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. 2019 Aug;24(9):1221-1232.
doi: 10.1177/1359105317693910. Epub 2017 Feb 1.

Measurement invariance of intuitive cancer risk perceptions across diverse populations: The Cognitive Causation and Negative Affect in Risk scales

Raymond E Baser  1 , Yuelin Li  1 , Debra Brennessel  2 , M Margaret Kemeny  2 , Jennifer L Hay  1
Affiliations

Measurement invariance of intuitive cancer risk perceptions across diverse populations: The Cognitive Causation and Negative Affect in Risk scales

Raymond E Baser et al. J Health Psychol. 2019 Aug.

Abstract

Intuitive cancer risk perceptions may inform strategies to motivate cancer prevention behaviors. This study evaluated factor structure and measurement invariance of two new measures of intuitive cancer risk, the Cognitive Causation and Negative Affect in Risk scales. Single- and multiple-group confirmatory factor analysis models were fit to responses from three diverse samples. The confirmatory factor analysis models fit the data well, with all comparative fit indices (CFI) ≥ 0.94. Items flagged by chi-square difference tests as potentially non-invariant were largely invariant between samples according to practical fit indices (e.g. ΔCFI). These novel scales may be particularly relevant in diverse, underserved populations.

Keywords: cancer risk perceptions; confirmatory factor analysis; construct validation; diversity; measurement; measurement invariance; risk.

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Figures

Figure 1.
Figure 1.
Standardized factor loadings from single-group confirmatory factor analysis (CFA) models for cognitive causation and negative affect in risk across three samples (University Students, Community Men, Urban Primary Care, presented from left to right, respectively). The double-headed arrow represents the correlations between the two latent factors (Cognitive Causation, Negative Affect in risk). Items CC8-CC10 were not administered to the Community Men and are depicted in the figure as “--”.
See this image and copyright information in PMC

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