Abbas Tavakoli https://orcid.org/0000-0003-2527-7017
Otis L Owens https://orcid.org/0000-0002-1023-1449
Adult; African Americans (psychology); Aged; Attitude to Health (ethnology); Cohort Studies; Early Detection of Cancer (psychology, statistics & numerical data); Health Knowledge, Attitudes, Practice (ethnology); Humans; Male; Middle Aged; Needs Assessment; Pilot Projects; Prostatic Neoplasms (diagnosis, ethnology, psychology); Psychometrics (methods); Retrospective Studies; Risk Factors; United States
African American men have the highest prostate cancer-related mortality nationally. In response to this disparity, targeted interventions are emerging to enhance African American men's prostate cancer (PrCA) knowledge to ensure they are equipped to make informed decisions about PrCA screening with health-care providers. African American men's PrCA knowledge has been measured inconsistently over time with limited psychometric evidence. The factor structure of this construct in African American men is relatively unknown. This study describes the development and psychometric evaluation of an 18-item Prostate Cancer Knowledge Scale among 352 African American men. Exploratory factor analysis (EFA) was conducted using weighted least square mean and variance estimation with Geomin rotation. EFA yielded three factors: (6 items), (5 items), (7 items) with good internal consistency reliability at KR-20 = .80 for the total scale and .64, .66, and .75, respectively, for each subscale. Factor loadings ranged from .31 to .86. The standardized root mean square residual (0.08) indicated that the factor structure explained most of the correlations. The three-factor, 18-item Prostate Cancer Knowledge Scale demonstrates that PrCA knowledge is a multidimensional construct and has utility for reliably measuring PrCA knowledge among African American men. Future research is required to confirm this factor structure among socio-demographically diverse African Americans.
Digital Object Identifier (DOI)
Published in American Journal of Men's Health, Volume 13, Issue 6, 2019.
© The Author(s) 2019
Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Owens, O., Tavakoli, A., Rose, T., & Wooten, N. (2019). Development and Psychometric Properties of a Prostate Cancer Knowledge Scale for African American Men. American Journal Of Men's Health, 13(6). https://doi.org/10.1177/1557988319892459