Adaptation of the short multidimensional inventory lifestyle evaluation-confinement to Turkish: Validity and reliability study
Yıl 2023,
Cilt: 10 Sayı: 4, 562 - 573, 01.12.2023
Berivan Beril Kılıç
,
Emel Mete
,
Reyhan Kaygusuz Benli
,
Özden Yaşarer
,
Aysel Yıldız Özer
Öz
Objective: The aim of this study is to investigate the validity and reliability of the Short Multidimensional Lifestyle Assessment-Isolation (SMILE-C) Questionnaire, which was developed to evaluate lifestyle multidimensionally during the COVID-19 pandemic, in the Turkish sample.
Method: The research was carried out 345 university students who were able to actively access the internet between April 2021 and February 2022. Participants filled in the inquiry forms sent to them online. Lifestyle changes during the closure period within 1 year from the first date of the virus in Turkey were evaluated with SMILE-C. The construct validity was evaluated with Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis, internal consistency with Cronbach's α coefficient, and test-retest reliability with intraclass correlation coefficient. The Healthy Lifestyle Behaviors Scale II (HPLP-II) and the International Physical Activity Questionnaire-Short Form (IPAQ-SF) were used to assess criterion validity.
Results: Cronbach’s α was 0.74 and ICC2.1 was 0.86. The EFA showed a six-factor model and four items loaded on more than one factor. The fit index values confirmed a good fit (Root mean square error of approximation=0.052; Goodness of fit index=0.940; Adjusted goodness of fit index=0.914; Comparative fit index=0.924; Normed fit index=0.901). Statistically significant and positive correlations were found between SMILE-C total score and HPLP-II total score and all sub-dimensions (p<0.001). Statistically significant and positive correlation were found between IPAQ-SF total score and SMILE-C total score and healthy life behavior sub-dimension (p<0.001).
Conclusion: The Turkish version of SMILE-C is a valid and reliable questionnaire that can assess lifestyle multidimensional manner.
Teşekkür
We thank Dr. Vicent Balanza Martinez for his valuable contribution.
Kaynakça
- Abdul Kadir, N. B. Y., Ismail, W. N. K., Abdullah, N. A., Helma, R., Abdul Jalil, S. J., Che Kasim, A., ... & Manaf, M. R. A. (2021). Criterion Validity and Psychometric Properties of a Malay Version of the Short Multidimensional Inventory Lifestyle Evaluation-Confinement (SMILE-C) in a Sample of University Staff with Weight Problems. International Journal of Environmental Research and Public Health, 18(19), 10410. https://doi.org/10.3390/ijerph181910410.
- Akyüz, H. E. (2018). Confirmatory Factor Analysis for Construct Validity: An Applied Study. Bitlis Eren University Journal of Science, 7(2), 186-198. https://doi.org/10.17798/bitlisfen.414490.
- American Diabetes Association. (2018). 4. Lifestyle management: standards of medical care in diabetes-2018. Diabetes Care, 41(Suppl 1), S38-S50. https://doi.org/10.2337/dc18-S004.
- Bahar, Z., Beşer, A., Gördes, N., Ersin, F., & Kıssal, A. (2008). Healthy Life Style Behavior Scale II: A Reliability And Validity Study. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi, 12(1), 1-13.
- Balanzá-Martínez, V., Kapczinski, F., de Azevedo Cardoso, T., Atienza-Carbonell, B., Rosa, A. R., Mota, J. C., & De Boni, R. B. (2021). The assessment of lifestyle changes during the COVID-19 pandemic using a multidimensional scale. Revista de Psiquiatria y Salud Mental,14(1), 16-26.https://doi.org/10.1016/j.rpsm.2020.07.003.
- Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191. https://doi.org/10.1097/00007632-200012150-00014.
- Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588. https://doi.org/10.1037/0033-2909.88.3.588.
- Bland, J. M. (1997). Altman DG Cronbach’s alpha. BMJ, 314(7080), 572. https://doi.org/10.1136/bmj.314.7080.572.
Byrne, B. M., & Campbell, T. L. (1999). Cross-cultural comparisons and the presumption of equivalent measurement and theoretical structure: A look beneath the surface. Journal of Cross-Cultural Psychology,30(5),555-574. https://doi.org/10.1177/0022022199030005001.
- Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., ... & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 35(8), 1381-1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB.
- Doll, H. A., Black, N. A., Flood, A. B., & McPherson, K. (1993). Criterion validation of the Nottingham Health Profile: patient views of surgery for benign prostatic hypertrophy. Social Science & Medicine, 37(1), 115-122. https://doi.org/10.1016/0277-9536(93)90324-w.
- Ertürk, M. (2018). The Motives for the Consumers’ Eating Out. Gaziantep University Journal of Social Sciences, 17(3), 1203-1224. https://doi.org/10.21547/jss.396287.
- Field, A. (2013). Discovering statistics using IBM SPSS statistics. Sage.
- Firth, J., Ward, P.B., Stubbs, B., (2019). Lifestyle psychiatry. Frontiers in Psychiatry, 10, 597. https://doi: 10.3389/fpsyt.2019.00597.
- Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1), 39-50.
- Giner-Murillo, M., Atienza-Carbonell, B., Cervera-Martínez, J., Bobes-Bascarán, T., Crespo-Facorro, B., De Boni, R. B., ... & Balanzá-Martínez, V. (2021). Lifestyle in undergraduate students and demographically matched controls during the COVID-19 pandemic in Spain. International Journal of Environmental Research and Public Health, 18(15), 8133. https://doi.org/10.3390/ijerph18158133.
- Hattie, J. (1985). Methodology review: assessing unidimensionality of tests and ltenls. Applied psychological measurement,9(2),139-164. https://doi.org/10.1177/014662168500900204.
- Izquierdo, I., Olea, J., & Abad, F. J. (2014). Exploratory factor analysis in validation studies: Uses and recommendations. Psicothema, 26(3), 395- 400. https://doi.org/10.7334/psicothema2013.349.
Kürkçüoğlu, İ., Keskin, T., Elmas, T.G., Ergan, M., Alsini, A. M, & Başkurt, Z. (2020) Determining the relationship between healthy lifestyle behavior and physical activity level in dentistry students. ESTUDAM Public Health Journal, 5(3), 461. https://doi.org/10.35232/estudamhsd.770718.
- Marsh, H. W., Hau, K. T., Artelt, C., Baumert, J., & Peschar, J. L. (2006). OECD's brief self-report measure of educational psychology's most useful affective constructs: Cross-cultural, psychometric comparisons across 25 countries. International Journal of Testing, 6(4), 311-360. https://doi.org/10.1207/s15327574ijt0604_1.
Mokhtarinia, H. R., Shahbazi, A., Abma, F. I., & Gabel, C. P. (2022). Cross-cultural adaptation, reliability, and validity of the work role functioning questionnaire 2.0 to Persian. Disability and Rehabilitation, 44(18), 5268-5276. https://doi.org/10.1080/09638288.2021.1931483.
- Nunes, C., Jiménez, L., Menéndez, S., Ayala‐Nunes, L., & Hidalgo, V. (2016). Psychometric properties of an adapted version of the parental sense of competence (PSOC) scale for Portuguese at‐risk parents. Child & Family Social Work, 21(4), 433-441. https://doi.org/10.1111/cfs.12159.
- Nyberg, S. T., Singh-Manoux, A., & Pentti, J. (2020). Association of Healthy Lifestyle With Years Lived without Major Chronic Diseases. JAMA Internal Medicine, 180(5),760-768. https://doi.org/10.1001/jamainternmed.2020.0618.
Oltra‐Benavent, P., Cano‐Climent, A., Oliver‐Roig, A., Cabrero‐García, J., & Richart‐Martínez, M. (2020). Spanish version of the Parenting Sense of Competence scale: Evidence of reliability and validity. Child & Family Social Work, 25(2), 373-383. https://doi.org/10.1111/cfs.12693.
- Osborne, J. W., & Costello, A. B. (2004). Sample size and subject to item ratio in principal components analysis. Practical Assessment, Research, and Evaluation, 9(1), 11. https://doi.org/10.7275/ktzq-jq66.
- Özdamar, K. (2017). Ölçek ve test geliştirme yapısal eşitlik modellemesi IBM SPSS, IBM SPSS AMOS ve MINTAB uygulamalı. Eskişehir: Nisan Kitabevi, 78-79.
- Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., Cooney, M. T., Corrà, U., Cosyns, B., Deaton, C., Graham, I., Hall, M. S., Hobbs, F. D. R., Løchen, M. L., Löllgen, H., Marques-Vidal, P., Perk, J., Prescott, E., Redon, J., Richter, D. J., … ESC Scientific Document Group (2016). 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts)Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). European Heart Journal, 37(29), 2315–2381. https://doi.org/10.1093/eurheartj/ehw106
- Qian, M., & Jiang, J. (2022). COVID-19 and social distancing. Zeitschrift fur Gesundheitswissenschaften=Journal of Public Health, 30(1), 259–261. https://doi.org/10.1007/s10389-020-01321-z.
- Saldıran, T. Ç., Tanrıverdi, M., & Cakar, E. (2019). Relationship between physical activity and healthy lifestyle behaviors in college students. Journal of Basic and Clinical Health Sciences, 3(2), 58-62.https://doi.org/10.30621/jbachs.2019.567.
- Savcı, S., Öztürk, M., Arıkan, H., İnal İnce, D., & Tokgözoğlu, L. (2006). Physical activity levels of university students. Archives of the Turkish Society of Cardiology, 34(3), 166-172.
- Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74. https://doi.org/10.1136/bmj.314.7080.572.
- Stanaway, J. D., Afshin, A., Gakidou, E., Lim, S. S., Abate, D., Abate, K. H., ... & Bleyer, A. (2018). Global, regional, and national comparative risk assessment of 84 behavioral, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1923-1994.
- Tabachnick, B. G., & Fidell, L. S. (2018). Using Multivariate Statistics, 7th Edn London.
- Toprak, S., Doğru, A., & Gümüş, B. (2010). Sociodemographic characteristics of narcotic crimes in Turkey. Cumhuriyet Medical Journal, 32(1), 19-25. Retrieved from http://cmj.cumhuriyet.edu.tr/tr/pub/issue/4212/55773.
Ünal, B., Ergör, G., Horasan, G. D., Kalaça, S., & Sözmen, K. (2013). Chronic diseases and risk factors survey in Turkey. Ankara: Ministry of Health, 5.
- Walker, S. N., & Hill-Polerecky, D. M. (1996). Psychometric evaluation of the health-promoting lifestyle profile II. Unpublished manuscript, University of Nebraska Medical Center, 13, 120-126..
- Weinstein, N., & Nguyen, T. V. (2020). Motivation and preference in isolation: a test of their different influences on responses to self-isolation during the COVID-19 outbreak. Royal Society Open Science, 7(5), 200458. https://doi.org/10.1098/rsos.200458.
- World Health Organization, (2020). Hearts: technical package for cardiovascular disease management in primary health care.
- Yaşlıoğlu, M. M. (2017). Sosyal Bilimlerde Faktör Analizi ve Geçerlilik: Keşfedici ve Doğrulayıcı Faktör Analizlerinin Kullanılması . İstanbul Üniversitesi İşletme Fakültesi Dergisi, 46, 4-85. https://dergipark.org.tr/pub/iuisletme/issue/32177/357061
Kısa çok boyutlu yaşam tarzı değerlendirmesi - izolasyon ölçeği Türkçe formu: Geçerlik ve güvenilirlik çalışması
Yıl 2023,
Cilt: 10 Sayı: 4, 562 - 573, 01.12.2023
Berivan Beril Kılıç
,
Emel Mete
,
Reyhan Kaygusuz Benli
,
Özden Yaşarer
,
Aysel Yıldız Özer
Öz
Amaç: Bu çalışmanın amacı COVID-19 pandemi sürecinde yaşam tarzını çok boyutlu olarak değerlendirmek amacıyla geliştirilen Kısa Çok Boyutlu Yaşam Tarzı Değerlendirme-İzolasyon (SMILE-C) ölçeğinin Türk örnekleminde geçerlik ve güvenirliğini araştırmaktır.
Yöntem: Araştırma Nisan 2021- Şubat 2022 tarihleri arasında aktif olarak interenete erişebilen 345 üniversite öğrencisinin ile gerçekleştirildi. Katılımcılar kendilerine gönderilen sorgulama formlarını çevirimiçi olarak doldurdu. Türkiye’de virüsün görüldüğü ilk tarihten itibaren 1 yıl içerisindeki kapanma sürecindeki yaşam tarzı değişiklikleri SMILE-C ile değerlendirildi. Yapı geçerliliği Açımlayıcı Faktör Analizi (AFA) ve Doğrulayıcı Faktör Analizi ile, iç tutarlılığı Cronbach's α katsayısı ile, Test-tekrar test güvenilirliği sınıf içi korelasyon katsayısı (ICC2.1) ile değerlendirildi. Sağlıklı Yaşam Biçimi Davranışları Ölçeği II (HPLP-II) ve Uluslararası Fiziksel Aktivite Anketi-Kısa Formu (IPAQ-SF) ölçüt geçerliliğini değerlendirmek için kullanıldı.
Bulgular: Cronbach's α değeri 0.74 ve ICC2.1 değeri 0.86 idi. AFA, altı faktörlü bir model ve birden fazla faktöre yüklenen dört madde gösterdi. Uyum indeksi değerleri iyi uyumu doğruladı (Yaklaşık hataların ortalama karekökü=0.052; İyilik uyum indeksi=0.940; Düzeltilmiş iyilik uyum indeksi =0.914; Karşılaştırmalı uyum indeksi=0.924; Normlandırılmış uyum indeksi=0.901). SMILE-C toplam puanı ile HPLP-II ‘nin toplam puanı ve tüm alt boyutları arasında istatistiksel olarak anlamlı ve pozitif yönde ilişki bulundu (p<0.001). IPAQ-SF toplam puanı ile SMILE-C toplam puanı ve sağlıklı yaşam davranışı alt boyutu arasında istatistiksel olarak anlamlı ve pozitif yönde bir ilişki saptandı (p<0.001).
Sonuç: SMILE-C ölçeğinin Türkçe versiyonu yaşam tarzını çok boyutlu değerlendirebilen geçerli ve güvenilir bir ankettir.
Kaynakça
- Abdul Kadir, N. B. Y., Ismail, W. N. K., Abdullah, N. A., Helma, R., Abdul Jalil, S. J., Che Kasim, A., ... & Manaf, M. R. A. (2021). Criterion Validity and Psychometric Properties of a Malay Version of the Short Multidimensional Inventory Lifestyle Evaluation-Confinement (SMILE-C) in a Sample of University Staff with Weight Problems. International Journal of Environmental Research and Public Health, 18(19), 10410. https://doi.org/10.3390/ijerph181910410.
- Akyüz, H. E. (2018). Confirmatory Factor Analysis for Construct Validity: An Applied Study. Bitlis Eren University Journal of Science, 7(2), 186-198. https://doi.org/10.17798/bitlisfen.414490.
- American Diabetes Association. (2018). 4. Lifestyle management: standards of medical care in diabetes-2018. Diabetes Care, 41(Suppl 1), S38-S50. https://doi.org/10.2337/dc18-S004.
- Bahar, Z., Beşer, A., Gördes, N., Ersin, F., & Kıssal, A. (2008). Healthy Life Style Behavior Scale II: A Reliability And Validity Study. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi, 12(1), 1-13.
- Balanzá-Martínez, V., Kapczinski, F., de Azevedo Cardoso, T., Atienza-Carbonell, B., Rosa, A. R., Mota, J. C., & De Boni, R. B. (2021). The assessment of lifestyle changes during the COVID-19 pandemic using a multidimensional scale. Revista de Psiquiatria y Salud Mental,14(1), 16-26.https://doi.org/10.1016/j.rpsm.2020.07.003.
- Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191. https://doi.org/10.1097/00007632-200012150-00014.
- Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588. https://doi.org/10.1037/0033-2909.88.3.588.
- Bland, J. M. (1997). Altman DG Cronbach’s alpha. BMJ, 314(7080), 572. https://doi.org/10.1136/bmj.314.7080.572.
Byrne, B. M., & Campbell, T. L. (1999). Cross-cultural comparisons and the presumption of equivalent measurement and theoretical structure: A look beneath the surface. Journal of Cross-Cultural Psychology,30(5),555-574. https://doi.org/10.1177/0022022199030005001.
- Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., ... & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 35(8), 1381-1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB.
- Doll, H. A., Black, N. A., Flood, A. B., & McPherson, K. (1993). Criterion validation of the Nottingham Health Profile: patient views of surgery for benign prostatic hypertrophy. Social Science & Medicine, 37(1), 115-122. https://doi.org/10.1016/0277-9536(93)90324-w.
- Ertürk, M. (2018). The Motives for the Consumers’ Eating Out. Gaziantep University Journal of Social Sciences, 17(3), 1203-1224. https://doi.org/10.21547/jss.396287.
- Field, A. (2013). Discovering statistics using IBM SPSS statistics. Sage.
- Firth, J., Ward, P.B., Stubbs, B., (2019). Lifestyle psychiatry. Frontiers in Psychiatry, 10, 597. https://doi: 10.3389/fpsyt.2019.00597.
- Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1), 39-50.
- Giner-Murillo, M., Atienza-Carbonell, B., Cervera-Martínez, J., Bobes-Bascarán, T., Crespo-Facorro, B., De Boni, R. B., ... & Balanzá-Martínez, V. (2021). Lifestyle in undergraduate students and demographically matched controls during the COVID-19 pandemic in Spain. International Journal of Environmental Research and Public Health, 18(15), 8133. https://doi.org/10.3390/ijerph18158133.
- Hattie, J. (1985). Methodology review: assessing unidimensionality of tests and ltenls. Applied psychological measurement,9(2),139-164. https://doi.org/10.1177/014662168500900204.
- Izquierdo, I., Olea, J., & Abad, F. J. (2014). Exploratory factor analysis in validation studies: Uses and recommendations. Psicothema, 26(3), 395- 400. https://doi.org/10.7334/psicothema2013.349.
Kürkçüoğlu, İ., Keskin, T., Elmas, T.G., Ergan, M., Alsini, A. M, & Başkurt, Z. (2020) Determining the relationship between healthy lifestyle behavior and physical activity level in dentistry students. ESTUDAM Public Health Journal, 5(3), 461. https://doi.org/10.35232/estudamhsd.770718.
- Marsh, H. W., Hau, K. T., Artelt, C., Baumert, J., & Peschar, J. L. (2006). OECD's brief self-report measure of educational psychology's most useful affective constructs: Cross-cultural, psychometric comparisons across 25 countries. International Journal of Testing, 6(4), 311-360. https://doi.org/10.1207/s15327574ijt0604_1.
Mokhtarinia, H. R., Shahbazi, A., Abma, F. I., & Gabel, C. P. (2022). Cross-cultural adaptation, reliability, and validity of the work role functioning questionnaire 2.0 to Persian. Disability and Rehabilitation, 44(18), 5268-5276. https://doi.org/10.1080/09638288.2021.1931483.
- Nunes, C., Jiménez, L., Menéndez, S., Ayala‐Nunes, L., & Hidalgo, V. (2016). Psychometric properties of an adapted version of the parental sense of competence (PSOC) scale for Portuguese at‐risk parents. Child & Family Social Work, 21(4), 433-441. https://doi.org/10.1111/cfs.12159.
- Nyberg, S. T., Singh-Manoux, A., & Pentti, J. (2020). Association of Healthy Lifestyle With Years Lived without Major Chronic Diseases. JAMA Internal Medicine, 180(5),760-768. https://doi.org/10.1001/jamainternmed.2020.0618.
Oltra‐Benavent, P., Cano‐Climent, A., Oliver‐Roig, A., Cabrero‐García, J., & Richart‐Martínez, M. (2020). Spanish version of the Parenting Sense of Competence scale: Evidence of reliability and validity. Child & Family Social Work, 25(2), 373-383. https://doi.org/10.1111/cfs.12693.
- Osborne, J. W., & Costello, A. B. (2004). Sample size and subject to item ratio in principal components analysis. Practical Assessment, Research, and Evaluation, 9(1), 11. https://doi.org/10.7275/ktzq-jq66.
- Özdamar, K. (2017). Ölçek ve test geliştirme yapısal eşitlik modellemesi IBM SPSS, IBM SPSS AMOS ve MINTAB uygulamalı. Eskişehir: Nisan Kitabevi, 78-79.
- Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., Cooney, M. T., Corrà, U., Cosyns, B., Deaton, C., Graham, I., Hall, M. S., Hobbs, F. D. R., Løchen, M. L., Löllgen, H., Marques-Vidal, P., Perk, J., Prescott, E., Redon, J., Richter, D. J., … ESC Scientific Document Group (2016). 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts)Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). European Heart Journal, 37(29), 2315–2381. https://doi.org/10.1093/eurheartj/ehw106
- Qian, M., & Jiang, J. (2022). COVID-19 and social distancing. Zeitschrift fur Gesundheitswissenschaften=Journal of Public Health, 30(1), 259–261. https://doi.org/10.1007/s10389-020-01321-z.
- Saldıran, T. Ç., Tanrıverdi, M., & Cakar, E. (2019). Relationship between physical activity and healthy lifestyle behaviors in college students. Journal of Basic and Clinical Health Sciences, 3(2), 58-62.https://doi.org/10.30621/jbachs.2019.567.
- Savcı, S., Öztürk, M., Arıkan, H., İnal İnce, D., & Tokgözoğlu, L. (2006). Physical activity levels of university students. Archives of the Turkish Society of Cardiology, 34(3), 166-172.
- Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74. https://doi.org/10.1136/bmj.314.7080.572.
- Stanaway, J. D., Afshin, A., Gakidou, E., Lim, S. S., Abate, D., Abate, K. H., ... & Bleyer, A. (2018). Global, regional, and national comparative risk assessment of 84 behavioral, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1923-1994.
- Tabachnick, B. G., & Fidell, L. S. (2018). Using Multivariate Statistics, 7th Edn London.
- Toprak, S., Doğru, A., & Gümüş, B. (2010). Sociodemographic characteristics of narcotic crimes in Turkey. Cumhuriyet Medical Journal, 32(1), 19-25. Retrieved from http://cmj.cumhuriyet.edu.tr/tr/pub/issue/4212/55773.
Ünal, B., Ergör, G., Horasan, G. D., Kalaça, S., & Sözmen, K. (2013). Chronic diseases and risk factors survey in Turkey. Ankara: Ministry of Health, 5.
- Walker, S. N., & Hill-Polerecky, D. M. (1996). Psychometric evaluation of the health-promoting lifestyle profile II. Unpublished manuscript, University of Nebraska Medical Center, 13, 120-126..
- Weinstein, N., & Nguyen, T. V. (2020). Motivation and preference in isolation: a test of their different influences on responses to self-isolation during the COVID-19 outbreak. Royal Society Open Science, 7(5), 200458. https://doi.org/10.1098/rsos.200458.
- World Health Organization, (2020). Hearts: technical package for cardiovascular disease management in primary health care.
- Yaşlıoğlu, M. M. (2017). Sosyal Bilimlerde Faktör Analizi ve Geçerlilik: Keşfedici ve Doğrulayıcı Faktör Analizlerinin Kullanılması . İstanbul Üniversitesi İşletme Fakültesi Dergisi, 46, 4-85. https://dergipark.org.tr/pub/iuisletme/issue/32177/357061