Measuring coping in pregnant minority women

West J Nurs Res. 2015 Feb;37(2):257-75. doi: 10.1177/0193945914527176. Epub 2014 Mar 20.

Abstract

Coping strategies may help explain why some minority women experience more stress and poorer birth outcomes, so a psychometrically sound instrument to assess coping is needed. We examined the psychometric properties, readability, and correlates of coping in pregnant Black (n = 186) and Hispanic (n = 220) women using the Brief COPE. Exploratory and confirmatory factor analysis tested psychometric properties. The Flesch-Kincaid Reading Level test assessed readability. Linear regression models tested correlates of coping. Findings suggested two factors for the questionnaire: active and disengaged coping, as well as adequate reliability, validity, and readability level. For disengaged coping, Cronbach's α was .78 (English) and .70 (Spanish), and for active coping .86 (English) and .92 (Spanish). A two group confirmatory factor analysis revealed both minority groups had equivalent factor loadings. The reading level was at the sixth grade. Age, education, and gravidity were all found to be significant correlates with active coping.

Keywords: Brief COPE; pregnancy; psychometric testing; race.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Psychological*
  • Black or African American / psychology*
  • Ethnicity / psychology*
  • Female
  • Hispanic or Latino / psychology*
  • Humans
  • Minority Health
  • Pregnancy
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Reproducibility of Results
  • Surveys and Questionnaires