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Published in: BMC Public Health 1/2016

Open Access 01-12-2015 | Research article

Validation and comparison study of three urbanicity scales in a Thailand context

Authors: Wiroj Jiamjarasrangsi, Wichai Aekplakorn, Thosporn Vimolkej

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Validity and reliability of an urbanicity scale is of utmost importance in developing effective strategies to minimize adverse social and health consequences of increased urbanization. A number of urbanicity scales for the quantitative assessment of the “static” feature of an urban environment has been invented and validated by the original developers. However, their comparability and robustness when utilized in another study context were not verified. This study aimed to examine the comparability, validity, and reliability of three urbanicity scales proposed by Dahly and Adair, Jones-Smith and Popkin, and Novak et al. in a Thailand context.

Methods

Urban characteristics data for 537 communities throughout Thailand were obtained from authoritative sources, and urbinicity scores were calculated according to the original developers’ algorithms with some modifications to accommodate local available data. Comparability, dimensionality, internal consistency, and criterion-related and construct validities of the scores were then determined.

Results

All three scales were highly correlated, but Dahly and Adair’s and Jones-Smith and Popkin’s were more comparable. Only Dahly and Adair’s scale achieved the unidimensionality assumption. Internal consistency ranged from very poor to high, based on their Chonbach’s alpha and the corrected item-scale correlation coefficients. All three scales had good criterion-related validity (when compared against the official urban–rural dichotomy and four-category urbanicity classification) and construct validity (in terms of their relation to the mean per capita monthly income and body mass index).

Conclusions

This study’s results ensure the utility of these three urbanicity scales as valid instruments for examining the social and health impacts of urbanicity/urbanization, but caution must be applied with comparisons of urbanicity levels across different studies when different urbanicity scales are applied.
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Literature
1.
go back to reference United Nations DoEaSA, Population Division. World urbanization prospects: the 2014 revision, (ST/ESA/SER.A/366). New York: United Nations; 2015. United Nations DoEaSA, Population Division. World urbanization prospects: the 2014 revision, (ST/ESA/SER.A/366). New York: United Nations; 2015.
2.
go back to reference World Health Organization. Why urban health matters. Geneva: World Health Organization; 2010. World Health Organization. Why urban health matters. Geneva: World Health Organization; 2010.
3.
go back to reference Harpham T. Urban health in developing countries: what do we know and where do we go? Health Place. 2009;15(1):107–16.PubMedCrossRef Harpham T. Urban health in developing countries: what do we know and where do we go? Health Place. 2009;15(1):107–16.PubMedCrossRef
4.
go back to reference Eckert S, Kohler S. Urbanization and health in developing countries: a systematic review. World Health Popul. 2014;15(1):7–20.PubMedCrossRef Eckert S, Kohler S. Urbanization and health in developing countries: a systematic review. World Health Popul. 2014;15(1):7–20.PubMedCrossRef
5.
go back to reference Rydin Y, Bleahu A, Davies M, Davila JD, Friel S, De Grandis G, et al. Shaping cities for health: complexity and the planning of urban environments in the 21st century. Lancet. 2012;379(9831):2079–108.PubMedPubMedCentralCrossRef Rydin Y, Bleahu A, Davies M, Davila JD, Friel S, De Grandis G, et al. Shaping cities for health: complexity and the planning of urban environments in the 21st century. Lancet. 2012;379(9831):2079–108.PubMedPubMedCentralCrossRef
6.
go back to reference Allender S, Foster C, Hutchinson L, Arambepola C. Quantification of urbanization in relation to chronic diseases in developing countries: a systematic review. J Urban Health. 2008;85(6):938–51.PubMedPubMedCentralCrossRef Allender S, Foster C, Hutchinson L, Arambepola C. Quantification of urbanization in relation to chronic diseases in developing countries: a systematic review. J Urban Health. 2008;85(6):938–51.PubMedPubMedCentralCrossRef
7.
go back to reference Dahly DL, Adair LS. Quantifying the urban environment: a scale measure of urbanicity outperforms the urban–rural dichotomy. Soc Sci Med. 2007;64(7):1407–19.PubMedPubMedCentralCrossRef Dahly DL, Adair LS. Quantifying the urban environment: a scale measure of urbanicity outperforms the urban–rural dichotomy. Soc Sci Med. 2007;64(7):1407–19.PubMedPubMedCentralCrossRef
8.
go back to reference Allender S, Wickramasinghe K, Goldacre M, Matthews D, Katulanda P. Quantifying urbanization as a risk factor for noncommunicable disease. J Urban Health. 2011;88(5):906–18.PubMedPubMedCentralCrossRef Allender S, Wickramasinghe K, Goldacre M, Matthews D, Katulanda P. Quantifying urbanization as a risk factor for noncommunicable disease. J Urban Health. 2011;88(5):906–18.PubMedPubMedCentralCrossRef
9.
go back to reference McDade TW, Adair LS. Defining the “urban” in urbanization and health: a factor analysis approach. Soc Sci Med. 2001;53(1):55–70.PubMedCrossRef McDade TW, Adair LS. Defining the “urban” in urbanization and health: a factor analysis approach. Soc Sci Med. 2001;53(1):55–70.PubMedCrossRef
10.
go back to reference Van de Poel E, O’Donnell O, Van Doorslaer E. Urbanization and the spread of diseases of affluence in China. Econ Hum Biol. 2009;7(2):200–16.PubMedCrossRef Van de Poel E, O’Donnell O, Van Doorslaer E. Urbanization and the spread of diseases of affluence in China. Econ Hum Biol. 2009;7(2):200–16.PubMedCrossRef
11.
go back to reference Allender S, Lacey B, Webster P, Rayner M, Deepa M, Scarborough P, et al. Level of urbanization and noncommunicable disease risk factors in Tamil Nadu. India Bull World Health Organ. 2010;88(4):297–304.PubMedCrossRef Allender S, Lacey B, Webster P, Rayner M, Deepa M, Scarborough P, et al. Level of urbanization and noncommunicable disease risk factors in Tamil Nadu. India Bull World Health Organ. 2010;88(4):297–304.PubMedCrossRef
12.
go back to reference Van de Poel E, O’Donnell O, Doorslaer EV. Is there a health penalty of China’s rapid urbanization? Health Econ. 2012;21(4):367–85.PubMedCrossRef Van de Poel E, O’Donnell O, Doorslaer EV. Is there a health penalty of China’s rapid urbanization? Health Econ. 2012;21(4):367–85.PubMedCrossRef
13.
go back to reference Monda KL, Gordon-Larsen P, Stevens J, Popkin BM. China’s transition: the effect of rapid urbanization on adult occupational physical activity. Soc Sci Med. 2007;64(4):858–70.PubMedPubMedCentralCrossRef Monda KL, Gordon-Larsen P, Stevens J, Popkin BM. China’s transition: the effect of rapid urbanization on adult occupational physical activity. Soc Sci Med. 2007;64(4):858–70.PubMedPubMedCentralCrossRef
14.
go back to reference Jones-Smith JC, Popkin BM. Understanding community context and adult health changes in China: development of an urbanicity scale. Soc Sci Med. 2010;71(8):1436–46.PubMedPubMedCentralCrossRef Jones-Smith JC, Popkin BM. Understanding community context and adult health changes in China: development of an urbanicity scale. Soc Sci Med. 2010;71(8):1436–46.PubMedPubMedCentralCrossRef
15.
go back to reference Novak NL, Allender S, Scarborough P, West D. The development and validation of an urbanicity scale in a multi-country study. BMC Public Health. 2012;12(530):1471–2458. Novak NL, Allender S, Scarborough P, West D. The development and validation of an urbanicity scale in a multi-country study. BMC Public Health. 2012;12(530):1471–2458.
16.
go back to reference Liu GG, Wu XD, Peng CY, Fu AZ. Urbanization and health care in rural China. Contemp Econ Policy. 2003;21(1):11–24.CrossRef Liu GG, Wu XD, Peng CY, Fu AZ. Urbanization and health care in rural China. Contemp Econ Policy. 2003;21(1):11–24.CrossRef
17.
go back to reference Cyril S, Oldroyd JC, Renzaho A. Urbanisation, urbanicity, and health: a systematic review of the reliability and validity of urbanicity scales. BMC Public Health. 2013;13(513):1471–2458. Cyril S, Oldroyd JC, Renzaho A. Urbanisation, urbanicity, and health: a systematic review of the reliability and validity of urbanicity scales. BMC Public Health. 2013;13(513):1471–2458.
18.
go back to reference Gordon-Larsen P, Wang H, Popkin BM. Overweight dynamics in Chinese children and adults. Obes Rev. 2014;1:37–48.CrossRef Gordon-Larsen P, Wang H, Popkin BM. Overweight dynamics in Chinese children and adults. Obes Rev. 2014;1:37–48.CrossRef
19.
go back to reference Riha J, Karabarinde A, Ssenyomo G, Allender S, Asiki G, Kamali A, et al. Urbanicity and lifestyle risk factors for cardiometabolic diseases in rural Uganda: a cross-sectional study. PLoS Med. 2014;11(7):e1001683.PubMedPubMedCentralCrossRef Riha J, Karabarinde A, Ssenyomo G, Allender S, Asiki G, Kamali A, et al. Urbanicity and lifestyle risk factors for cardiometabolic diseases in rural Uganda: a cross-sectional study. PLoS Med. 2014;11(7):e1001683.PubMedPubMedCentralCrossRef
20.
go back to reference Aekplakorn W, Porapakkham Y, Taneepanichskul S, Puckcharern H, Satheannoppakao W, Thaikla K. The report of Thailand population health examination survey IV, 2009. Nonthaburi: National Health Examination Survey Office (NHESO); 2009. Aekplakorn W, Porapakkham Y, Taneepanichskul S, Puckcharern H, Satheannoppakao W, Thaikla K. The report of Thailand population health examination survey IV, 2009. Nonthaburi: National Health Examination Survey Office (NHESO); 2009.
21.
go back to reference Community Development Department. Report: Thai Rural Villages-from the fundamental database at village level (Gor Chor Chor 2 Kor), 2556 BE. Nonthaburi: Community Development Department, Ministry of Interior, Thailand; 2013. Community Development Department. Report: Thai Rural Villages-from the fundamental database at village level (Gor Chor Chor 2 Kor), 2556 BE. Nonthaburi: Community Development Department, Ministry of Interior, Thailand; 2013.
22.
go back to reference National Statistical Office. The population and housing census 2553 BE. Nonthaburi: National Statistical Office, Ministry of Information and Communication Technology, Thailand; 2010. National Statistical Office. The population and housing census 2553 BE. Nonthaburi: National Statistical Office, Ministry of Information and Communication Technology, Thailand; 2010.
28.
go back to reference Office of Natural Resources and Environmental Policy and Planning. Information Technology and Database System for Follow-up and Evaluation, Community Garbage and Sewage Management System. Analysis and Implementation Plan Coordination Working Group, Office of Natural Resources and Environmental Policy and Planning, Ministry of Natural Resources and Environment, Thailand 2015. http://mews.onep.go.th/default.aspx . Accessed 1 Feb 2015. Office of Natural Resources and Environmental Policy and Planning. Information Technology and Database System for Follow-up and Evaluation, Community Garbage and Sewage Management System. Analysis and Implementation Plan Coordination Working Group, Office of Natural Resources and Environmental Policy and Planning, Ministry of Natural Resources and Environment, Thailand 2015. http://​mews.​onep.​go.​th/​default.​aspx . Accessed 1 Feb 2015.
34.
go back to reference Aday LA. Preparing the data for analysis. Designing and conducting health surveys. 2nd ed. San Francisco, CA: Jossey-Bass Inc; 1996. p. 305–21. Aday LA. Preparing the data for analysis. Designing and conducting health surveys. 2nd ed. San Francisco, CA: Jossey-Bass Inc; 1996. p. 305–21.
35.
go back to reference Office of the Support Committee for the National Social Welfare Provision. List of guardian centers for various kinds of disable persons in Thailand. Office of the Support Committee for the National Social Welfare Provision, Department of Social Development and Welfare, Ministry of Social Development and Human Security, Thailand. 2015. http://www.m-society.go.th/article_attach/829/1432.pdf. Accessed 1 Feb 2015. Office of the Support Committee for the National Social Welfare Provision. List of guardian centers for various kinds of disable persons in Thailand. Office of the Support Committee for the National Social Welfare Provision, Department of Social Development and Welfare, Ministry of Social Development and Human Security, Thailand. 2015. http://​www.​m-society.​go.​th/​article_​attach/​829/​1432.​pdf. Accessed 1 Feb 2015.
36.
go back to reference National Health Security Office. Annual report 2007. The development of Universal health coverage schemes (UHCS). Nonthaburi: National Health Security Office (NHSO); 2007. National Health Security Office. Annual report 2007. The development of Universal health coverage schemes (UHCS). Nonthaburi: National Health Security Office (NHSO); 2007.
37.
go back to reference Asthana HS, Bhushan B. Statistics for social sciences (with SPSS applications). New Delhi: Prentice-Hall of India Pvt. Ltd; 2007. Asthana HS, Bhushan B. Statistics for social sciences (with SPSS applications). New Delhi: Prentice-Hall of India Pvt. Ltd; 2007.
38.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Erlbaum; 1988. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Erlbaum; 1988.
39.
go back to reference Altman D. Practical statistics for medical research. London: Chapman and Hall; 1991. Altman D. Practical statistics for medical research. London: Chapman and Hall; 1991.
40.
go back to reference DeVellis R. Scale development: theory and applications. 2nd ed. Thousand Oaks, CA: Sage Publications; 2003. DeVellis R. Scale development: theory and applications. 2nd ed. Thousand Oaks, CA: Sage Publications; 2003.
41.
go back to reference Netemeyer R, Bearden W, Sharma S. Scaling procedures: issues and applications. Thousand Oaks, CA: Sage Publications; 2003. Netemeyer R, Bearden W, Sharma S. Scaling procedures: issues and applications. Thousand Oaks, CA: Sage Publications; 2003.
44.
go back to reference Montgomery M, Stren R, Cohen B, Reed H. Cities transformed: demographic change and its implications in the developing world. Washington, DC: National Academy Press; 2003. Montgomery M, Stren R, Cohen B, Reed H. Cities transformed: demographic change and its implications in the developing world. Washington, DC: National Academy Press; 2003.
45.
go back to reference Yach D, Mathews C, Buch E. Urbanisation and health: methodological difficulties in undertaking epidemiological research in developing countries. Soc Sci Med. 1990;31(4):507–14.PubMedCrossRef Yach D, Mathews C, Buch E. Urbanisation and health: methodological difficulties in undertaking epidemiological research in developing countries. Soc Sci Med. 1990;31(4):507–14.PubMedCrossRef
47.
go back to reference Davenport EC, Davison ML, Pey-Yan Liou P, Love QU. Reliability, dimensionality, and internal consistency as defined by Cronbach: distinct albeit related concepts. Educ Meas. 2015;34(4):4-9.CrossRef Davenport EC, Davison ML, Pey-Yan Liou P, Love QU. Reliability, dimensionality, and internal consistency as defined by Cronbach: distinct albeit related concepts. Educ Meas. 2015;34(4):4-9.CrossRef
48.
go back to reference Slocum-Gori SL, Zumbo BD. Assessing the unidimensionality of psychological scales: using multiple criteria from factor analysis. Soc Indic Res. 2011;102(3):443–61.CrossRef Slocum-Gori SL, Zumbo BD. Assessing the unidimensionality of psychological scales: using multiple criteria from factor analysis. Soc Indic Res. 2011;102(3):443–61.CrossRef
49.
go back to reference Hofmann A, Wan G. Determinants of urbanization. ADB Economics Working Paper Series No. 355. Metro Manila: Asian Development Bank; 2013. Hofmann A, Wan G. Determinants of urbanization. ADB Economics Working Paper Series No. 355. Metro Manila: Asian Development Bank; 2013.
50.
go back to reference Cohen B. Urbanization in developing countries: current trends, future projections, and key challenges for sustainability. Technol Soc. 2006;28(1–2):63–80.CrossRef Cohen B. Urbanization in developing countries: current trends, future projections, and key challenges for sustainability. Technol Soc. 2006;28(1–2):63–80.CrossRef
Metadata
Title
Validation and comparison study of three urbanicity scales in a Thailand context
Authors
Wiroj Jiamjarasrangsi
Wichai Aekplakorn
Thosporn Vimolkej
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-2704-y

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