Psychometric testing of the Immigrant Barriers to Health Care Scale: Hispanic Version
Article first published online: 11 JUN 2009
© 2009 The Authors. Journal Compilation © 2009 Blackwell Publishing Asia Pty Ltd.
Nursing & Health Sciences
Volume 11, Issue 3, pages 235–243, September 2009
How to Cite
Keating, S., Carlson, B., Jimenez, S., Estrada, J., Gastelum, B., Romero, T. and Riegel, B. (2009), Psychometric testing of the Immigrant Barriers to Health Care Scale: Hispanic Version. Nursing & Health Sciences, 11: 235–243. doi: 10.1111/j.1442-2018.2009.00446.x
- Issue published online: 17 AUG 2009
- Article first published online: 11 JUN 2009
- Received 21 November 2008; accepted 22 February 2009
- instrument development;
- psychometric analysis
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.