Developing and validating measures of self-reported everyday and healthcare discrimination for Aboriginal and Torres Strait Islander adults.
Developing and validating measures of self-reported everyday and healthcare discrimination for Aboriginal and Torres Strait Islander adults.
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DOI：
10.1186/s12939-020-01351-9
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发表时间：
2021-01-06
影响因子：
4.8
通讯作者：
Lovett R
中科院分区：
文献类型：
--
作者：
Thurber KA;Walker J;Batterham PJ;Gee GC;Chapman J;Priest N;Cohen R;Jones R;Richardson A;Calear AL;Williams DR;Lovett R
众所周知，种族主义是造成健康状况不佳和不平等的根本原因。有一致的证据表明，土著和托雷斯海峡岛民(澳大利亚土著)很容易受到歧视，但影响尚未完全量化，部分原因是衡量工具有限。我们的目标是验证为测量人际歧视而开发的工具。在五个重点小组和专家讨论了各种文书，并在制定《玛伊库瓦尤：土著和托雷斯海峡岛民福祉国家研究》方面进行了实地测试。对7501名基线调查参与者的数据进行了分析。可接受性根据缺失程度进行评估，结构效度使用探索性和验证性因素分析，信度使用Cronbach‘s Alpha。对概念上被理解为关系密切(社区一级种族主义)或关系不那么密切(家庭福祉)的每项文书与结果之间的联系进行了量化，以检验收敛和区分效度。8个项目的工具记录了日常生活中的歧视经历，4个项目的工具记录了医疗保健方面的经验，每个项目后面都有一个全球归因项目。物品错失率为2.2-3.7%。一半(55.4%)的参与者报告经历过任何日常歧视，其中65.7%的人将歧视归因于土著；医疗保健歧视的数字分别为34.1%和51.1%。这些项目符合两项不同的文书，区分了不同歧视经历的答复者。量表表现出很好的信度和收敛与发散效度。这些简短的工具证明了在衡量土著和托雷斯海峡岛民成年人在日常生活和医疗保健中的人际歧视经历方面的表面有效性和强大的心理测量学特性。它们可以用来量化人口层面的歧视经历和相关的幸福后果，并监测变化。网上版载有补充材料，可在10.1186/s12939-020-01351-9查阅。
It is well established that racism is a fundamental contributor to poor health and inequities. There is consistent evidence of high exposure to discrimination among Aboriginal and Torres Strait Islander (Indigenous Australian) peoples, but impacts have not been fully quantified, in part due to limited measurement tools. We aim to validate instruments developed to measure interpersonal discrimination. Instruments were discussed at five focus groups and with experts, and field tested in developing Mayi Kuwayu: The National Study of Aboriginal and Torres Strait Islander Wellbeing. Data from 7501 baseline survey participants were analysed. Acceptability was assessed according to extent of missingness, construct validity using exploratory and confirmatory factor analysis, and reliability using Cronbach’s alpha. Associations between each instrument and outcomes conceptually understood to be closely (community-level racism) or less closely (family wellbeing) related were quantified to test convergent and discriminant validity. An 8-item instrument captures experiences of discrimination in everyday life and a 4-item instrument experiences in healthcare, each followed by a global attribution item. Item missingness was 2.2–3.7%. Half (55.4%) of participants reported experiencing any everyday discrimination, with 65.7% attributing the discrimination to Indigeneity; healthcare discrimination figures were 34.1% and 51.1%. Items were consistent with two distinct instruments, differentiating respondents with varying experiences of discrimination. Scales demonstrated very good reliability and convergent and divergent validity. These brief instruments demonstrate face validity and robust psychometric properties in measuring Aboriginal and Torres Strait Islander adults’ experiences of interpersonal discrimination in everyday life and in healthcare. They can be used to quantify population-level experiences of discrimination, and associated wellbeing consequences, and monitor change. The online version contains supplementary material available at 10.1186/s12939-020-01351-9.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
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DOI：
10.1007/s40271-013-0041-0
发表时间：
2014
期刊：
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影响因子：
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影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
11.4
作者：
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