Spanish adaptation of the Gender-Related Variables for Health Research (GVHR)Factorial structure and relationship with health variables
- Juan F. Díaz-Morales 1
- Sara Esteban-Gonzalo 1
- Natalia Martín-María 2
- Yaiza Puig-Navarro 1
-
1
Universidad Complutense de Madrid
info
-
2
Universidad Autónoma de Madrid
info
ISSN: 1138-7416
Any de publicació: 2023
Número: 26
Tipus: Article
Altres publicacions en: The Spanish Journal of Psychology
Resum
The aim of the present study was to conduct a preliminary study of the Stanford Gender-Related Variables for Health Research (GVHR) adapted to the Spanish population, testing its factor structure, sex factorial invariance and relationship with health variables. Participants were 438 adults between 19–73 years old (M = 31.90, SD = 12.12) who completed the GVHR and measures of health-related quality of life, psychological health, and health-risk behaviors. The confirmatory factorial analysis of the GVHR indicated an acceptable fit to the 7-factor structure as proposed for the North American population. Emotional intelligence and independence factors had low internal consistency, therefore, a five-factor model was tenable in the Spanish population. Sex scalar invariance was tenable, indicating that the factors latent means can be meaningfully compared across sex. Univariate logistic regressions indicated that women reported worse mental and physical health and more health limitations, but this effect dissipated when gender variables were considered. Caregiver and work strain stood out as the variables related to gender that predicted worse health-related quality of life, psychological health, and health-risk behaviors. In conclusion, factorial structure of the GVHR may differ from one culture to another. Additionally, the variables related to gender in the GVHR give a better account of the differences in health compared to biological sex.
Referències bibliogràfiques
- Ader, D. N. (2007). Developing the patient-reported outcomes measurement information system (PROMIS). Medical Care, 45, S1–S2. https://doi.org/10.1097/01.mlr.0000260537.45076.74
- Bauer, G. R., & Scheim, A. I. (2019). Methods for analytic intercategorical intersectionality in quantitative research: Discrimination as a mediator of health inequalities. Social Science & Medicine, 226, 236–245. https://doi.org/10.1016/j.socscimed.2018.12.015
- Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42(2), 155–162. https://doi.org/10.1037/h0036215
- Bentler, P. M. (1992). On the fit of models to covariances and methodology to the Bulletin. Psychological Bulletin, 112(3), 400–404. https://doi.org/10.1037/0033-2909.112.3.400
- Bhullar, N., Schutte, N. S., & Malouff, J. M. (2012). Associations of individualistic-collectivistic orientations with emotional intelligence, mental health, and satisfaction with life: A tale of two countries. Individual Differences Research, 10(3), 165–175.
- Canadian Institutes of Health Research. (2010). Sex and health research guide: A tool for CIHR applicants. https://www.genderportal.eu/resources/sex-gender-and-health-research-guide-tool-cihr-applicants
- Caprara, G. V., Steca, P., Zelli, A., & Capanna, C. (2005). A new scale for measuring adults’ prosocialness. European Journal of Psychological Assessment, 21(2), 77–89. https://doi.org/10.1027/1015-5759.21.2.77
- Centers for Disease Control and Prevention. (2000). Measuring healthy days: Population assessment of health-related quality of life. https://www.cdc.gov/hrqol/pdfs/mhd.pdf
- Chen, H.-Y., Baumgardner, D. J., & Rice, J. P. (2011). Peer reviewed: Health-related quality of life among adults with multiple chronic conditions in the United States, Behavioral Risk Factor Surveillance System, 2007. Preventing Chronic Disease, 8(1), Article A09.
- Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9(2), 233–255. https://doi.org/10.1207/S15328007SEM0902_5
- Connell, R. (2012). Gender, health and theory: Conceptualizing the issue, in local and world perspective. Social Science & Medicine, 74(11), 1675–1683. https://doi.org/10.1016/j.socscimed.2011.06.006
- Dohmen, T., Falk, A., Huffman, D., Sunde, U., Schupp, J., & Wagner, G. G. (2011). Individual risk attitudes: Measurement, determinants, and behavioral consequences. Journal of the European Economic Association, 9(3), 522–550. https://doi.org/10.1111/j.1542-4774.2011.01015.x
- Else-Quest, N. M., & Hyde, J. S. (2017). The psychology of women and gender: Half the human experience+. Sage Publications.
- European Commission. (2013). Gender equality in Horizon 2020.
- García-Sánchez, R., Almendros, C., Gámez-Guadix, M., Martín, M. J., Aramayona, B., & Martínez, J. M. (2018). Assessment of conflicts associated with a traditional masculine gender role in Spanish college men and women. Sex Roles, 78(1), 81–93. https://doi.org/10.1007/s11199-017-0765-8
- Heidari, S., Babor, T. F., De Castro, P., Tort, S., & Curno, M. (2016). Sex and gender equity in research: Rationale for the SAGER guidelines and recommended use. Research Integrity and Peer Review, 1(1), Article 2. http://doi.org/10.1186/s41073-016-0007-6
- Heise, L., Greene, M. E., Opper, N., Stavropoulou, M., Harper, C., Nascimento, M., & Zewdie, D. (2019). Gender inequality and restrictive gender norms: Framing the challenges to health. The Lancet, 393(10189), 2440–2454. https://doi.org/10.1016/S0140-6736(19)30652-X
- Howard, L. M., Ehrlich, A. M., Gamlen, F., & Oram, S. (2017). Gender-neutral mental health research is sex and gender biased. The Lancet Psychiatry, 4(1), 9–11. https://doi.org/10.1016/S2215-0366(16)30209-7
- Hyde, J. S. (2005). The gender similarities hypothesis. American Psychologist, 60(6), 581–592. https://doi.org/10.1037/0003-066X.60.6.581
- Hyde, J. S., Bigler, R. S., Joel, D., Tate, C. C., & van Anders, S. M. (2019). The future of sex and gender in psychology: Five challenges to the gender binary. American Psychologist, 74(2), 171–193. https://doi.org/10.1037/amp0000307
- Johnson, J. L., Greaves, L., & Repta, R. (2009). Better science with sex and gender: Facilitating the use of a sex and gender-based analysis in health research. International Journal for Equity in Health, 8(1), Article 14. https://doi.org/10.1186/1475-9276-8-14
- Jöreskog, K.G., & Sörbom, D. (1993). LISREL 8: Structural equation modeling with the SIMPLIS command language. Scientific Software International; Lawrence Erlbaum Associates, Inc.
- Jöreskog, K. G., Sörbom, D., du Toit, S., & du Toit, M. (2001). LISREL 8: New statistical features. Scientific Software International.
- Krieger, N. (2003). Genders, sexes, and health: What are the connections—and why does it matter? International Journal of Epidemiology, 32(4), 652–657. https://doi.org/10.1093/ije/dyg156
- Levant, R., Richmond, K., Cook, S., House, A. T., & Aupont, M. (2007). The Femininity Ideology scale: Factor structure, reliability, convergent and discriminant validity, and social contextual variation. Sex Roles, 57(5), 373–383. https://doi.org/10.1007/s11199-007-9258-5
- Litzelman, K., Skinner, H. G., Gangnon, R. E., Nieto, F. J., Malecki, K., & Witt, W. P. (2015). The relationship among caregiving characteristics, caregiver strain, and health-related quality of life: Evidence from the Survey of the Health of Wisconsin. Quality of Life Research, 24(6), 1397–1406. https://doi.org/10.1007/s11136-014-0874-6
- López-Núñez, M. I., Díaz-Morales, J. F., & Aparicio-García, M. E. (2021). Individual differences, personality, social, family and work variables on mental health during COVID–19 outbreak in Spain. Personality and Individual Differences, 172, Article 110562. https://doi.org/10.1016/j.paid.2020.110562
- Mahalik, J. R., Locke, B. D., Ludlow, L. H., Diemer, M. A., Scott, R. P., Gottfried, M., & Freitas, G. (2003). Development of the Conformity to Masculine Norms Inventory. Psychology of Men & Masculinity, 4(1), 3–25. https://doi.org/10.1037/1524-9220.4.1.3
- Mahalik, J. R., Morray, E. B., Coonerty-Femiano, A., Ludlow, L. H., Slattery, S. M., & Smiler, A. (2005). Development of the Conformity to Feminine Norms Inventory. Sex Roles, 52(7–8), 417–435. https://doi.org/10.1007/s11199-005-3709-7
- Manandhar, M., Hawkes, S., Buse, K., Nosrati, E., & Magar, V. (2018). Gender, health and the 2030 agenda for sustainable development. Bulletin of the World Health Organization, 96(9), 644–653. https://doi.org/10.2471/BLT.18.211607
- Martín-Fernández, J., Ariza-Cardiel, G., Polentinos-Castro, E., Gil-Lacruz, A. I., Gómez-Gascón, T., Domínguez-Bidagor, J., & del-Cura-González, I. (2016). Risk-taking attitudes of people who seek health care: An exploratory approach through lottery games using generalized estimating equations. Revista Española de Salud Pública, 90, Article e30003.
- Martins, A., Ramalho, N., & Morin, E. (2010). A comprehensive meta-analysis of the relationship between emotional intelligence and health. Personality and Individual Differences, 49(6), 554–564. https://doi.org/10.1016/j.paid.2010.05.029
- Moreno Mínguez, A. (2010). Family and gender roles in Spain from a comparative perspective. European Societies, 12(1), 85–111. https://doi.org/10.1080/14616690902890321
- Nielsen, M. W., Stefanick, M. L., Peragine, D., Neilands, T. B., Ioannidis, J. P. A., Pilote, L., Prochaska, J. J., Cullen, M. R., Einstein, G., Klinge, I., LeBlanc, H., Paik, H. Y., & Schiebinger, L. (2021). Gender-related variables for health research. Biology of Sex Differences, 12(1), Article 23. https://doi.org/10.1186/s13293-021-00366-3
- O’Neil, J. M. (1981). Patterns of gender role conflict and strain: Sexism and fear of femininity in men’s lives. The Personnel and Guidance Journal, 60(4), 203–210. https://doi.org/10.1002/j.2164-4918.1981.tb00282.x
- Oyserman, D., Coon, H. M., & Kemmelmeier, M. (2002). Rethinking individualism and collectivism: Evaluation of theoretical assumptions and meta-analyses. Psychological Bulletin, 128(1), 3. https://doi.org/10.1037/0033-2909.128.1.3
- Phillips, S. P. (2005). Defining and measuring gender: A social determinant of health whose time has come. International Journal for Equity in Health, 4(1), Article 11. https://doi.org/10.1186/1475-9276-4-11
- Phillips, S. P. (2008). Measuring the health effects of gender. Journal of Epidemiology & Community Health, 62(4), 368–371. http://doi.org/10.1136/jech.2007.062158
- Pinquart, M., & Sörensen, S. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18(2), 250–267. https://doi.org/10.1037/0882-7974.18.2.250
- Pinquart, M., & Sörensen, S. (2007). Correlates of physical health of informal caregivers: A meta-analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 62(2), P126–P137. https://doi.org/10.1093/geronb/62.2.P126
- Pourjali, F., & Zarnaghash, M. (2010). Relationships between assertiveness and the power of saying no with mental health among undergraduate student. Procedia-Social and Behavioral Sciences, 9, 137–141. https://doi.org/10.1016/j.sbspro.2010.12.126
- Schiebinger, L. (2022). Sex, gender, and intersectional puzzles in health and biomedicine research. Med, 3(5), 284–287. https://doi.org/10.1016/j.medj.2022.04.003
- Smiler, A. P., & Epstein, M. (2010). Measuring gender: Options and issues. In Chrisler, J. & McCreary, D. (Eds.), Handbook of gender research in psychology (pp. 133–157). Springer. https://doi.org/10.1007/978-1-4419-1465-1_7
- Smith, J. E., & Keeney, R. L. (2005). Your money or your life: A prescriptive model for health, safety, and consumption decisions. Management Science, 51(9), 1309–1325. https://doi.org/10.1287/mnsc.1050.0402
- Tannenbaum, C., Ellis, R. P., Eyssel, F., Zou, J., & Schiebinger, L. (2019). Sex and gender analysis improves science and engineering. Nature, 575(7781), 137–146. https://doi.org/10.1038/s41586-019-1657-6
- Varma, P., Junge, M., Meaklim, H., & Jackson, M. L. (2021). Younger people are more vulnerable to stress, anxiety and depression during COVID–19 pandemic: A global cross-sectional survey. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 109, Article 110236. https://doi.org/10.1016/j.pnpbp.2020.110236
- Vilagut, G., Forero, C. G, Adroher, N. D., Olariu, E., Cella, D., Alonso, J., the InSAyd investigators. (2015). Testing the PROMIS Depression measures for monitoring depression in a clinical sample outside the US. Journal of Psychiatric Research, 58, 140–150. https://doi.org/10.1016/j.jpsychires.2015.06.009
- Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003). Is caregiving hazardous to one’s physical health? A meta-analysis. Psychological Bulletin, 129(6), 946–972. https://doi.org/10.1037/0033-2909.129.6.946
- Wester, S. R., Vogel, D. L., O’Neil, J. M., & Danforth, L. (2012). Development and evaluation of the Gender Role Conflict Scale Short Form (GRCS-SF). Psychology of Men & Masculinity, 13(2), 199–210. https://doi.org/10.1037/a0025550
- Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. JAMA, 273(1), 59–65. https://doi.org/10.1001/jama.1995.03520250075037
- Wood, W., & Eagly, A. H. (2015). Two traditions of research on gender identity. Sex Roles, 73(11), 461–473. https://doi.org/10.1007/s11199-015-0480-2
- World Health Organization. (2000). Women’s mental health: An evidence based review. https://apps.who.int/iris/handle/10665/66539
- World Health Organization. (2003). Gender analysis in health: A review of selected tools. https://apps.who.int/iris/handle/10665/42600
- World Health Organization. (2014). Gender, women and health: What do we mean by “sex” and “gender”. https://www.legal-tools.org/doc/a33dc3/pdf/
- Yang-Wallentin, F., Jöreskog, K. G., & Luo, H. (2010). Confirmatory factor analysis of ordinal variables with misspecified models. Structural Equation Modeling, 17(3), 392–423. https://doi.org/10.1080/10705511.2010.489003
- Zheng, H., & Echave, P. (2021). Are recent cohorts getting worse? Trends in US adult physiological status, mental health, and health behaviors across a century of birth cohorts. American Journal of Epidemiology, 190(11), 2242–2255. https://doi.org/10.1093/aje/kwab076