Validity and Reliability of a Bilingual Healthcare Discrimination Scale Among Churchgoing Latino Adults in Los Angeles.

Daniel F López-Cevallos, Mariana Pinto-Alvarez, Karen R Flórez, Kathryn P Derose

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Article in Behavioral sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Daniel F López-CevallosDepartment of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA 01003, USA.ORCID 0000-0002-2788-9749

Mariana Pinto-AlvarezDepartment of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA 01003, USA.

Karen R FlórezCenter for Systems and Community Design, Graduate School of Public Health and Heath Policy, City University of New York, New York, NY 10027, USA.ORCID 0000-0002-5758-433X

Kathryn P DeroseDepartment of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA 01003, USA.ORCID 0000-0001-7742-6024

Funding

NIH HHS 1R01CA218188-18

6 · The paper itself

Abstract

Healthcare discrimination is an important barrier to accessing services among Latino populations in the United States. However, few validated scales have been developed to systematically examine this issue. In this study, we evaluated the validity and reliability of a bilingual healthcare discrimination scale in a sample of churchgoing Latino adults in Los Angeles, California. The study sample included 336 participants (foreign-born: 250; US-born: 86) who attended 12 Catholic churches in Los Angeles. Psychometric testing of the 7-item healthcare discrimination (HCD) scale included internal consistency; split-half reliability; convergent, discriminant, and predictive validity; and confirmatory factor analyses. The HCD had relatively high internal consistency (full sample Cronbach's α = 0.92; foreign-born: 0.91; US-born: 0.92) and showed good convergent and discriminant validity, as it was moderately correlated with the depression scale (full sample r = 0.28,

Indexed as

healthcare discriminationhealth disparitiesLatinospsychometricsrace/ethnicity

Identifiers

PMID41301316

DOI10.3390/bs15111514

PMCPMC12649531

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