Psychometric validation of a culturally adapted health belief model scale for breast cancer screening in Chinese women.

ABSTRACT: This study aimed to validate a culturally adapted Health Belief Model (HBM) questionnaire for assessing breast cancer screening beliefs among Chinese women and to evaluate its structural validity and measurement invariance. A cross-sectional survey was conducted with 314 women aged 18-70 in Guizhou Province, China, using multistage sampling. The original HBM questionnaire underwent cultural adaptation and expert content review. Exploratory and confirmatory factor analyses were conducted to examine the factor structure, and measurement invariance was tested across residential settings and age groups. A seven-factor solution was identified, encompassing all six core HBM constructs, with self-efficacy splitting into two empirically distinct dimensions. The final 41-item model demonstrated str

SUBMITTER: Liao Y 

PROVIDER: S-EPMC12407439 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature