Aversion to ambiguity regarding medical tests and treatments: measurement, prevalence, and relationship to sociodemographic factors.

Aversion to ambiguity regarding medical tests and treatments: measurement, prevalence, and relationship to sociodemographic factors.
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DOI:
10.1080/10810730903089630
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发表时间:
2009-09
影响因子:
4.4
通讯作者:
Klein WM
Klein WM
中科院分区:
医学3区
文献类型:
--
作者:
Han PK;Reeve BB;Moser RP;Klein WM

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对“模糊性”的厌恶--风险相关信息的可靠性、可信度或充分性的不确定性--是一个重要的问题,可能会影响对医疗干预的判断和决策。然而,歧义厌恶(AA)因个体而异,并且在健康领域研究不足。为了进一步探讨这一现象,我们开发了一种新的基于理论的措施,厌恶模棱两可的医疗测试和治疗,并检查了AA的患病率和社会人口因素的关联。“AA-Med”量表是使用美国公众的大调查样本(n = 4,398)开发的,并评估了量表的心理测量特性和AA的人群分布。该量表表现出可接受的可靠性(α = 0.73)和有效性,与受访者对假设的模糊癌症筛查试验的兴趣有关。歧义厌恶(AA)与年龄较大,非白人种族,教育和收入较低,女性。AA-Med量表是一种很有前途的新措施,AA与几个社会人口因素有关。我们讨论了这些研究结果的影响和未来研究的规模的潜在应用。
Aversion to “ambiguity”—uncertainty about the reliability, credibility, or adequacy of risk-related information—is an important problem that may influence judgments and decisions about medical interventions. Ambiguity aversion (AA) varies among individuals, however, and has been understudied in the health domain. To explore this phenomenon further, we developed a new theory-based measure of aversion to ambiguity regarding medical tests and treatments, and examined the prevalence and association of AA with sociodemographic factors. The “AA-Med” scale was developed using a large survey sample of the U.S. public (n = 4,398), and scale psychometric properties and the population distribution of AA were evaluated. The scale demonstrated acceptable reliability (α = .73) and validity as ascertained by association with respondents’ interest in a hypothetical ambiguous cancer screening test. Ambiguity aversion (AA) was associated with older age, non-White race, lower education and income, and female sex. The AA-Med scale is a promising new measure, and AA is associated with several sociodemographic factors. We discuss implications of these findings and potential applications of the scale for future research.
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