量误差校正后,邻里条件和自测健康之间的关联程度更大,特别是在农村人口。需要进行研究,以制定和测试与农村人口健康有关的社区感知条件的可靠措施。
Limited psychometric research has examined the reliability of self-reported measures of neighborhood conditions, the effect of measurement error on associations between neighborhood conditions and health, and potential differences in the reliabilities between neighborhood strata(urban vs. rural and low vs. high poverty). We assessed overall and stratified reliability of self-reported perceived neighborhood conditions using 5 scales (Social and Physical Disorder, Social Control, Social Cohesion, Fear) and 4 single items (Multidimensional Neighboring). We also assessed measurement error-corrected associations of these conditions with self-rated health. Using random-digit dialing, 367 women without breast cancer (matched controls from a larger study) were interviewed twice, 2–3 weeks apart. We assessed test-retest (intraclass correlation coefficients [ICC]/weighted kappa [k]) and internal consistency reliability (Cronbach’sα). Differences in reliability across neighborhood strata were tested using bootstrap methods. Regression calibration corrected estimates for measurement error. All measures demonstrated satisfactory internal consistency (α≥.70) and either moderate (ICC/k=.41–.60) or substantial (ICC/k=.61–.80) test-retest reliability in the full sample. Internal consistency did not differ by neighborhood strata. Test-retest reliability was significantly lower among rural (vs. urban) residents for 2 scales (Social Control, Physical Disorder) and 2 Multidimensional Neighboring items; test-retest reliability was higher for Physical Disorder and lower for 1 item Multidimensional Neighboring item among the high (vs. low) poverty strata. After measurement error correction, the magnitude of associations between neighborhood conditions and self-rated health were larger, particularly in the rural population. Research is needed to develop and test reliable measures of perceived neighborhood conditions relevant to the health of rural populations.
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