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Psychometric testing of the Immigrant Barriers to Health Care Scale: Hispanic Version
Author(s) -
Keating Stacen,
Carlson Beverly,
Jimenez Sophia,
Estrada Jaime,
Gastelum Belia,
Romero Tomas,
Riegel Barbara
Publication year - 2009
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/j.1442-2018.2009.00446.x
Subject(s) - immigration , scale (ratio) , disadvantaged , exploratory factor analysis , health care , test (biology) , psychology , population , health equity , medicine , gerontology , psychometrics , environmental health , clinical psychology , nursing , public health , geography , political science , paleontology , cartography , archaeology , law , biology
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.