Title

Validating a scale of health beliefs in health prevention screenings among Chinese older adults

Publication Type

Journal Article

Publication Date

8-2016

Abstract

We aimed to examine the psychometric properties of a modified 16-item Attitudinal Index (AI), a measure of Chinese older adults’ beliefs about preventive health screenings. We used the 2013 Shanghai Elderly Life and Opinion data including 3,418 respondents age 60+ who were randomly split into training and validation samples. We examined the validity and reliability of the modified AI. Psychometric evaluation of the modified AI revealed good response patterns. The overall scale had good reliability (Cronbach’s α = .835). Exploratory factor analysis yielded four factors: barriers, fatalism, unnecessary, and detects (Cronbach’s α = .815-.908). Confirmatory factor analysis of the modified AI’s factor structure verified its four-factor structure (comparative fit index = 0.913, standardized root mean square residual = 0.048). The validity and reliability of the modified AI support its cultural appropriateness in measuring health beliefs among Chinese elderly. Further psychometric evaluation should focus on testing concurrent and criterion validity.

Discipline

Asian Studies | Medicine and Health

Research Areas

Sociology

Publication

Journal of Transcultural Nursing

ISSN

1043-6596

Identifier

10.1177/1043659616661392

Publisher

Sage Publications, Inc.

Additional URL

https://doi.org/10.1177/1043659616661392

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