中文版《青少女性自我保护意识量表》构建及其信度和效度评价

目的 构建适用于中国文化框架下青少女性自我保护意识量表(SSPAS)，并检验其信度与效度。 方法 翻译并主要参考英文版SSPAS量表等文献，确定中国16～18岁青少女为调查人群，结合对中国青少女半结构访谈结果和专家咨询意见，形成中文版SSPAS预实验量表，在中国16～18岁青少女中调查修订为中文版SSPAS验证量表，再在另一中国16～18岁青少女人群中行信度和效度评价。中文版SSPAS预实验和验证量表集中于学校匿名填写，填写问卷时间约10 min。对施测量表条目采用等距5级评分，即从不如此、很少如此、偶尔如此、经常如此和总是如此，分别赋予1、2、3、4和5分，得分越高表示性自我保护意识越好。 结果 中文版SSPAS预实验量表基于321名中国16～18岁青少女学生，有效问卷88.2%；中文版SSPAS验证量表基于560名中国16～18岁青少女学生，有效问卷91.2%。经探索性因子分析，中文版SSPAS量表由22个条目组成，包括性健康态度、性自我概念和性危险行为3个公因子，累计贡献率为72.5%；各条目内容效度指数为0.902～0.922，量表总体内容效度指数为0.918；总量表的Cronbach's α系数为0.842，重测信度为0.886；验证性因子分析，卡方值/自由度为2.218（P<0.001）、拟合优度指数为0.958，近似误差均方根性为0.052，调和拟合优度指数为0.962，正规拟合指数为0.924，比较拟合优度指数为0.936，以上指标均＞0.90，具有较好的适配。 结论 中文版SSPAS量表在中国16～18岁青少女中具有很好的信度与效度，可作为评价中国青少女性自我保护意识情况的量化工具。

Development and assessment of reliability and validity of Chinese version of sexual self-protective awareness scale for adolescent female

Objective To develop a self-protection awareness scale of adolescent female scale( SSPAS ) that based upon Chinese cultural framework and test the reliability and validity of the scale. Methods Taking the 16-18 year-old Chinese adolescents as the target population of this study,the SSPAS initial scale was compiled through literature analysis and semi-structured interview. The SSPAS pre-test scale was formed by expert consultation. 283 adolescents aged from 16 to 18 years old in a medical college in Quanzhou,Fujian Province were selected as the pre-experimental scale. The pre-test scale was analyzed by item analysis,and the formal scale was induced by exploratory factor analysis. The scale adopted a 5 point likert type scale that a higher score indicates a higher self-protective awareness. The reliability and validity of the formal scale were evaluated by reliability analysis,correlation analysis and confirmatory factor analysis. Results The SSPAS pre-test scale was based on 321 Chinese teenage students aged 16-18 years. The valid questionnaires were 88. 2%. The Chinese version of SSPAS was based on 560 Chinese teenage students aged 16-18 years. The effective questionnaires were 91. 2%. Using exploratory factor analysis,the SSPAS consisted of 22 items,including sexual health attitudes,sexual self-concept,sexual risk behavior and other three common factors, the cumulative contribution rate was 72. 5%;the content of the validity index was 0. 902 ~ 0. 922 ,and the total content validity index of the scale was 0. 918. The Cronbachˊs alpha coefficient of the total scale was 0. 842 and the test-retest reliability was 0. 886. The confirmatory factor analysis was with a good fit(x2/ df = 2. 218,P﹤0. 001,GFI = 0. 958,RMSEA = 0. 052,AGFI =0. 962,NFI = 0. 924,CFI = 0. 936). Conclusion As the reliability and validity of 16 to 18 year adolescent female self-protection awareness scale are good,the Chinese version of the SSPAS is a reliable tool to assess self-protection awareness of adolescent female.