Confirmatory factor analysis of the Chinese Breast Cancer Screening Beliefs Questionnaire.
BACKGROUND
Chinese women have been consistently reported as having low breast cancer screening practices. The Chinese Breast Cancer Screening Beliefs Questionnaire (CBCSB) was designed to assess Chinese Australian women's beliefs, knowledge, and attitudes toward breast cancer and screening practices.


OBJECTIVE
The objectives of the study were to confirm the factor structure of the CBCSB with a new, larger sample of immigrant Chinese Australian women and to report its clinical validity.


METHODS
A convenience sample of 785 Chinese Australian women was recruited from Chinese community organizations and shopping malls. Cronbach α was used to assess internal consistency reliability, and Amos v18 was used for confirmatory factor analysis. Clinical validity was assessed through linear regression using SPSS v18.


RESULTS
The 3-factor structure of the CBCSB was confirmed, although the model required respecification to arrive at a suitable model fit as measured by the goodness-of-fit index (0.98), adjusted goodness-of-fit index (0.97), normed fit index (0.95), and root mean square error of approximation (0.031). Internal consistency reliability coefficients were satisfactory (>.6). Women who engaged in all 3 types of screening had more proactive attitudes to health checkups and perceived less barriers to mammographic screening.


CONCLUSIONS
The CBCSB is a valid and reliable tool for assessing Chinese women's beliefs, knowledge, and attitudes about breast cancer and breast cancer screening practices.


CONCLUSIONS
The CBCSB can be used for providing practicing nurses with insights into the provision of culturally sensitive breast health education.
Sydney Nursing School, University of Sydney, Australia. cannas.kwok@sydney.edu.au
Cannas
C
Kwok
Judith
J
Fethney
Kate
K
White
D000328:Adult; D000368:Aged; D044466:Asian People / Q000706:statistics & numerical data*; D001294:Attitude to Health / Q000208:ethnology*; D001943:Breast Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D003469:Culture; D055088:Early Detection of Cancer / Q000523:psychology* / Q000706:statistics & numerical data; D005163:Factor Analysis, Statistical; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006801:Humans; D008875:Middle Aged; D009517:New South Wales; D018570:Risk Assessment; D011795:Surveys and Questionnaires