School of Nursing and Health and Exercise Science, Department of Nursing, The College of New Jersey, Ewing, New Jersey, USA.
Nurs Health Sci. 2009 Sep;11(3):235-43. doi: 10.1111/j.1442-2018.2009.00446.x. Epub 2009 Jun 11.
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.
就医障碍导致移民群体健康不平等。尽管保险不足是已知的障碍，但其他因素也会影响这一问题。目前几乎没有专门用于衡量这些其他障碍的工具。本研究旨在测试《医疗保健移民障碍量表-西班牙裔版本》。它首先在加利福尼亚南部的墨西哥人群中进行了试点测试。经过改进后，该工具在东北部的不同西班牙裔成年人样本中进行了测试。使用探索性因子分析对数据进行了分析。因子负荷和共同度用于评估量表项目的充分性。由于因子负荷不明确，有 6 个项目被删除。最后 11 个项目被归入四个因素，解释了 54.58%的方差。该工具的系数 alpha 为 0.81。《医疗保健移民障碍量表》是一种可靠有效的工具。建议进一步在其他社会和经济弱势群体中使用和报告。
