Exploratory Factor Analysis of the Strength of the Cultural Affiliation Scale.
Exploratory Factor Analysis of the Strength of the Cultural Affiliation Scale.
复制标题
文化归属量表强度的探索性因素分析。
DOI：
10.1097/ncc.0000000000000346
复制
发表时间：
2017
期刊：
影响因子：
2.6
通讯作者：
Mood,Darlene
中科院分区：
文献类型：
--
作者：
Kruse,JulieA;Williams,RegA;Mood,Darlene
Background:Within the United States, there are individuals who retain the traditions and beliefs of cultural groups that vary from the general majority population. Both healthcare providers and researchers have reported that many individuals who live in but are less affiliated with the dominant culture tend to have less positive health outcomes.Objective:The purpose of this study is to use factor analysis to assess the psychometric properties of Mood’s 18-item Strength of Cultural Affiliation Scale (SCAS).Methods:The SCAS was administered to 604 participants from a randomized clinical trial of cancer patients who were treated with radiotherapy at a large central city hospital located in the Midwest.Results:Confirmatory Factor Analyses using Principal Component Analysis with Oblimin Rotation indicated a 16-item, 4-factor final solution with the following subscales: factor 1, lifestyle (7 items); factor 2, language and cultural-specific holidays (3 items); factor 3, relationships (4 items); and factor 4, cultural health practices (2 items).Conclusion:The SCAS demonstrated high reliability and content, construct, discriminant, convergent, divergent, and predictive validity.Implications for Practice:The SCAS seems to be a reliable and valid tool for practitioners to use to assess a patient’s strength of cultural affiliation to provide the best culturally sensitive care possible for the patient.BackgroundWithin the United States, there are individuals who retain the traditions and beliefs of cultural groups that vary from the general majority population. For example, much of the research on cultural diversity in the United States has been with Latinos, whites, and African Americans 1–3 and that, within each of these groups, there are individuals with various cultural affiliations that are not identified by race or language alone. These may include native-born citizens, naturalized citizens, and legalized/illegal immigrants, all of whom may encounter difficulties when interacting with American institutions, including the healthcare system. Immigrants, in particular, can face a multitude of challenges when entering a host country (eg, language barriers, 4, 5 separation from family, feelings of loss, 4, 6 alienation, 7 and perceived discrimination 4, 8). The number of residents in the United States today who are foreign-born is at a record high, representing a 313% increase compared with 50 years ago (slightly fewer than 10 million in 1960 vs approximately 40 million in 2010 9). Immigrants and others with strong cultural affiliations with groups other than the dominant culture can face a multitude of challenges when they have to engage with American institutions, such as the healthcare system.
