Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis

Purpose: This study conducted confirmatory factor analysis (CFA) to examine the measurement structure of the Women's Health Questionnaire (WHQ) and how its components were organized. Methods: Participants were 448 postmenopausal women, with a mean age of 63.3 years. CFA was conducted to test ho...

Full description

Bibliographic Details
Main Authors: Shen, Biing Jiun, Fan, Qianqian, Huang, J. S., Ho, Moon Ho Ringo, Mack, Wendy Jean, Hodis, Howard Neil
Other Authors: School of Social Sciences
Format: Journal Article
Language:English
Published: 2021
Subjects:
Online Access:https://hdl.handle.net/10356/150398
_version_ 1826111808443777024
author Shen, Biing Jiun
Fan, Qianqian
Huang, J. S.
Ho, Moon Ho Ringo
Mack, Wendy Jean
Hodis, Howard Neil
author2 School of Social Sciences
author_facet School of Social Sciences
Shen, Biing Jiun
Fan, Qianqian
Huang, J. S.
Ho, Moon Ho Ringo
Mack, Wendy Jean
Hodis, Howard Neil
author_sort Shen, Biing Jiun
collection NTU
description Purpose: This study conducted confirmatory factor analysis (CFA) to examine the measurement structure of the Women's Health Questionnaire (WHQ) and how its components were organized. Methods: Participants were 448 postmenopausal women, with a mean age of 63.3 years. CFA was conducted to test how well several proposed measurement models fit the data. Results: The single-factor model performed poorly, indicating the presence of multiple factors. The model with seven correlated factors fit the data well, although the varying degrees of inter-factor correlations suggested grouping of similar factors. The hierarchical measurement structure, with seven first-order factors organized under two second-order factors of physical health and mental health functioning, demonstrated a good fit with the data (χ²(367) = 694.05, p < 0.001; root mean square error of approximation = 0.05; comparative fit index = 0.95) and a meaningful pattern. The Mental Health factor was represented by Depressed Mood, Anxiety/Fear, Memory/Concentration Problems, and Sleep Problems. The Physical Health factor was manifested mainly by Somatic Symptoms, Menstrual Symptoms, and Vasomotor Symptoms, and, to a lesser extent, also by Sleep Problems and Memory/Concentration Problems. Conclusion: Findings suggested that, in addition to a global index and subscale scores, the WHQ may produce summary scores of physical health and mental health functioning in evaluation of well-being among postmenopausal women.
first_indexed 2024-10-01T02:56:33Z
format Journal Article
id ntu-10356/150398
institution Nanyang Technological University
language English
last_indexed 2024-10-01T02:56:33Z
publishDate 2021
record_format dspace
spelling ntu-10356/1503982021-06-11T03:03:00Z Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis Shen, Biing Jiun Fan, Qianqian Huang, J. S. Ho, Moon Ho Ringo Mack, Wendy Jean Hodis, Howard Neil School of Social Sciences Social sciences::Psychology Health-related Quality of Life Measurement Structure Purpose: This study conducted confirmatory factor analysis (CFA) to examine the measurement structure of the Women's Health Questionnaire (WHQ) and how its components were organized. Methods: Participants were 448 postmenopausal women, with a mean age of 63.3 years. CFA was conducted to test how well several proposed measurement models fit the data. Results: The single-factor model performed poorly, indicating the presence of multiple factors. The model with seven correlated factors fit the data well, although the varying degrees of inter-factor correlations suggested grouping of similar factors. The hierarchical measurement structure, with seven first-order factors organized under two second-order factors of physical health and mental health functioning, demonstrated a good fit with the data (χ²(367) = 694.05, p < 0.001; root mean square error of approximation = 0.05; comparative fit index = 0.95) and a meaningful pattern. The Mental Health factor was represented by Depressed Mood, Anxiety/Fear, Memory/Concentration Problems, and Sleep Problems. The Physical Health factor was manifested mainly by Somatic Symptoms, Menstrual Symptoms, and Vasomotor Symptoms, and, to a lesser extent, also by Sleep Problems and Memory/Concentration Problems. Conclusion: Findings suggested that, in addition to a global index and subscale scores, the WHQ may produce summary scores of physical health and mental health functioning in evaluation of well-being among postmenopausal women. 2021-06-11T03:03:00Z 2021-06-11T03:03:00Z 2019 Journal Article Shen, B. J., Fan, Q., Huang, J. S., Ho, M. H. R., Mack, W. J. & Hodis, H. N. (2019). Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis. Climacteric, 22(5), 448-453. https://dx.doi.org/10.1080/13697137.2018.1564270 1369-7137 https://hdl.handle.net/10356/150398 10.1080/13697137.2018.1564270 30712399 2-s2.0-85061043635 5 22 448 453 en Climacteric © 2019 International Menopause Society. All rights reserved.
spellingShingle Social sciences::Psychology
Health-related Quality of Life
Measurement Structure
Shen, Biing Jiun
Fan, Qianqian
Huang, J. S.
Ho, Moon Ho Ringo
Mack, Wendy Jean
Hodis, Howard Neil
Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis
title Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis
title_full Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis
title_fullStr Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis
title_full_unstemmed Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis
title_short Hierarchical measurement structure in the Women's Health Questionnaire : a confirmatory factor analysis
title_sort hierarchical measurement structure in the women s health questionnaire a confirmatory factor analysis
topic Social sciences::Psychology
Health-related Quality of Life
Measurement Structure
url https://hdl.handle.net/10356/150398
work_keys_str_mv AT shenbiingjiun hierarchicalmeasurementstructureinthewomenshealthquestionnaireaconfirmatoryfactoranalysis
AT fanqianqian hierarchicalmeasurementstructureinthewomenshealthquestionnaireaconfirmatoryfactoranalysis
AT huangjs hierarchicalmeasurementstructureinthewomenshealthquestionnaireaconfirmatoryfactoranalysis
AT homoonhoringo hierarchicalmeasurementstructureinthewomenshealthquestionnaireaconfirmatoryfactoranalysis
AT mackwendyjean hierarchicalmeasurementstructureinthewomenshealthquestionnaireaconfirmatoryfactoranalysis
AT hodishowardneil hierarchicalmeasurementstructureinthewomenshealthquestionnaireaconfirmatoryfactoranalysis