Measuring breast cancer and mammography screening beliefs among Chinese American immigrants

Frances Lee-Lin, Usha Menon, Marjorie Pett, Lillian Nail, Sharon Lee, Kathi Mooney

    Research output: Contribution to journalArticlepeer-review

    17 Scopus citations


    Disparities in breast cancer outcomes persist among Asian American women. Breast cancer is the most commonly diagnosed cancer among Chinese American women. This article describes the psychometric evaluation of an instrument measuring knowledge and beliefs related to breast cancer and screening among Chinese American women aged 40 or older. A sample of 100 foreign-born Chinese American women were recruited from an Asian community. Guided by the health belief model, a questionnaire was adapted from three existing questionnaires. Principal axis factoring analyses yielded a three-factor solution that accounted for 53% of the variance in the breast cancer items and a four-factor solution that accounted for 69% of the variance in the cultural items (Cronbach's alphas =.71-.89). Whereas these findings contribute to the understanding of the psychometric properties of an instrument targeted for Chinese American women, additional research is needed to evaluate its utility and efficacy for other Asian Americans.

    Original languageEnglish (US)
    Pages (from-to)852-868
    Number of pages17
    JournalWestern journal of nursing research
    Issue number7
    StatePublished - Nov 2008


    • Breast cancer
    • Chinese immigrants
    • Factor analyses
    • Psychometric evaluation
    • Translation

    ASJC Scopus subject areas

    • Nursing(all)


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