Confirmatory validation of the transgender health care humanization scale.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Liliane Lins-Kusterer, Nicolle Melo Vieira, Carlos Brites
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引用次数: 0

Abstract

Background: Despite the critical importance of humanized healthcare for transgender individuals, no existing measures specifically assess care humanization for this population. The Transgender Health Care Humanization Scale (THcH Scale) was developed to address this gap, yet it initially lacked confirmatory validation. This study validates the Transgender THcH scale for evaluating healthcare providers' sensitivity towards transgender patients.

Methods: This study involved 443 healthcare professionals and students from a public university and associated hospital. Participants were divided randomly into two groups for Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). Using the Kaiser-Meyer-Olkin Measure of Sampling Adequacy and Bartlett's Test of Sphericity, EFA confirmed data suitability for factor analysis. Factors were identified using parallel analysis with an oblique Promax rotation to allow for inter-factor correlations. The internal consistency of the factors was assessed using Cronbach's alpha. CFA was performed using Maximum Likelihood estimation, with goodness-of-fit evaluated by multiple indices. The THcH Scale's divergent validity was assessed through Spearman's correlation analysis with the Duke University Religion Index (DUREL).

Results: Exploratory and Confirmatory Factor Analyses confirmed the scale's two-factor structure with excellent psychometric properties, including high internal consistency (Cronbach's alpha > 0.8) and good fit indices (χ²/df = 1.74, CFI = 0.972, TLI = 0.964, GFI = 0.989, RMSEA = 0.069, SRMR = 0.043). Divergent validity was established through moderate correlations with the DUREL index.

Conclusions: The THcH scale is a reliable and valid tool for promoting sensitivity and awareness among healthcare professionals, thereby enhancing healthcare access and quality for the transgender population. Further research should expand its application to primary care and diverse populations and settings.

跨性别医疗保健人性化量表的验证性验证。
背景:尽管对变性人的人性化医疗至关重要,但目前还没有专门评估该人群护理人性化的措施。跨性别保健人性化量表(THcH量表)是为了解决这一差距而开发的,但它最初缺乏确认性验证。本研究验证了跨性别THcH量表用于评估医疗服务提供者对跨性别患者的敏感性。方法:本研究涉及443名来自公立大学及其附属医院的卫生保健专业人员和学生。参与者随机分为探索性因子分析(EFA)和验证性因子分析(CFA)两组。利用Kaiser-Meyer-Olkin抽样充分性度量和Bartlett球形性检验,EFA确认了数据适合因子分析。利用斜Promax旋转的平行分析来确定因素,以允许因素间的相关性。采用Cronbach’s alpha评价各因素的内部一致性。使用最大似然估计进行CFA,并通过多个指标评估拟合优度。通过Spearman与杜克大学宗教指数(DUREL)的相关分析来评估THcH量表的发散效度。结果:探索性因子分析和验证性因子分析证实该量表具有良好的心理测量特性,具有较高的内部一致性(Cronbach's alpha > 0.8)和良好的拟合指数(χ²/df = 1.74, CFI = 0.972, TLI = 0.964, GFI = 0.989, RMSEA = 0.069, SRMR = 0.043)。发散效度通过与DUREL指数的中度相关来建立。结论:THcH量表是一种可靠、有效的工具,可以提高医护人员的敏感性和意识,从而提高跨性别人群的医疗服务可及性和质量。进一步的研究应扩大其应用于初级保健和不同的人群和环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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