Background
Within the United States there are individuals who retain traditions
and beliefs of cultural groups that vary from the general majority
population. Both health care providers and researchers have reported that
many individuals who live in but are less affiliated with the dominant
culture tend to have less positive health outcomes.
Objective
The purpose of this study was to use factor analysis to assess the
psychometric properties of Mood's 18-item Strength of Cultural
Affiliation Scale (SCAS).
Methods
The SCAS was administered to 604 participants from a randomized
clinical trial of cancer patients who were treated with radiotherapy at a
large central city hospital located in the Midwest.
Results
Confirmatory Factor Analyses using Principal Component Analysis with
Oblimin Rotation indicated a 16-item, 4 factor final solution with the
following subscales: Factor 1= Lifestyle (7 items), Factor
2= Language and Cultural Specific Holidays (3 items), Factor
3= Relationships (4 items), and Factor 4= Cultural Health
Practices (2 items).
Conclusion
The SCAS demonstrated high reliability, content, construct,
discriminant, convergent, divergent and predictive validity.
Implications for Practice
The SCAS appears to be a reliable and valid tool for practitioners to
use to assess a patient's strength of cultural affiliation to
provide the best culturally-sensitive care possible for the patient.