title: Psychometric testing of the Immigrant Barriers to Health Care Scale: Hispanic Version.
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.
authors.affiliation: School of Nursing and Health and Exercise Science, Department of Nursing, The College of New Jersey, Ewing, New Jersey, USA.
authors.forename: Stacen
authors.initials: S
authors.lastname: Keating
authors.forename: Beverly
authors.initials: B
authors.lastname: Carlson
authors.forename: Sophia
authors.initials: S
authors.lastname: Jimenez
authors.forename: Jaime
authors.initials: J
authors.lastname: Estrada
authors.forename: Belia
authors.initials: B
authors.lastname: Gastelum
authors.forename: Tomas
authors.initials: T
authors.lastname: Romero
authors.forename: Barbara
authors.initials: B
authors.lastname: Riegel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D054242:Emigrants and Immigrants; D005163:Factor Analysis, Statistical; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011287:Prejudice; D011594:Psychometrics; D013223:Statistics as Topic; D014481:United States