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Article: Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents

TitleFactorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents
Authors
KeywordsAdolescents
China
Factor analysis
General health questionnaire
Nurses
Nursing
Issue Date2009
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067
Citation
Journal Of Clinical Nursing, 2009, v. 18 n. 23, p. 3253-3261 How to Cite?
AbstractAims. To evaluate the underlying factor structure of the Chinese version of General Health Questionnaire-12 using exploratory and confirmatory factor analyses in Chinese adolescents and find out which factor model proposed by previous empirical research is the best-fit model. Background. The 12-item General Health Questionnaire has been extensively used with adolescents in the West. Yet, it has not been used with adolescents in a Hong Kong Chinese context. Design. A cross-sectional study was employed. Method. Chinese students between the ages of 12-19 from four secondary schools were invited to participate in the study using the multiple-stage stratified random sampling method during the period from December 2007-February, 2008. The total sample size included in the final analysed was 1883. Results. The General Health Questionnaire-12 was found to be internally consistent. The results of exploratory factor analysis showed that there are two factors underlying the General Health Questionnaire-12. Of nine factor models were tested by means of confirmatory factor analysis, only three factor model: the eight-item two-factor model, 12-item three-factor model and 10-item two-factor model, demonstrated good model fit across all model fit indices. Conclusion. This study addressed a gap in the literature by evaluating the factorial structure of the Chinese version of General Health Questionnaire-12 using exploratory and confirmatory factor analyses in Chinese adolescents. The findings revealed that the eight-item two-factor model is the best-fit model. Relevance to clinical practice. The adolescent mental health problem is alarming and aggravating and warrants special attention. It is essential for community nurses to differentiate psychological distress in adolescents and to identify those adolescents who are at a higher risk of suffering from mental health problems. The availability of a valid and reliable instrument that measures adolescents' psychological distress is crucial before any nursing interventions to promote their mental health can be appropriately planned, implemented and evaluated. © 2009 Blackwell Publishing Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/88253
ISSN
2015 Impact Factor: 1.384
2015 SCImago Journal Rankings: 0.755
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLi, WHen_HK
dc.contributor.authorChung, JOen_HK
dc.contributor.authorChui, MMen_HK
dc.contributor.authorChan, PSen_HK
dc.date.accessioned2010-09-06T09:40:53Z-
dc.date.available2010-09-06T09:40:53Z-
dc.date.issued2009en_HK
dc.identifier.citationJournal Of Clinical Nursing, 2009, v. 18 n. 23, p. 3253-3261en_HK
dc.identifier.issn0962-1067en_HK
dc.identifier.urihttp://hdl.handle.net/10722/88253-
dc.description.abstractAims. To evaluate the underlying factor structure of the Chinese version of General Health Questionnaire-12 using exploratory and confirmatory factor analyses in Chinese adolescents and find out which factor model proposed by previous empirical research is the best-fit model. Background. The 12-item General Health Questionnaire has been extensively used with adolescents in the West. Yet, it has not been used with adolescents in a Hong Kong Chinese context. Design. A cross-sectional study was employed. Method. Chinese students between the ages of 12-19 from four secondary schools were invited to participate in the study using the multiple-stage stratified random sampling method during the period from December 2007-February, 2008. The total sample size included in the final analysed was 1883. Results. The General Health Questionnaire-12 was found to be internally consistent. The results of exploratory factor analysis showed that there are two factors underlying the General Health Questionnaire-12. Of nine factor models were tested by means of confirmatory factor analysis, only three factor model: the eight-item two-factor model, 12-item three-factor model and 10-item two-factor model, demonstrated good model fit across all model fit indices. Conclusion. This study addressed a gap in the literature by evaluating the factorial structure of the Chinese version of General Health Questionnaire-12 using exploratory and confirmatory factor analyses in Chinese adolescents. The findings revealed that the eight-item two-factor model is the best-fit model. Relevance to clinical practice. The adolescent mental health problem is alarming and aggravating and warrants special attention. It is essential for community nurses to differentiate psychological distress in adolescents and to identify those adolescents who are at a higher risk of suffering from mental health problems. The availability of a valid and reliable instrument that measures adolescents' psychological distress is crucial before any nursing interventions to promote their mental health can be appropriately planned, implemented and evaluated. © 2009 Blackwell Publishing Ltd.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067en_HK
dc.relation.ispartofJournal of Clinical Nursingen_HK
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectAdolescentsen_HK
dc.subjectChinaen_HK
dc.subjectFactor analysisen_HK
dc.subjectGeneral health questionnaireen_HK
dc.subjectNursesen_HK
dc.subjectNursingen_HK
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshChina-
dc.subject.meshCross-Sectional Studies-
dc.subject.meshQuestionnaires-
dc.titleFactorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescentsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0962-1067&volume=18&issue=23&spage=3253&epage=3261&date=2009&atitle=Factorial+structure+of+the+Chinese+version+of+the+12-item+General+Health+Questionnaire+in+adolescentsen_HK
dc.identifier.emailLi, WH: william3@hkucc.hku.hken_HK
dc.identifier.emailChui, MM: maurchui@hku.hken_HK
dc.identifier.emailChan, PS: pollycha@hku.hken_HK
dc.identifier.authorityLi, WH=rp00528en_HK
dc.identifier.authorityChui, MM=rp00248en_HK
dc.identifier.authorityChan, PS=rp00242en_HK
dc.description.naturepostprint-
dc.identifier.doi10.1111/j.1365-2702.2009.02905.xen_HK
dc.identifier.pmid19732241-
dc.identifier.scopuseid_2-s2.0-70449497847en_HK
dc.identifier.hkuros168783en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70449497847&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume18en_HK
dc.identifier.issue23en_HK
dc.identifier.spage3253en_HK
dc.identifier.epage3261en_HK
dc.identifier.isiWOS:000271637800006-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLi, WH=8973660200en_HK
dc.identifier.scopusauthoridChung, JO=35483369600en_HK
dc.identifier.scopusauthoridChui, MM=35087953700en_HK
dc.identifier.scopusauthoridChan, PS=36901168700en_HK

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