[Re-exploring attitude toward community scale and its relationship to health status among the general population].
[Re-exploring attitude toward community scale and its relationship to health status among the general population].
复制标题
重新探讨普通人群对社区规模的态度及其与健康状况的关系。
DOI：
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
Reiko Arami
中科院分区：
文献类型：
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作者：
H. Murayama;I. Sugawara;Satoru Yoshie;Tomoko Wakui;Reiko Arami
目标
为了有效地开展社区健康促进和预防活动，对当地居民的社区意识进行评估是非常重要的。本研究的目的是审查社区态度量表(ACS)的信度和效度，并检查其与普通人群健康状况的关系。
方法
2009年2月，使用邮寄的自填式问卷进行了一次横断面调查。目标人群包括随机选择的4123名20岁及以上居住在日本千叶县柏川市的当地居民。调查问卷包括ACS(一些项目的措辞被修改)，还包括允许评估人口统计和健康状况的数据。
结果
在4123份问卷中，可分析1735份(有效回复率：42.1%)。验证性因素分析支持原量表的双因素模型。用Cronbach‘sα系数对量表的信度进行了验证。所有条目与总分的相关性均为中等或高度正相关。Logistic回归表明，对社区的态度越好，自我评估的健康程度越高，对未来的焦虑程度越低，孤独感越少。
结论
虽然最初的量表是在1978年开发的，但在对条目进行了一些措辞修改后，该量表似乎仍然适用于现代研究。在今后的研究中，有必要明确确定健康状况和社区意识之间的关系，并制定加强社区意识的方法。
OBJECTIVES
In order for community-based health promotion and prevention activities to be effective and efficient, it is important to assess the community consciousness among local residents. The purpose of this study was to review the reliability and validity of the Attitude toward Community Scale (ACS) and examine its association with health status among the general population.
METHODS
A cross-sectional survey was conducted in February 2009 using a mail-in self-administered questionnaire. The target population comprised 4,123 randomly-selected local residents aged 20 years and over living in Kashiwa city, Chiba prefecture, Japan. The questionnaire encompassed the ACS (the wording of some items was modified), an also included data to allow assessment of demographics and health status.
RESULTS
Of 4,123 questionnaires, 1,735 could be analyzed (valid response rate: 42.1%). Confirmatory factor analysis supported the two-factor model of the original scale. The reliability of the scale was verified using the Cronbach's alpha coefficient. All item-total correlations were moderately or strongly positive. Logistic regression showed that a better attitude toward the community was associated with higher self-rated health, less anxiety about the future and less loneliness.
CONCLUSION
Although the original scale was developed in 1978, the ACS still appears applicable for modern research following some wording modifications of the items. In future studies, it will be necessary to clearly establish relationships between health status and community consciousness and to develop methodology for enhancing the latter.