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Tytuł:
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[The development and national norm of the assessment of spinal health of youths].
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Autorzy:
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Tao SM; MOE Key Laboratory of Population Health Across Life Cycle/NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei 230032, China.
Wan YH; Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University/MOE Key Laboratory of Population Health Across Life Cycle/NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei 230032, China.
Wu XY; Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University/MOE Key Laboratory of Population Health Across Life Cycle/NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei 230032, China.
Xu SJ; Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University/MOE Key Laboratory of Population Health Across Life Cycle/NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei 230032, China.
Sun Y; Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University/MOE Key Laboratory of Population Health Across Life Cycle/NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei 230032, China.
Tao FB; Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University/MOE Key Laboratory of Population Health Across Life Cycle/NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei 230032, China.
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Źródło:
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Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine] [Zhonghua Yu Fang Yi Xue Za Zhi] 2021 Sep 06; Vol. 55 (9), pp. 1051-1058.
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Typ publikacji:
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Journal Article
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Język:
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Chinese
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Imprint Name(s):
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Publication: Beijing : Zhonghua yi xue hui
Original Publication: Beijing : Zhonghua yi xue hui [1967?]-
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MeSH Terms:
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Reproducibility of Results*
Adolescent ; China ; Factor Analysis, Statistical ; Humans ; Psychometrics ; Surveys and Questionnaires
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Grant Information:
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81803257, 81773455 National Natural Science Foundation of China
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Contributed Indexing:
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Local Abstract: [Publisher, Chinese] 目的： 编制《青少年脊柱健康评定问卷》，并进行问卷信度和结构效度评价，初步研制常模。 方法： 通过文献综述、专家咨询，确定颈肩腰背痛症状、颈肩腰背功能欠佳、日常不良行为和保健行为4个维度，初步纳入37个条目。于2015年12月至2016年3月，以沈阳、郑州、深圳市和江西省为研究现场，采取立意抽样方法抽取15 096名中学生纳入研究，结合条目分析、因子分析、信度评价等多种统计学方法对问卷的条目进行筛选和信度、效度评价。于2017年11月至2018年1月，以深圳、郑州、南昌和贵阳市为研究现场，采取立意抽样方法抽取14 500名中学生纳入研究，研制青少年脊柱健康的常模。 结果： 《青少年脊柱健康评定问卷》最终包含4个维度，共计34个条目，方差累积贡献率为68.37%；内部一致性检验得出问卷的Cronbach′s α系数为0.91，各维度的Cronbach′s α系数在0.76~0.93之间；问卷的分半系数为0.78，各维度的分半系数为0.62~0.77。验证性因子分析结果显示，问卷的近似均方根残差为0.067，规范拟合指数、相对拟合指数、比较拟合指数、拟合优度指数、调整拟合优度指数均在0.80以上，具有较好的拟合优度。采用 P 90 作为青少年脊柱健康问题的划界标准，对应的问卷总分为92分（初中）、102分（高中）和98分（总体中学生）。 结论： 《青少年脊柱健康评定问卷》符合心理统计学评价标准，可作为评价青少年脊柱健康状况的评估工具。.
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Entry Date(s):
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Date Created: 20211008 Date Completed: 20211011 Latest Revision: 20211011
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Update Code:
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20240104
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DOI:
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10.3760/cma.j.cn112150-20210727-00714
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PMID:
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34619921
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Objective: To develop the Assessment of Spinal Health of Youths (ASHY), and evaluate its reliability and construct validity and further definite the national norm. Methods: According to literature review and expert consultation, the ASHY included 37 items within 4 dimensions, named symptoms of neck-shoulder and low back, the dysfunction of neck-shoulder and low back, daily risk behaviors and health-seeking behaviors. Between December 2015 and March 2016, a total of 15 096 students were purposively selected from Shenyang, Zhengzhou, Shenzhen and Jiangxi province. Item analysis, factor analysis and reliability evaluation methods were used to select items and evaluate the questionnaire. Between November 2017 and January 2018, a total of 14 500 students were purposively selected from Shenzhen, Zhengzhou, Nanchang and Guiyang. These data were used to develop a national norm of ASHY in adolescents. Results: The ASHY consisted of 4 dimensions covering 34 items. Variance cumulative contribution rate was 68.37%. Internal consistency test showed that Cronbach's α coefficient of the questionnaire was 0.91 and Cronbach's α coefficient of each dimension was between 0.76 and 0.93. The split-half coefficient of the questionnaire was 0.78 and ranged from 0.62 to 0.77 for each dimension. Confirmatory factor analysis results showed that the value of RMSEA was 0.067, and the values of NFI, RFI, CFI, GFI, AGFI were all above 0.80, which had a good fitting degree. The 90th percentile was used as the cutoff point about total scores of 92 for junior high school students, 102 for senior high school students and 98 for the overall middle school students. Conclusions: The ASHY is consistent with the evaluation standard of psychometrics. It can be used as a tool to evaluate the spinal health in adolescents.
