对在巴西使用的交叉歧视指数进行心理计量学评估。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Cadernos de saude publica Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI:10.1590/0102-311XEN009724
Natália Peixoto Pereira, Carolina Saraiva de Macedo Lisboa, João Luiz Bastos
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引用次数: 0

摘要

这项横断面研究评估了交叉歧视指数(InDI)的配置结构和度量结构,该指数是一种测量预期歧视(InDI-A)、日常歧视(InDI-D)和重大歧视(InDI-M)的工具。我们使用了一项更广泛研究的数据,该研究侧重于歧视对巴西妇女心理健康的影响。根据方便抽样计划选出的约 1000 名妇女回答了 InDI 和有关社会人口特征的电子表格问题,该电子表格于 2021 年开始使用。对前半部分样本进行了探索性因子分析和探索性结构方程建模;对后半部分样本进行了确认性因子分析。综合来看,研究结果表明,三个测量指标都是一维的。然而,与最初建议在加拿大和美国使用 InDI 的研究不同的是,我们在评估的三个分量表中观察到了残差相关性,所有这些残差相关性都表明特定项目对之间存在内容冗余。三个量表显示出中等到较强的因子负荷,与数据的拟合度也可以接受。InDI 显示出合理的内部效度,有可能成为调查巴西交叉歧视对健康影响的重要工具。未来的研究应评估这些结果的一致性,检查该工具的标度结构,并分析其在不同边缘化群体中的不变性。
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Psychometric evaluation of the Intersectional Discrimination Index for use in Brazil.

This cross-sectional study evaluated the configural and metric structures of the Intersectional Discrimination Index (InDI), an instrument that measures anticipated (InDI-A), dat-to-day (InDI-D), and major (InDI-M) discrimination. Data from a broader study, focused on the impacts of discrimination on the mental health of women living in Brazil, were used. Approximately 1,000 women, selected according to a convenience sampling scheme, answered the InDI and questions about sociodemographic characteristics in an electronic form that was administered in 2021. Exploratory factor analyses and exploratory structural equation modeling were applied to the first half of the sample; for the second, confirmatory factor analysis was conducted. Taken together, the findings suggest that each of the three measures is one-dimensional. However, unlike the study that originally proposed the InDI for use in Canada and the United States, we observed the presence of residual correlations in the three subscales evaluated, all of which were suggestive of content redundancy between specific pairs of items. The three measures showed moderate to strong factor loadings and acceptable fit to the data. InDI exhibited reasonable internal validity, potentially becoming a valuable instrument for investigating the health effects of intersectional discrimination in Brazil. Future studies should evaluate the consistency of these findings, examine the scalar structure of the instrument, and analyze its invariance among different marginalized groups.

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来源期刊
Cadernos de saude publica
Cadernos de saude publica 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
7.10%
发文量
356
审稿时长
3-6 weeks
期刊介绍: Cadernos de Saúde Pública/Reports in Public Health (CSP) is a monthly journal published by the Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ). The journal is devoted to the publication of scientific articles focusing on the production of knowledge in Public Health. CSP also aims to foster critical reflection and debate on current themes related to public policies and factors that impact populations'' living conditions and health care. All articles submitted to CSP are judiciously evaluated by the Editorial Board, composed of the Editors-in-Chief and Associate Editors, respecting the diversity of approaches, objects, and methods of the different disciplines characterizing the field of Public Health. Originality, relevance, and methodological rigor are the principal characteristics considered in the editorial evaluation. The article evaluation system practiced by CSP consists of two stages.
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