Family Vulnerability Scale: evidence of content and internal structure validity

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2023, Номер unknown

Опубликована: Янв. 12, 2023

Abstract Introduction territory view based on families’ vulnerability strata allows identifying different health needs that, in their turn, can guide healthcare at primary care scope. Although there are instruments aimed measuring family vulnerability, they still need robust validity evidences; therefore, represent a limitation for usability country showing multiple socioeconomic and cultural realities, such as Brazil. The present study introduces the development search evidences about of Family Vulnerability Scale Brazil, known EVFAM-BR. Methods items were generated through exploratory qualitative carried out with 123 professionals. Collected data subsidized generation 92 initial that subjected to panel multi-regional multi-disciplinary judges (n = 73) calculate Content Validity Ratio (CVR) – this process resulted version scale comprising 38 items. Subsequently, it was applied 1,255 individuals find internal-structure by using Exploratory Factor Analysis (EFA). Dimensionality assessed Robust Parallel model tested cross-validation EVFAM-BR’s final version. Results comprised 14 distributed into four domains, explained variance 79.02%. All indicators within adequate satisfactory limits, without any cross-loading Heywood Case issues. Reliability indices also reached levels ( α 0.71; ω 0.70; glb 0.83 ORION ranging from 0.80 0.93, between domains). Instrument’s score normalization, pointed towards three (0 4 Low; 5 6 Moderate; 7 - High). Conclusion showed evidences, which consistent, reliable ad robust; led synthesized instrument capable accurately differentiating territory,

Язык: Английский

Parental absence during childhood and weight status in adulthood among middle‐aged community dwellers in rural Vietnam

American Journal of Human Biology, Год журнала: 2022, Номер 35(3)

Опубликована: Ноя. 7, 2022

Abstract Objectives While adverse childhood experiences (ACEs) have been shown to be associated with adulthood obesity, less is known about their association underweight. We examined the associations between parental absence (i.e., a major component of ACEs) and both underweight excess weight among middle‐aged rural community dwellers in Vietnam, where was not uncommon during after Vietnam War (1955–1975). Methods Data came from 3000 adults who participated baseline survey Khánh Hòa Cardiovascular Study. Parental defined as due death, divorce, or out‐migration. Using information on timing such events, we categorized participants into those experienced before age 3, ages 3 15, without experiences. BMI calculated based measured height (kg/m 2 ) three groups: <18.5; normal 18.5–24.9; ≥ 25. Multinomial logistic regression then used investigate adult status. Results that occurred marginally significantly (relative risk ratio [RRR] = 1.44, 95% confidence interval [CI] 0.95, 2.20) but overweight/obesity. divorce overweight/obesity (RRR 2.48, CI 1.28, 4.81), migratory work. Conclusions previous studies Western settings focused almost exclusively obesity relation exposure ACEs, our findings point potential importance considering low‐ middle‐income countries.

Язык: Английский