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Validation of the Chinese expanded Euthanasia Attitude Scale.

Alice Ming-Lin Chong1, Shiu-Yeu Fok2

  • 1Department of Applied Social Studies, City University of Hong Kong, Hong Kong. alice.chong@cityu.edu.hk

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Researchers validated a new Chinese Euthanasia Attitude Scale. This robust, 31-item scale measures attitudes toward general, active, passive, and non-voluntary euthanasia, aiding cross-cultural comparisons.

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Area of Science:

  • Psychometrics
  • Medical Ethics
  • Sociology

Background:

  • Attitudes towards euthanasia vary globally.
  • Existing scales may not adequately capture cultural nuances.
  • Cross-cultural research on euthanasia requires validated instruments.

Purpose of the Study:

  • To validate the Chinese version of an expanded 31-item Euthanasia Attitude Scale.
  • To confirm the psychometric properties of the Chinese scale.
  • To provide a culturally relevant tool for assessing euthanasia attitudes.

Main Methods:

  • A four-stage validation process was employed.
  • Pilot survey with 119 college students.
  • Randomized household survey with 618 adults in Hong Kong.
  • Confirmatory factor analysis was used to determine scale structure.

Main Results:

  • The validation process confirmed a robust 4-factor structure for the Chinese Euthanasia Attitude Scale.
  • The scale effectively measures attitudes toward general, active, passive, and non-voluntary euthanasia.
  • The scale demonstrated conceptual and measurement superiority over Western predecessors.

Conclusions:

  • The validated Chinese Euthanasia Attitude Scale is a reliable and robust instrument.
  • The scale can be used to examine diverse attitudes towards euthanasia in Chinese populations.
  • It facilitates cross-cultural comparisons of euthanasia attitudes and decision-making.