测量难民的创伤和健康状况:一个批判性审查
Michael Hollifield1, Teddy D Warner, Nityamo Lian
1Department of Family and Community Medicine, University of New Mexico Health Sciences Center, 2400 Tucker Ave NE, Albuquerque, NM 87131, USA. mhollifield@salud.unm.edu
JAMA
|August 2, 2002
概括
这项研究发现,大多数关于难民创伤和健康的研究都使用了有效性和可靠性差的工具. 对难民人口的测量原则的制定和报告需要改进.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 难民面临严重的创伤和健康问题.
- 现有的关于难民创伤和健康的数据往往是矛盾的,难以解释.
研究的目的:
- 评估有关难民创伤和健康的文献特征.
- 识别和评估用于测量难民创伤和健康状况的工具.
- 建议对测量工具进行改进.
主要方法:
- 在多个数据库 (MEDLINE,PsychInfo等) 进行了搜索. 和一个专门的项目数据库.
- 包括英语出版物评估难民创伤和/或健康状况的测量.
- 根据5个标准评估工具:目的,构造定义,设计,开发,可靠性和有效性.
主要成果:
- 用125种不同的仪器分析了183份出版物.
- 对于难民研究而开发的任何工具都没有满足所有5个评估标准.
- 适用于难民的标准工具显示出更好的结果,其中2个符合所有标准.
结论:
- 大多数难民创伤/健康研究都使用具有有限或未经测试的有效性和可靠性的工具.
- 缺乏理论基础和健全的测量原则是主要的限制.
- 改进仪器开发和报告对于准确的难民研究至关重要.
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