Lozano Alyssa, Lee Tae Kyoung, Fernandez Alejandra, Prado Guillermo, Safren Steven A, Jimenez Daniel E, Harkness Audrey
University of Miami, Coral Gables, FL, USA.
Sungkyunkwan University, Seoul, South Korea.
Hisp J Behav Sci. 2024 May;46(2):59-78. doi: 10.1177/07399863241292015. Epub 2024 Oct 21.
Mental health disparities among Latino sexual minority men (LSMM) are exacerbated by un(der)treated mental health needs. This study sought to establish the factor structure of the Cultural Attitudes Toward Healthcare and Mental Illness Questionnaire (CAHMIQ) and examine measurement invariance across nativity (born in vs. outside the continental U.S.). Participants included 290 LSMM in South Florida. Confirmatory factor analysis examined the factor structure of CAHMIQ and measurement invariance examined equivalence across LSMM born outside (51.4%) and inside (48.3%) the continental U.S. The second-order factor model showed an acceptable fit (CFI/RMSEA = .91/.03) and consisted of first-ordered factors representing manifest indicators of causes and supports for mental health. Measurement invariance results suggest that the CAHMIQ performs equivalently across nativity groups (Δχ(18) = 16.941, = .5272). The CAHMIQ may be used among both nativity groups to understand attitudes toward healthcare and mental illness and inform LSMMs' engagement in mental health treatment.
未得到治疗的心理健康需求加剧了拉丁裔性少数男性（LSMM）之间的心理健康差异。本研究旨在确立《对医疗保健和精神疾病的文化态度问卷》（CAHMIQ）的因子结构，并检验在美国本土出生（在美国大陆出生与在美国大陆以外出生）的不同出生情况人群中的测量不变性。研究对象包括南佛罗里达州的290名拉丁裔性少数男性。验证性因子分析检验了CAHMIQ的因子结构，测量不变性检验了在美国大陆以外出生（51.4%）和在美国大陆出生（48.3%）的拉丁裔性少数男性之间的等效性。二阶因子模型显示拟合度可接受（CFI/RMSEA = 0.91/0.03），由代表心理健康原因和支持的显性指标的一阶因子组成。测量不变性结果表明，CAHMIQ在不同出生情况人群中表现相当（Δχ(18) = 16.941，p = 0.5272）。CAHMIQ可用于这两类出生情况人群，以了解他们对医疗保健和精神疾病的态度，并为拉丁裔性少数男性参与心理健康治疗提供参考。
