Table 6.
Factors and items in the Cultural Domain.
| Factors and Items | Item Description | Factor Loads | Mean 1 | SD | CITC | h2 |
|---|---|---|---|---|---|---|
| F13 Stigmas about cancer (2 items) | ||||||
| C1b_CancerBadLuck | Cancer is due to bad luck | 0.803 | 1.55 | 1.055 | 0.608 | 0.765 |
| C1c_CancerPunishment | Cancer is a punishment from God | 0.799 | 1.41 | 0.992 | 0.608 | 0.767 |
| F14 Fatalistic attitude (3 items) | ||||||
| C1e_CancerEqualDeath | Cancer is a deadly disease | 0.829 | 3.53 | 1.519 | 0.591 | 0.722 |
| C1f_CancerThinkDeath | When thinking of cancer, automatically think of death | 0.798 | 3.11 | 1.512 | 0.614 | 0.705 |
| C1d_CancerWorstThing | Cancer is the worst thing that can happen to a person | 0.730 | 2.84 | 1.596 | 0.528 | 0.629 |
| F15 Beliefs about treatment (2 items) | ||||||
| C2c_CureGodWill | Cancer can be cured only if it is God’s will | 0.736 | 2.78 | 1.665 | 0.354 | 0.654 |
| C2b_TreatSurgerySpread | Treating cancer with surgery can cause it to spread throughout the body | 0.661 | 2.63 | 1.395 | 0.354 | 0.579 |
| F16 Beliefs about prevention (5 items) | ||||||
| C3b_NoScreenAllDie | No need of cancer screening because everyone dies anyway | 0.798 | 1.64 | 1.192 | 0.651 | 0.728 |
| C3c_NoScreenNothingToDo | No need of cancer screening because you will get it no matter what you do | 0.774 | 1.65 | 1.182 | 0.670 | 0.713 |
| C3a_NoScreenGodHands | No need of cancer screening because it is in God’s hands anyway | 0.714 | 1.70 | 1.262 | 0.584 | 0.614 |
| C3e_NothingToDo | There is no so much people can do to lower chances of getting cancer | 0.571 | 2.23 | 1.356 | 0.468 | 0.446 |
| C3d_NoClearWhatToDo | Too many recommendations about preventing cancer make difficult to choose | 0.531 | 2.66 | 1.422 | 0.415 | 0.486 |
| F17 Self-determination (4 items) | ||||||
| C4f_PreferKnowOptions | Prefer having choices instead of doctor making decisions for me | 0.717 | 3.49 | 1.502 | 0.436 | 0.585 |
| C4g_OkNoFollowAdvice | There are good reasons not to follow the advice of a doctor | 0.665 | 2.75 | 1.418 | 0.289 | 0.550 |
| C4a_OkSelfExamination | Being comfortable checking own body for signs of health problems | 0.573 | 3.67 | 1.472 | 0.323 | 0.465 |
| C4c_SecondOpinion | Prefer a second opinion about health conditions and treatment options | 0.524 | 4.33 | 1.107 | 0.382 | 0.532 |
| F18 Perceived cancer risk (4 items) | ||||||
| R1d_RiskStomach | Perceive risk of stomach cancer | 0.895 | 2.75 | 0.967 | 0.833 | 0.842 |
| R1e_RiskLiver | Perceive risk of liver cancer | 0.891 | 2.72 | 0.990 | 0.828 | 0.834 |
| R1c_RiskColon | Perceive risk of colon cancer | 0.856 | 2.83 | 1.006 | 0.774 | 0.770 |
| R1f_RiskSkin | Perceive risk of skin cancer | 0.780 | 2.77 | 0.997 | 0.679 | 0.658 |
| F19 Worriedness about cancer (4 items) | ||||||
| R2d_WorryStomach | Being worried about having stomach cancer | 0.884 | 1.91 | 1.197 | 0.855 | 0.857 |
| R2e_WorryLiver | Being worried about having liver cancer | 0.882 | 1.87 | 1.188 | 0.858 | 0.854 |
| R2c_WorryColon | Being worried about having colon cancer | 0.853 | 2.07 | 1.235 | 0.810 | 0.800 |
| R2f_WorrySkin | Being worried about having skin cancer | 0.838 | 2.01 | 1.207 | 0.755 | 0.760 |
| F20 Symptomatic deterrents (4 items) | ||||||
| B2c_NoNeedNoSymptoms | No need to have cancer screenings if there are not symptoms | 0.836 | 2.68 | 1.594 | 0.807 | 0.827 |
| B2b_NoNeedNormalResults | No need to have cancer screenings after having several normal screening test results | 0.784 | 2.82 | 1.573 | 0.673 | 0.687 |
| B2a_NoNeedFeelHealthy | No need to have cancer screenings when feeling healthy | 0.773 | 2.45 | 1.592 | 0.740 | 0.743 |
| B2d_NoNeedAge | No need to have cancer screenings when being too young or too old | 0.697 | 2.13 | 1.421 | 0.581 | 0.631 |
1 Range 1–5. h2 = Extraction communality is the proportion of each item’s variance that can be explained by the factor, this is the extent to which an item correlates with all other items in the factor. CITC = Corrected Item-Total correlation (Item discrimination).