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Validation of the FCV-19 Scale and Assessment of Fear of COVID-19 in the Population of Mozambique, East Africa
Psychology Research and Behavior Management ( IF 2.8 ) Pub Date : 2021-03-19 , DOI: 10.2147/prbm.s298948 Rubia Carla Formighieri Giordani 1 , Suely Ruiz Giolo 2 , Camila Muhl 3 , Arune João Estavela 4 , Janete Ismael Mabuie Gove 4
Psychology Research and Behavior Management ( IF 2.8 ) Pub Date : 2021-03-19 , DOI: 10.2147/prbm.s298948 Rubia Carla Formighieri Giordani 1 , Suely Ruiz Giolo 2 , Camila Muhl 3 , Arune João Estavela 4 , Janete Ismael Mabuie Gove 4
Affiliation
Purpose: This study aimed to validate the Portuguese version of the Fear of COVID-19 Scale (FCV-19S) and investigate its association with sociodemographic and pandemic-related variables in the population of Mozambique.
Participants and Methods: A cross-sectional online survey recruited 387 Mozambicans aged 18 to 70 years. The psychometric properties of the Portuguese version of the FCV-19S were evaluated using confirmatory factor analysis and Rash analysis. Additionally, the association of the FCV-19S with sociodemographic and pandemic-related variables was investigated using the two-sample t-test, one-way analysis of variance, and logistic regression.
Results: The unidimensional factor structure of the Portuguese version of the FCV-19S was confirmed, and the scale showed good internal consistency reliability. The FCV-19S properties tested from the Rasch analysis were satisfactory. Women and those with lower education levels had higher scores of fear. Moreover, significantly higher levels of fear were observed among those being in an at-risk group for COVID-19, having family members or friends diagnosed or with death confirmed by COVID-19, and not being confident that they would receive adequate care from the public health services in case of COVID-19 infection.
Conclusion: The Portuguese version of FCV-19S has strong psychometric properties and can be used to assess the fear of COVID-19 in the Portuguese-speaking population of Mozambique. As the adverse impacts of the COVID-19 pandemic on mental health represents a challenge to clinical psychiatry, and information on mental health in African countries is still scarce, our findings may assist in the planning of public mental health policies, aimed mainly at specific segments of the population, such as women and people in extreme poverty.
Keywords: mental health, fear scale, infection, pandemic, psychometrics
中文翻译：
东非莫桑比克人口中 FCV-19 量表的验证和对 COVID-19 恐惧的评估
目的：本研究旨在验证葡萄牙语版本的 COVID-19 恐惧量表 (FCV-19S)，并调查其与莫桑比克人口的社会人口统计和流行病相关变量的关联。
参与者和方法：一项横断面在线调查招募了 387 名 18 至 70 岁的莫桑比克人。使用验证性因素分析和拉什分析来评估葡萄牙版 FCV-19S 的心理测量特性。此外，还使用双样本t检验、单向方差分析和逻辑回归研究了 FCV-19S 与社会人口统计学和流行病相关变量的关联。
结果：葡萄牙版FCV-19S的一维因子结构得到确认，量表表现出良好的内部一致性信度。 Rasch 分析测试的 FCV-19S 性能令人满意。女性和受教育程度较低的人的恐惧程度较高。此外，在那些属于 COVID-19 高危人群、家人或朋友被诊断出感染了 COVID-19 或确诊死亡的人中，以及对自己是否会得到足够的护理没有信心的人中，恐惧程度明显更高。发生 COVID-19 感染时的公共卫生服务。
结论： FCV-19S 的葡萄牙语版本具有很强的心理测量特性，可用于评估莫桑比克葡萄牙语人群对 COVID-19 的恐惧。由于COVID-19大流行对心理健康的不利影响对临床精神病学提出了挑战，而且非洲国家的心理健康信息仍然匮乏，我们的研究结果可能有助于规划主要针对特定群体的公共心理健康政策人口，例如妇女和赤贫人口。
关键词：心理健康、恐惧量表、感染、流行病、心理测量学
更新日期：2021-04-21
Participants and Methods: A cross-sectional online survey recruited 387 Mozambicans aged 18 to 70 years. The psychometric properties of the Portuguese version of the FCV-19S were evaluated using confirmatory factor analysis and Rash analysis. Additionally, the association of the FCV-19S with sociodemographic and pandemic-related variables was investigated using the two-sample t-test, one-way analysis of variance, and logistic regression.
Results: The unidimensional factor structure of the Portuguese version of the FCV-19S was confirmed, and the scale showed good internal consistency reliability. The FCV-19S properties tested from the Rasch analysis were satisfactory. Women and those with lower education levels had higher scores of fear. Moreover, significantly higher levels of fear were observed among those being in an at-risk group for COVID-19, having family members or friends diagnosed or with death confirmed by COVID-19, and not being confident that they would receive adequate care from the public health services in case of COVID-19 infection.
Conclusion: The Portuguese version of FCV-19S has strong psychometric properties and can be used to assess the fear of COVID-19 in the Portuguese-speaking population of Mozambique. As the adverse impacts of the COVID-19 pandemic on mental health represents a challenge to clinical psychiatry, and information on mental health in African countries is still scarce, our findings may assist in the planning of public mental health policies, aimed mainly at specific segments of the population, such as women and people in extreme poverty.
Keywords: mental health, fear scale, infection, pandemic, psychometrics
中文翻译：
东非莫桑比克人口中 FCV-19 量表的验证和对 COVID-19 恐惧的评估
目的：本研究旨在验证葡萄牙语版本的 COVID-19 恐惧量表 (FCV-19S)，并调查其与莫桑比克人口的社会人口统计和流行病相关变量的关联。
参与者和方法：一项横断面在线调查招募了 387 名 18 至 70 岁的莫桑比克人。使用验证性因素分析和拉什分析来评估葡萄牙版 FCV-19S 的心理测量特性。此外，还使用双样本t检验、单向方差分析和逻辑回归研究了 FCV-19S 与社会人口统计学和流行病相关变量的关联。
结果：葡萄牙版FCV-19S的一维因子结构得到确认，量表表现出良好的内部一致性信度。 Rasch 分析测试的 FCV-19S 性能令人满意。女性和受教育程度较低的人的恐惧程度较高。此外，在那些属于 COVID-19 高危人群、家人或朋友被诊断出感染了 COVID-19 或确诊死亡的人中，以及对自己是否会得到足够的护理没有信心的人中，恐惧程度明显更高。发生 COVID-19 感染时的公共卫生服务。
结论： FCV-19S 的葡萄牙语版本具有很强的心理测量特性，可用于评估莫桑比克葡萄牙语人群对 COVID-19 的恐惧。由于COVID-19大流行对心理健康的不利影响对临床精神病学提出了挑战，而且非洲国家的心理健康信息仍然匮乏，我们的研究结果可能有助于规划主要针对特定群体的公共心理健康政策人口，例如妇女和赤贫人口。
关键词：心理健康、恐惧量表、感染、流行病、心理测量学
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