学龄前儿童肥胖相关家庭养育环境评估量表的信效度初步评价

doi:10.11852/zgetbjzz2025-0497

中国儿童保健杂志 ›› 2026, Vol. 34 ›› Issue (1): 34-39.DOI: 10.11852/zgetbjzz2025-0497

• 运动与儿童体重管理专栏 • 上一篇下一篇

学龄前儿童肥胖相关家庭养育环境评估量表的信效度初步评价

张涵潇¹, 李云², 徐伟清³, 龙翔⁴, 朱国伟⁵, 朱庆庆⁶, 蒋泓¹

1.复旦大学公共卫生学院妇幼与儿少卫生教研室,上海 200032;
2.上海市闵行区妇幼保健院儿童保健科;
3.上海市浦东新区妇幼保健院儿童群体保健科;
4.上海市嘉定区妇幼保健院儿童保健科;
5.上海市徐汇区妇幼保健所儿童保健科;
6.上海市松江区妇幼保健院(所)儿童保健科

收稿日期:2025-05-12 修回日期:2025-08-22 发布日期:2026-01-06
通讯作者: 蒋泓,E-mail:h_jiang@fudan.edu.cn
作者简介:张涵潇(1998—),男,硕士在读,主要研究方向为公共卫生。
基金资助:
上海市加强公共卫生体系建设三年行动计划(2023—2025年)第六轮重点学科建设项目(GWVI-11.1-32);复旦大学公共卫生学院-嘉定区卫生健康委员会公共卫生高质量发展重点学科、重点专项(GWGZLXK-2023-04);松江区加强公共卫生体系建设三年行动计划(2020—2022年)(20GWTX11)

Preliminary evaluation of reliability and validity of the obesity-related family parenting environment assessment scale for preschool children

ZHANG Hanxiao¹, LI Yun², XU Weiqing³, LONG Xiang⁴, ZHU Guowei⁵, ZHU Qingqing⁶, JIANG Hong¹

1. Department of Maternal, Child and Adolescent Health, School of Public Health, Fudan University, Shanghai 200032, China;
2. Department of Child Health Care, Minhang District Maternal and Child Health Hospital;
3. Department of Children's Group Health Care, Pudong New District Maternal and Child Health Hospital;
4. Department of Child Health Care, Jiading District Maternal and Child Health Hospital;
5. Department of Child Health Care, Xuhui District Maternal and Child Health Institute, Shanghai, China;
6. Department of Child Health Care, Songjiang District Maternal and Child Health Hospital (Institute)

Received:2025-05-12 Revised:2025-08-22 Published:2026-01-06
Contact: JIANG Hong,E-mail:h_jiang@fudan.edu.cn

摘要/Abstract

摘要： 目的研制适用于我国学龄前儿童的肥胖相关家庭养育环境评估量表(ORFPEAS-PC),并检验其信效度及跨性别测量不变性,为家长及儿童保健人员提供科学评估工具。方法基于肥胖育儿干预量表,通过翻译、跨文化调适形成中文版初稿,进一步优化条目后构建ORFPEAS-PC。采用横断面调查,2025年1月—3月对上海市5个区677名学龄前儿童及其主要照护者进行评估。信度检验采用Cronbach's α系数和分半信度;效度检验包括结构效度(探索性与验证性因子分析)、聚合效度(平均方差抽取量AVE、组合信度CR)和区分效度;跨性别测量不变性通过多群组验证性因子分析进行检验。结果条目经临界比值法与项目-总分相关系数法筛选后保留21个条目,探索性因子分析显示量表结构合理(KMO=0.804,Bartlett's检验χ²=2 407.607,P<0.001),累计方差贡献率62.68%,提取的6个维度(食物奖励、高热量食物可及性、健康食物可及性、身体活动、屏幕使用、睡眠习惯)的因子负荷均>0.4。验证性因子分析证明模型拟合良好(χ²/df=2.250,RMSEA=0.061,IFI=0.912,CFI=0.911)。聚合效度(AVE>0.36,CR>0.6)和区分效度(因子间相关系数<AVE的平方根)均达标。ΔCFI<0.01、ΔTLI<0.01、ΔRMSEA≤0.015,跨性别测量不变性成立。量表信度良好(Cronbach's α=0.828,分半信度=0.728)。结论 ORFPEAS-PC具有良好的信效度及跨性别测量不变性,可作为评估我国学龄前儿童肥胖相关家庭养育环境的有效工具。

关键词: 学龄前儿童, 肥胖, 家庭环境, 量表, 信度, 效度

Abstract: Objective To develop the Obesity-Related Family Parenting Environment Assessment Scale for Preschool Children (ORFPEAS-PC) suitable for the Chinese context, and to evaluate its reliability, validity, and cross-gender measurement invariance, so as to provide a scientific assessment tool for parents and child healthcare professionals. Methods Based on the Obesity Parenting Intervention Scale (OPTION), the initial Chinese version was developed through translation and cross-cultural adaptation.After further item refinement, the ORFPEAS-PC was constructed.A cross-sectional survey was conducted involving 677 preschool children and their primary caregivers from five districts in Shanghai between January to March 2025.Reliability was assessed using Cronbach's α coefficient and split-half reliability.Validity was evaluated through structural validity (exploratory and confirmatory factor analysis), convergent validity[average variance extracted(AVE); composite reliability(CR)], and discriminant validity.Cross-gender measurement invariance was tested using multi-group confirmatory factor analysis. Results After item screening using the critical ratio method and item-total correlation analysis, 21 items were retained.Exploratory factor analysis indicated a robust scale structure (KMO=0.804, Bartlett's test of sphericity:χ²=2 407.607, P<0.001), with a cumulative variance contribution rate of 62.68%.The six extracted dimensions (food rewards, high-calorie food accessibility, healthy food accessibility, physical activity, screen use, and sleep habits) all exhibited factor loadings >0.4.Confirmatory factor analysis confirmed a good model fit (χ²/df=2.250, RMSEA=0.061, IFI=0.912, CFI=0.911).Both convergent validity (AVE >0.36, CR >0.6) and discriminant validity (inter-factor correlations less than the square root of the corresponding AVE) met the standards.Cross-gender measurement invariance was established (ΔCFI<0.01、ΔTLI<0.01、ΔRMSEA≤0.015).The scale demonstrated good reliability (Cronbach's α=0.828, split-half reliability=0.728). Conclusion The ORFPEAS-PC exhibits good reliability, validity, and cross-gender measurement invariance, and can serve as an effective tool for assessing the obesity-related family parenting environment among preschool children in China.

Key words: preschool children, obesity, family environment, scale, reliability, validity

中图分类号:

R179

张涵潇, 李云, 徐伟清, 龙翔, 朱国伟, 朱庆庆, 蒋泓. 学龄前儿童肥胖相关家庭养育环境评估量表的信效度初步评价[J]. 中国儿童保健杂志, 2026, 34(1): 34-39.

ZHANG Hanxiao, LI Yun, XU Weiqing, LONG Xiang, ZHU Guowei, ZHU Qingqing, JIANG Hong. Preliminary evaluation of reliability and validity of the obesity-related family parenting environment assessment scale for preschool children[J]. Chinese Journal of Child Health Care, 2026, 34(1): 34-39.

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学龄前儿童肥胖相关家庭养育环境评估量表的信效度初步评价

Preliminary evaluation of reliability and validity of the obesity-related family parenting environment assessment scale for preschool children

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