Psychometric evaluation of a chinese (Taiwanese) version of the SF-36 health survey amongst middle-aged women from a rural community

Jong Ling Fuh, Shuu Jiun Wang, Shiang Ru Lu, Kai Dih Juang, Shin Jung Lee

Research output: Contribution to journalArticlepeer-review

142 Scopus citations

Abstract

To test the psychometric properties of the Chinese (Taiwanese) version of the short form 36 health survey (SF-36), 1439 women, aged 40-54 years and living in Kinmen (a Taiwanese island reflecting a predominantly rural community) were recruited to participate in this survey. The rate of unavailable data points for the 36 tested items remained consistently low, and item-discriminate validity was high (95%) for all subscales. Cronbach’s α coefficient remained above the 0.70 threshold criterion for all scales except for social functioning and bodily pain. Principal components analysis supported the two major dimensions of health, physical and mental, in the internal structure of the SF-36 scales, although the dimensions did not match the hypothesized association very well. Poorer health profiles were associated with physical and mental conditions. The mental health subscores in the SF-36 test correlated highly with the associated hospital anxiety and depression score (Spearman rank correlation coefficient = -0.62). In conclusion, the reliability and validity tests performed on the data collected support the cross-cultural application of the Chinese (Taiwanese) version of the SF-36 test.

Original languageEnglish
Pages (from-to)675-683
Number of pages9
JournalQuality of Life Research
Volume9
Issue number6
DOIs
StatePublished - 2000

Keywords

  • Cross-cultural comparisons
  • Health-related quality of life
  • SF-36 health survey
  • Taiwan
  • Women

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