|Published online: April 11, 2014||$US5.00|
Purpose: The current study describes the development and validation of the Preventive Health Services Utilization Belief Inventory (PHSU-BI) among middle-aged white- and blue-collar workers in Taiwan. Methods: Convenience samples of government employees (white-collar) and manufacturing workers (blue-collar) aged 40–64 years participated in the study. PHSU-BI items were adapted from Hou’s Cancer Screening Belief Scale (CSBS-C), previously validated among another Chinese adult samples. The final PHSU-BI consisted of seven items with two sub-scales: PHSU-BI_Pros (3 items) and PHSU-BI_Cons (4 items). Results: A total of 148 middle-aged white- and 533 blue-collar workers completed the survey. The reliabilities of the PHSU-BI showed good internal consistencies in both samples (Cronbach alphas ranged .75–.82). All PHSU-BI scale items successfully determined participants with favorable and less favorable PHSU-BI beliefs. All items were loaded consistently and significantly with good model fits in both samples. After adjusting for age, gender, family cancer history, and education, PHSU-BI was still a significant predictor for having regular annual health exams in both samples. Conclusion: Results showed this bi-lingual PHSU-BI was reliable and valid in both white- and blue-collar middle-aged Chinese adults. PHSU-BI provides researchers and practitioners with an important tool to understand and measure beliefs towards utilizing preventive health services among Chinese middle-aged adults.
|Keywords:||Preventive Health Services Utilization, Beliefs, Instrument Validation, Middle-aged Adults, Chinese, Workplace, Health Promotion and Education|
The International Journal of Health, Wellness and Society, Volume 4, Issue 1, May 2014, pp.13-20. Article: Print (Spiral Bound). Published online: April 11, 2014 (Article: Electronic (PDF File; 520.818KB)).
Associate Professor, College of Public Health, Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA
Adjunct Assistant Professor, Department of Industrial Engineering and Management, National Taipei University of Technology, Taipei, Taiwan