Validade de constructo da escala Experiences of Discrimination em uma população brasileira

Abstract

Um dos instrumentos mais utilizados na pesquisa epidemiológica sobre discriminação é o Experiences of Discrimination (EOD), utilizada no Brasil, porém não validado. O objetivo foi avaliar a confiabilidade e estrutura dimensional da escala EOD em uma população brasileira. Foi conduzido um estudo transversal com 1.380 adultos da cidade de Salvador, Bahia, Brasil. Realizou-se análise fatorial confirmatória (AFC) testando um modelo de dois fatores: experiência de discriminação e preocupação por discriminação. Os resultados da AFC mostraram parâmetros satisfatórios de ajuste, elevadas cargas fatoriais e valores adequados de confiabilidade, confirmando a consistência interna da escala. Identificaram-se correlações residuais envolvendo itens de ambos os fatores. A estrutura dimensional apresentada neste estudo destaca a importância de utilizar diferentes medidas de discriminação - interpessoais e grupais - que permitam em estudos futuros aprofundar nos efeitos do racismo sobre a saúde

Cross-cultural adaptation of the General Comfort Questionnaire to Brazilian patients with myocardial infarction

“…During the the process of cross-cultural adaptation of the GCQ to people with myocardial infarction, in the evaluation of the conceptual equivalence of the comfort construct, the original instrument and its concepts presented relevance and applicability to the Brazilian context (8,16) .…”

Experiences of Discrimination and Skin Color Among Women in Urban Brazil: A Latent Class Analysis

“…The data collection took place from January to November 2006 when home visits were made by a team previously trained for applying the EOD Questionnaire. The instrument consists of 18 questions applied in face-to-face interviews by a team of psychology graduate students, most mixed race women, supervised by a psychologist and trained in a standardized way (Fattore et al, 2016). The instrument was given in Portuguese after an informed consent was obtained verbally, and the participants were instructed to respond according to their experience, emphasizing that there was no right or wrong answer.…”

“…For this study, discrimination measures were obtained from the Brazilian version of the EOD that included the nine-item version plus the four worry questions. The psychometric properties of this version were evaluated in this population (Fattore et al, 2016). Confirmatory factor analysis was performed testing a two-factor model: "Experiences of discrimination" and "Concern about discrimination," which reflected, respectively, interpersonal and collective forms of discrimination.…”

Validação de conteúdo do instrumento Percepção sobre Discriminação Racial Interpessoal nos Serviços de Saúde (Driss)

“…The instruments available up to that moment were mostly from the United States and had no specific focus on healthcare facilities (Bastos et al, 2010;Kressin;Raymond;Manze, 2008;Paradies;Truong;Priest, 2014). As for the few instruments developed or adapted to the Brazilian reality, none of them evaluated the interpersonal racial discrimination perpetrated by health professionals (Bastos et al, 2012;Fattore et al, 2016;Santos et al, 2006). Given this scenario, as it reflects a gap in knowledge in the field of public health, we chose to elaborate and validate the instrument for measuring Perceptions on Interpersonal Racial Discrimination in Brazilian Healthcare Facilities (Driss) in this study.…”