Psychometric testing of the immigrant Barriers to Health Care Scale: Hispanic Version

Stacen Keating, Beverly Carlson, Sophia Jimenez, Jaime Estrada, Belia Gastelum, Tomas Romero, Barbara Riegel

Research output: Contribution to journalArticlepeer-review


Barriers to care contribute to health inequities for immigrant populations. Although inadequate health insurance is a known barrier, other factors impact the issue. Few instruments exist to specifically measure these other barriers. The purpose of this study was to test the Immigrant Barriers to Health Care Scale - Hispanic Version. It was first pilot-tested in southern California with a Mexican population. After refinement, the instrument was tested in a north-eastern sample of diverse Hispanic adults. The data were analyzed using exploratory factor analysis. Factor loadings and communalities were used to assess the adequacy of the scale's items. Six items were deleted due to ambiguous factor loadings. The final 11 items loaded onto four factors and explained 54.58% of the variance. The coefficient alpha was 0.81 for the instrument. The Immigrant Barriers to Health Care Scale is a reliable and valid tool. Its further use and reporting with other socially and economically disadvantaged groups is advised.

Original languageEnglish (US)
Pages (from-to)235-243
Number of pages9
JournalNursing and Health Sciences
Issue number3
StatePublished - 2009


  • Hispanic
  • Immigrant
  • Instrument development
  • Minority
  • Psychometric analysis

ASJC Scopus subject areas

  • General Nursing


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