Knowledge of the relationship between men’s health and violence is flawed by narrow and faulty conceptualization and measurement of violence that often results in attribution of health problems to one form or type of violence without consideration of other exposures. Our purpose is to describe the development and initial testing of the Cumulative Lifetime Violence Severity scale designed for use in health research to measure men’s perceptions of the severity of their cumulative lifetime violence. We framed the dimensions of violence severity as: type (physical, psychological, sexual), timing (childhood, adulthood), focus (perpetrator, target), context, frequency, and degree of distress. Items reflecting these dimensions were vetted by local experts including individuals who identified as men, with particular attention to meaningful language for men. The measure was pretested, revised to 64 items, and tested for test-retest reliability prior to use in a study of 685 English-speaking Eastern Canadian men, ages 19 to 65 years. We used Principal Components Analysis to illuminate the underlying dimensionality of the items. Principal Components Analysis yielded a 44-item 11 component solution that accounted for 64.06% of variance with good model fit and a Cronbach’s alpha of .92. All dimensions of our conceptualization of violence severity were reflected in the components, except Adult Target Sexual Violence. Convergent validity between the Cumulative Lifetime Violence Severity-44 Scale and a global lifetime violence rating scale was r = .750 (p < .001) and concurrent validity was moderate and significant between the Cumulative Lifetime Violence Severity-44 scale and measures of mental health problems commonly experienced by people with violence histories. The Cumulative Lifetime Violence Severity-44 scale shows promise as the first comprehensive measure of cumulative lifetime violence for health research that considers gender, individual distress and experiences as both perpetrator and target. Next steps include further exploratory analysis with a more diverse sample of men and confirmatory factor analysis.

中文翻译：

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终生累积暴力严重程度量表：男性的发展和初步测试。

男性健康与暴力之间的关系的知识由于对暴力的狭义和错误的概念化和衡量而存在缺陷，这常常导致将健康问题归因于一种形式或类型的暴力，而没有考虑其他暴露因素。我们的目的是描述累积终身暴力严重程度量表的开发和初步测试，该量表用于健康研究，以衡量男性对其累积终身暴力严重程度的看法。我们将暴力严重性的维度划分为：类型（身体，心理，性），时机（童年，成年），重点（施暴者，目标），背景，发生频率和痛苦程度。反映这些方面的项目由当地专家（包括被确认为男性，特别注意对男人有意义的语言。在对685位年龄在19至65岁的说英语的加拿大东部男性进行的研究中使用之前，对该措施进行了预先测试，修订为64个项目，并进行了重新测试的信度检验。我们使用主成分分析来阐明项目的基本维度。主成分分析产生了44个项目的11个组件解决方案，该模型占64.06％的方差，具有良好的模型拟合和Cronbach's alpha值为0.92。除了成人目标性暴力以外，我们在暴力严​​重度概念上的所有方面都反映在各个组成部分中。累积终身暴力严重程度-44量表与全球终身暴力等级量表之间的收敛效度为r = .750（p <。001），并在累积终身暴力严重程度-44量表和暴力史人群常见的心理健康问题测度之间具有中等和显着性。终生累积暴力严重程度-44量表显示希望是健康研究中累积终生暴力的第一个综合指标，该研究将性别，个人困扰和经历都视为犯罪者和目标。下一步包括对更多男性样本进行进一步的探索性分析，以及确定性因素分析。终生累积暴力严重程度-44量表显示希望是健康研究中累积终生暴力的第一个综合指标，该研究将性别，个人困扰和经历都视为犯罪者和目标。下一步包括对更多男性样本进行进一步的探索性分析，以及确定性因素分析。终生累积暴力严重程度-44量表显示希望是健康研究中累积终生暴力的第一个综合指标，该研究将性别，个人困扰和经历都视为犯罪者和目标。下一步包括对更多男性样本进行进一步的探索性分析，以及确定性因素分析。