Nursing and Health Sciences
Volume 11, Issue 3, 2009, Pages 235-243

Psychometric testing of the immigrant Barriers to Health Care Scale: Hispanic Version (Article)

Keating S.* , Carlson B. , Jimenez S. , Estrada J. , Gastelum B. , Romero T. , Riegel B.
  • a School of Nursing and Health and Exercise Science, Department of Nursing, The College of New Jersey, Ewing, NJ, United States, The College of New Jersey, Box 7718, Ewing, NJ 08628-0718, United States
  • b Clinical Research Department, Sharp HealthCare, San Diego, CA, United States
  • c Clinical Research Department, Sharp HealthCare, San Diego, CA, United States
  • d Chula Vista School District, San Diego, CA, United States
  • e Sharp Chula Vista Medical Center, Sharp HealthCare, San Diego, CA, United States
  • f South Bay Cardiology Medical Group, Sharp Chula Vista Medical Center, Chula Vista, CA, United States
  • g Clinical Research Department, Sharp HealthCare, San Diego, CA, United States, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States

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. © 2009 The Authors Journal compilation © 2009 Blackwell Publishing Asia Pty Ltd.

Author Keywords

Hispanic Immigrant Minority Psychometric analysis instrument development

Index Keywords

immigrant Factor Analysis, Statistical human immigration middle aged statistics validation process statistics and numerical data priority journal comparative study Aged Statistics as Topic Hispanic Americans United States Humans migrant Hispanic male Emigrants and Immigrants female Aged, 80 and over pilot study very elderly reliability Psychometrics psychometry Article adult health care access Prejudice Immigrant Barriers to Health Care Scale factorial analysis health care disparity Pilot Projects Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-69249137522&doi=10.1111%2fj.1442-2018.2009.00446.x&partnerID=40&md5=7901f56cb5db941ec3c08b3c45d755ac
DOI: 10.1111/j.1442-2018.2009.00446.x
ISSN: 14410745
Cited by: 4
Original Language: English