Adaptation and testing of instruments to measure cervical cancer screening factors among Vietnamese immigrant women

Abstract

Purpose: Vietnamese American women diagnosed with cervical cancer are more likely to have advanced cancer than non-Hispanic White women. We sought to (a) develop a culturally sensitive Vietnamese translation of the Revised Susceptibility, Benefits, and Barriers Scale; Cultural Barriers to Screening Inventory; Confidentiality Issues Scale; and Quality of Care from the Health Care System Scale and (b) examine the psychometric properties.

Design: Cross-sectional study with 201 Vietnamese immigrant women from the Portland, Oregon, metropolitan area.

Method: We used a community-based participatory research approach and the U.S. Census Bureau's team approach to translation.

Results: Cronbach's alpha ranged from .57 to .91. The incremental fit index ranged from .83 to .88.

Discussion and conclusions: The instruments demonstrated moderate to strong subscale internal consistency. Further research to assess structural validity is needed.

Implications for practice: Our approaches to translation and psychometric examination support use of the instruments in Vietnamese immigrant women.

Keywords: Pap testing; Vietnamese immigrant women; cervical cancer; community-based participatory research approach; instruments; translation.