Skip to main content
Top
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Factor structure and internal reliability of cultural belief scales about colorectal cancer screening among Koreans in the Republic of Korea

Author: Shin-Young Lee

Published in: BMC Public Health | Issue 1/2018

Login to get access

Abstract

Background

Culturally sensitive, reliable and valid cultural belief scales for colorectal cancer (CRC) screening in Koreans in the Republic of Korea are not available in the literature. The purpose of this study was to adapt and validate existing cultural belief scales for CRC screening in Koreans.

Methods

Individual interviews, expert reviews, and a pilot test were conducted for instrument adaptation, and a cross-sectional survey with 884 Koreans was conducted for instrument validation. Construct validity using exploratory and confirmatory factor analyses and reliability of the Korean version of the instruments were examined.

Results

Exploratory factor analysis using c four factors that accounted for 48.12% of the variance. The validity and reliability of the cultural belief scales were supported by confirmatory factor analysis and Cronbach’s alpha.

Conclusions

The results of the present study showed that the four-factor cultural belief scales were culturally sensitive, reliable and valid in Koreans. The final cultural belief scales could be used to identify cultural beliefs more accurately and specifically, as well as to develop effective interventions to increase CRC screening in Koreans in the Republic of Korea.
Appendix
Available only for authorised users
Literature
3.
go back to reference National Cancer Information Center. Colorectal cancer screening recommendations. Korea: National Cancer Center; 2017. National Cancer Information Center. Colorectal cancer screening recommendations. Korea: National Cancer Center; 2017.
5.
go back to reference Kang Y, Son H. Gender differences in factors associated with colorectal cancer screening: a national cross-sectional study in Korea. Asia Pac J Public Health. 2017;29(6):495–505.CrossRef Kang Y, Son H. Gender differences in factors associated with colorectal cancer screening: a national cross-sectional study in Korea. Asia Pac J Public Health. 2017;29(6):495–505.CrossRef
6.
go back to reference Myong J, Kim H. Impacts of household income and economic recession on participation in colorectal cancer screening in Korea. Asian Pac J Cancer Prev. 2012;13:1857–62.CrossRef Myong J, Kim H. Impacts of household income and economic recession on participation in colorectal cancer screening in Korea. Asian Pac J Cancer Prev. 2012;13:1857–62.CrossRef
7.
go back to reference Bae N, Park S, Lim S. Factors associated with adherence to fecal occult blood testing for colorectal cancer screening among adults in the Republic of Korea. Eur J Oncol Nurs. 2014;18:72–7.CrossRef Bae N, Park S, Lim S. Factors associated with adherence to fecal occult blood testing for colorectal cancer screening among adults in the Republic of Korea. Eur J Oncol Nurs. 2014;18:72–7.CrossRef
8.
go back to reference Kandula NR, Wen M, Jacobs EA, Lauderdale DS. Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer. 2006;107(1):184–92.CrossRef Kandula NR, Wen M, Jacobs EA, Lauderdale DS. Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer. 2006;107(1):184–92.CrossRef
9.
go back to reference Lee YY, Jun JK, Suh M, Park B, Kim Y, Choi KS. Barriers to cancer screening among medical aid program recipients in the Republic of Korea: a qualitative study. Asian Pac J Cancer Prev. 2014;15(2):589–94.CrossRef Lee YY, Jun JK, Suh M, Park B, Kim Y, Choi KS. Barriers to cancer screening among medical aid program recipients in the Republic of Korea: a qualitative study. Asian Pac J Cancer Prev. 2014;15(2):589–94.CrossRef
10.
go back to reference Kang HS, Thomas E, Kwon BE, Hyun M, Jun EM. Stages of change: Korean women's attitudes and barriers toward mammography screening. Health Care Women Int. 2008;29:151–64.CrossRef Kang HS, Thomas E, Kwon BE, Hyun M, Jun EM. Stages of change: Korean women's attitudes and barriers toward mammography screening. Health Care Women Int. 2008;29:151–64.CrossRef
11.
go back to reference Suh M, Choi KS, Lee YY, Park B, Jun JK. Cancer screening in Korea, 2012: results from the Korean National Cancer Screening Survey. Asian Pac J Cancer Prev. 2013;14(11):6459–63.CrossRef Suh M, Choi KS, Lee YY, Park B, Jun JK. Cancer screening in Korea, 2012: results from the Korean National Cancer Screening Survey. Asian Pac J Cancer Prev. 2013;14(11):6459–63.CrossRef
12.
go back to reference Lee S-Y, Lee E. Korean Americans' beliefs about colorectal cancer screening. Asian Nurs Res. 2013;7(2):45–52.CrossRef Lee S-Y, Lee E. Korean Americans' beliefs about colorectal cancer screening. Asian Nurs Res. 2013;7(2):45–52.CrossRef
13.
go back to reference Suh EE. The socio-cultural context of breast cancer screening among Korean immigrant women. Cancer Nurs. 2008;31(4):E1–10.CrossRef Suh EE. The socio-cultural context of breast cancer screening among Korean immigrant women. Cancer Nurs. 2008;31(4):E1–10.CrossRef
14.
go back to reference Son H, Kam S, Park K, Kim J, Kim R, Park S. The factors associated with changes in the stage of breast cancer screening behavior among the woman who are eligible for the Korean National Cancer Screening Program. J Prev Med Public Health. 2009;42(2):109–16.CrossRef Son H, Kam S, Park K, Kim J, Kim R, Park S. The factors associated with changes in the stage of breast cancer screening behavior among the woman who are eligible for the Korean National Cancer Screening Program. J Prev Med Public Health. 2009;42(2):109–16.CrossRef
16.
go back to reference Russell KM, Perkins SM, Zollinger TW, Champion V. Sociocultural context of mammography screening use. Oncol Nurs Forum. 2006;33(1):105–12.CrossRef Russell KM, Perkins SM, Zollinger TW, Champion V. Sociocultural context of mammography screening use. Oncol Nurs Forum. 2006;33(1):105–12.CrossRef
17.
go back to reference Giger JN, Davidhizer RE. Transcultural nursing: assessment and intervention. St. Louis, MO: Mosby; 1999. Giger JN, Davidhizer RE. Transcultural nursing: assessment and intervention. St. Louis, MO: Mosby; 1999.
18.
go back to reference Powe BD. Fatalism among elderly African Americans: effects on colorectal cancer screening. Cancer Nurs. 1995;18(5):385–92.CrossRef Powe BD. Fatalism among elderly African Americans: effects on colorectal cancer screening. Cancer Nurs. 1995;18(5):385–92.CrossRef
19.
go back to reference Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health 2006; 29(5):489–97. Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health 2006; 29(5):489–97.
20.
go back to reference Hatcher L. A step-by-step approach to using the SAS system for factor analysis and structural equation modeling. SAS Institute, Inc: Cary, NC; 1994. Hatcher L. A step-by-step approach to using the SAS system for factor analysis and structural equation modeling. SAS Institute, Inc: Cary, NC; 1994.
21.
go back to reference Hutcheson G, Sofroniou N. The multivariate social scientist: introductory statistics using generalized linear models. Thousand Oaks, CA: Sage Publications; 1999.CrossRef Hutcheson G, Sofroniou N. The multivariate social scientist: introductory statistics using generalized linear models. Thousand Oaks, CA: Sage Publications; 1999.CrossRef
22.
go back to reference Comrey AL, Lee HB. A first course in factor analysis. Eribaum: Hilsdale, NJ; 1992. Comrey AL, Lee HB. A first course in factor analysis. Eribaum: Hilsdale, NJ; 1992.
23.
go back to reference Kline RB. Principles and practice of structural equation modeling, 2nd edn. New York: The Guilford Press; 2005. Kline RB. Principles and practice of structural equation modeling, 2nd edn. New York: The Guilford Press; 2005.
24.
go back to reference IBM Corp. IBM SPSS Statistics for Windows, Version 24: Armonk, NY, IBM Corp.; 2016. IBM Corp. IBM SPSS Statistics for Windows, Version 24: Armonk, NY, IBM Corp.; 2016.
25.
go back to reference Arbuckle JL. Amos version 23.0. In. Chicago: IBM SPSS; 2014. Arbuckle JL. Amos version 23.0. In. Chicago: IBM SPSS; 2014.
26.
go back to reference Tabachnick BG, Fidell LS. Using multivariate statistics. 4th ed. Boston: Allyn and Bacon; 2001. Tabachnick BG, Fidell LS. Using multivariate statistics. 4th ed. Boston: Allyn and Bacon; 2001.
27.
go back to reference Capik C, Gozum S. Development and validation of health beliefs model scale for prostate cancer screenings: evidence from exploratory and confirmatory factor analyses. Eur J Oncol Nurs. 2011;15:478–85.CrossRef Capik C, Gozum S. Development and validation of health beliefs model scale for prostate cancer screenings: evidence from exploratory and confirmatory factor analyses. Eur J Oncol Nurs. 2011;15:478–85.CrossRef
28.
go back to reference Nunnally JC. Psychometric theory. 2nd ed. New York: McGraw-Hill; 1978. Nunnally JC. Psychometric theory. 2nd ed. New York: McGraw-Hill; 1978.
29.
go back to reference DeVellis RF. Scale development: theory and applications. 4th ed. Newbury Park, CA: Sage; 2016. DeVellis RF. Scale development: theory and applications. 4th ed. Newbury Park, CA: Sage; 2016.
30.
go back to reference Norton R. Measuring marital quality: a critical look at the dependent variable. J Marriage Fam. 1983;45(1):141–51.CrossRef Norton R. Measuring marital quality: a critical look at the dependent variable. J Marriage Fam. 1983;45(1):141–51.CrossRef
31.
go back to reference Wood ND, Gnonhosou DC, Bowling J. Combining parallel and exploratory factor analysis in identifying relationship scales in secondary data. Marriage Fam Review. 2015;51(5):385–95.CrossRef Wood ND, Gnonhosou DC, Bowling J. Combining parallel and exploratory factor analysis in identifying relationship scales in secondary data. Marriage Fam Review. 2015;51(5):385–95.CrossRef
32.
go back to reference Schumaker RE, Lomax RG. A beginner's guide to strcutural equation modeling. 2nd ed. Malwah, NJ: Lawrence Erlbaum Associates; 2004.CrossRef Schumaker RE, Lomax RG. A beginner's guide to strcutural equation modeling. 2nd ed. Malwah, NJ: Lawrence Erlbaum Associates; 2004.CrossRef
33.
go back to reference Rawl S, Champion V, Menon U, Loehrer PJ Sr, Vance GH, Skinner CS. Validation of scales to measure benefits of and barriers to colorectal cancer screening. J Psychosoc Oncol. 2001;19(3):47–63.CrossRef Rawl S, Champion V, Menon U, Loehrer PJ Sr, Vance GH, Skinner CS. Validation of scales to measure benefits of and barriers to colorectal cancer screening. J Psychosoc Oncol. 2001;19(3):47–63.CrossRef
34.
go back to reference Champion V. Instrument refinement for breast cancer screening behaviors. Nurs Res. 1993;42(3):139–43.CrossRef Champion V. Instrument refinement for breast cancer screening behaviors. Nurs Res. 1993;42(3):139–43.CrossRef
Metadata
Title
Factor structure and internal reliability of cultural belief scales about colorectal cancer screening among Koreans in the Republic of Korea
Author
Shin-Young Lee
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-6240-9

Other articles of this Issue 1/2018

BMC Public Health 1/2018 Go to the issue