Abstract
Barriers to care contribute to health inequities for immigrant populations. Although inadequate health insurance is a known barrier, other factors impact the issue. Few instruments exist to specifically measure these other barriers. The purpose of this study was to test the Immigrant Barriers to Health Care Scale - Hispanic Version. It was first pilot-tested in southern California with a Mexican population. After refinement, the instrument was tested in a north-eastern sample of diverse Hispanic adults. The data were analyzed using exploratory factor analysis. Factor loadings and communalities were used to assess the adequacy of the scale's items. Six items were deleted due to ambiguous factor loadings. The final 11 items loaded onto four factors and explained 54.58% of the variance. The coefficient alpha was 0.81 for the instrument. The Immigrant Barriers to Health Care Scale is a reliable and valid tool. Its further use and reporting with other socially and economically disadvantaged groups is advised.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 235-243 |
| Number of pages | 9 |
| Journal | Nursing and Health Sciences |
| Volume | 11 |
| Issue number | 3 |
| DOIs | |
| State | Published - 2009 |
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Keywords
- Hispanic
- Immigrant
- Instrument development
- Minority
- Psychometric analysis
ASJC Scopus subject areas
- Nursing(all)
- Medicine(all)
Cite this
Psychometric testing of the immigrant Barriers to Health Care Scale : Hispanic Version. / Keating, Stacen; Carlson, Beverly; Jimenez, Sophia; Estrada, Jaime; Gastelum, Belia; Romero, Tomas; Riegel, Barbara.
In: Nursing and Health Sciences, Vol. 11, No. 3, 2009, p. 235-243.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Psychometric testing of the immigrant Barriers to Health Care Scale
T2 - Hispanic Version
AU - Keating, Stacen
AU - Carlson, Beverly
AU - Jimenez, Sophia
AU - Estrada, Jaime
AU - Gastelum, Belia
AU - Romero, Tomas
AU - Riegel, Barbara
PY - 2009
Y1 - 2009
N2 - Barriers to care contribute to health inequities for immigrant populations. Although inadequate health insurance is a known barrier, other factors impact the issue. Few instruments exist to specifically measure these other barriers. The purpose of this study was to test the Immigrant Barriers to Health Care Scale - Hispanic Version. It was first pilot-tested in southern California with a Mexican population. After refinement, the instrument was tested in a north-eastern sample of diverse Hispanic adults. The data were analyzed using exploratory factor analysis. Factor loadings and communalities were used to assess the adequacy of the scale's items. Six items were deleted due to ambiguous factor loadings. The final 11 items loaded onto four factors and explained 54.58% of the variance. The coefficient alpha was 0.81 for the instrument. The Immigrant Barriers to Health Care Scale is a reliable and valid tool. Its further use and reporting with other socially and economically disadvantaged groups is advised.
AB - Barriers to care contribute to health inequities for immigrant populations. Although inadequate health insurance is a known barrier, other factors impact the issue. Few instruments exist to specifically measure these other barriers. The purpose of this study was to test the Immigrant Barriers to Health Care Scale - Hispanic Version. It was first pilot-tested in southern California with a Mexican population. After refinement, the instrument was tested in a north-eastern sample of diverse Hispanic adults. The data were analyzed using exploratory factor analysis. Factor loadings and communalities were used to assess the adequacy of the scale's items. Six items were deleted due to ambiguous factor loadings. The final 11 items loaded onto four factors and explained 54.58% of the variance. The coefficient alpha was 0.81 for the instrument. The Immigrant Barriers to Health Care Scale is a reliable and valid tool. Its further use and reporting with other socially and economically disadvantaged groups is advised.
KW - Hispanic
KW - Immigrant
KW - Instrument development
KW - Minority
KW - Psychometric analysis
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U2 - 10.1111/j.1442-2018.2009.00446.x
DO - 10.1111/j.1442-2018.2009.00446.x
M3 - Article
VL - 11
SP - 235
EP - 243
JO - Nursing and Health Sciences
JF - Nursing and Health Sciences
SN - 1441-0745
IS - 3
ER -