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目的:评价在上海社区人群中应用AMS量表(the aging males’symptoms scale)的信度和效度。方法:以上海市某社区40岁及以上的973例中老年男性为研究对象,采用AMS量表进行调查,计算分半信度系数、Cronbach’sα系数考察量表内在一致性;通过验证性因子分析考察结构效度,t检验、方差分析和相关分析考察区分效度、校标效度和内容效度。结果:AMS量表及各领域的分半信度系数均大于0.78(P<0.01),Cronbach’sα均大于0.82(P<0.01);验证性因子分析结果表明AMS量表可分为3个领域,各条目与其所属领域的相关系数均大于0.49(P<0.01);血清总睾酮水平为校标时的Pearson相关系数为-0.04(P>0.05)。除心理领域得分在不同年龄组间差别无统计学意义外,不同年龄组、有无慢性病组间AMS量表及各领域得分均存在统计学差异。结论:AMS量表应用于上海社区人群时具有较好的信度和效度,是一份较好的老年男性症状评分量表。但其作为迟发性性腺功能减退症(LOH)的筛选工具仍需深入评估。
Objectives: To evaluate the reliability and validity of the AMS scale in the Shanghai community. Methods: A total of 973 middle-aged and elderly men over the age of 40 in a community in Shanghai were enrolled in the study. The AMS scale was used to investigate the half-reliability coefficient. Cronbach’s α coefficient was used to investigate the internal consistency of the scale. Analyze the structural validity, t-test, analysis of variance and correlation analysis to examine the discriminant validity, validity of validity of the standard and content validity. Results: The AMS scale and the semi-reliability coefficients in all fields were all greater than 0.78 (P <0.01), Cronbach’s α was greater than 0.82 (P <0.01). The confirmatory factor analysis showed that the AMS scale could be divided into three areas (P <0.01). The Pearson correlation coefficient of serum total testosterone level was -0.04 (P> 0.05) at the time of school calibration. Except scores of psychology in different age groups there was no significant difference, there were significant differences in AMS scale and scores in different fields between different age groups, with or without chronic diseases. Conclusion: The AMS scale has a good reliability and validity when applied to Shanghai community population and is a good scale for evaluating the symptoms of elderly men. But its use as a screening tool for delayed hypogonadism (LOH) remains to be evaluated in depth.