Iranian Journal of Public Health 2017. 46(5):640-649.

Development and Psychometric Properties of Social Exclusion Questionnaire for Iranian Divorced Women
Fatemeh ZAREI, Mahnaz SOLHI, Effat MERGHATI-KHOEI, Mohammad Hossein TAGHDISI, Davoud SHOJAEIZADEH, Ann Rosemary TAKET, Razieh MASOOMI, Saharnaz NEDJAT


Background: Divorce, especially in women, could be assessed from socio-cultural perspective as well as psychological viewpoint. This assessment requires cultural adopted as well as valid and reliable questionnaire. This study aimed to develop and assess the psychometric properties of a questionnaire in order to address social consequences in Iranian divorced women.

Methods: This was an exploratory mixed method study conducted during 2012 to 2014. According to the grounded theory approach in the first phase, social exclusion was extracted as a core of understanding process in participants. Based on, 47 preliminary generated items reliability and validity were assessed. In the second phase, the divorced women were recruited from a safe community center in Tehran through convenience sampling.

Results: Exploratory factor analysis conducted on the questionnaires of 150 divorced women with mean age 41.76±8.49 yr, in that, indicated five dimensions, discriminative marital status, economic dependence on marital status, exclusionary marital status, and traumatic marital status health risks and, frightening marital status that jointly accounted for the 64% of the variance observed. An expert panel approved the face and content validity of the developed tool. The Cronbach’s alpha coefficient and the Intra-class Correlation Coefficient were found to be 0.70 and 0.85, respectively.

Conclusion: The present study provided a valid and reliable measure as Social Exclusion Questionnaire in Iranian divorced women (SEQ-IDW) to address social post-divorce consequences, which might help to improve women’s social health.


Social exclusion; Divorce; Women; Validity; Iran

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Chiriboga DA (1997). Crisis, challenge, and stability in the middle years. Multiple paths of midlife development. 1sted.University of Chicago Press, USA, pp.: 293-322.

Janmardy M (2011). Study of divorce in Iran provinces from 1977 to 1998: Emphasis on the role of Iran-Iraq war. Int J Sociol Anthropol, 3(4):132-38.

U.S. Census Bureau (2012). Statistical abstract of the United States.

Iran Census Bureau (2012). Divorce rate.

Marmot M, Wilkinson R (2005). Social determinants of health. 2nd ed. Oxford University Press, UK, pp.: 16-17.

Abe AK (2010). Social exclusion and earlier disadvantages: An empirical study of poverty and social exclusion in Japan. Soc Sci Jap J, 13(1):5-30.

Taket A, Crisp BR, Nevill A, Lamaro G, Graham M, Barter-Godfrey S (2009). Theorising social exclusion. 1sted. Routledge,Londen, pp.: 6-7.

Merghati-Khoei ES, Zarei F, Taghdisi MH, Rajati F, Rahmani A (2013). Divorce from a divorcee woman's perspectives: A qualitative study. Journal of Qualitative Research In Health Sciences, 2(3):234-47 (In Persian).

Zarei F, Merghati Khoei E, Taket AR, Rahmani A, Smith TG (2013). How Does Divorce Affect Iranian Women's Sexual Well-Being?. J Divorce Remarriage, 54(5):381-92.

Moon JR, Glymour MM, Vable AM, Liu SY, Subramanian S (2013). Short-and long-term associations between widowhood and mortality in the United States: longitudinal analyses. J Public Health (Oxf), 36 (3): 382-89.

Hyrkäs K, Appelqvist-Schmidlechner K, Oksa L (2003). Validating an instrument for clinical supervision using an expert panel. Int J Nurs Stud, 40(6):619-25.

Speziale HS, Streubert HJ, Carpenter DR (2011). Qualitative research in nursing: Advancing the humanistic imperative. 5thed. Lippincott Williams & Wilkins, New York, p.:122

Wuetherick B (2010). Corbin and Strauss' Basics of Qualitative Research (3e): a review. Canadian Journal of University Continuing Education, 36(2):1-3.

Corbin J, Strauss A (2008). Basics of qualitative research: T Basics of qualitative research : grounded theory procedures and techniques.1st ed. S Newbury Park, Calif. p.:91.

Munhall PL (2012). Nursing research: a qualitative perspective. 5thed, Jones & Bartlett Learning,Miami, Florida, p.:238

Merghati-Khoei E, Solhi M, Nedjat S, Taghdisi MH, Zadeh DS, Taket AR, Kamali M, Zarei F (2014). How a Divorcee’s Sexual Life Is Socially Constructed and Understood in the Iranian Culture. J Divorce Remarriage, 55(5):335-47.

Hayton JC, Allen DG, Scarpello V (2004). Factor retention decisions in exploratory factor analysis: A tutorial on parallel analysis. ‎ Organizational Research Methods, 7(2):191-205.

Lynn MR (1986). Determination and quantification of content validity. Nurs Res, 35(6):382-385.

Waltz CF, Strickland O, Lenz ER (2010). Measurement in nursing and health research.4th ed, Springer, New York, p.:165.

Lawshe CH (1975). A quantitative approach to content validity. Personal Psychol, 28(4):563-75.

Cronbach LJ (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3):297-334.

Munro BH (2005). Statistical methods for health care research. 5th ed. Lippincott Williams & Wilkins, Philadelphia, p.:443.

Polit DF, Beck CT (2004). Nursing research: Principles and methods. 7th ed. Lippincott Williams & Wilkins, Philadelphia, p.:721.

Lorenz FO, Wickrama K, Conger RD, Elder GH (2006). The short-term and decade-long effects of divorce on women's midlife health. J Health Soc Behav, 47(2):111-125.

Kalmijn M (2013). Long-term effects of divorce on parent–child relationships: Within-family comparisons of fathers and mothers. Eur Sociol Rev, 29(5):888-898.

Fagan P, Churchill A (2012). The effects of divorce on children. Marri, 1(12):1-48.

Slanbekova GK, Kabakova MP, Duisenbekov DD, Mun MV, Kudaibergenova SK (2015). Testing of the" Fisher Divorce Adjustment Scale" Questionnaire for Russian Sample in Kazakhstan. Asian Social Science, 11(6):83-91.

Mullett EK, Stolberg A (1999). The development of the Co-parenting Behaviors Questionnaire: An instrument for children of divorce. J Divorce Remarriage, 31(3-4):115-37.

Brohan E, Clement S, Rose D, Sartorius N, Slade M, Thornicroft G (2013). Development and psychometric evaluation of the Discrimination and Stigma Scale (DISC). Psychiatry Res, 208(1):33-40.


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