ORIGINAL RESEARCH article
Front. Oncol.
Sec. Breast Cancer
Volume 15 - 2025 | doi: 10.3389/fonc.2025.1559622
This article is part of the Research TopicCancer screening and “virtuous” health behaviors: the contribution of behavioral economicsView all 6 articles
Development and validation of a Chinese version of a questionnaire to evaluate the knowledge, attitude, and practice about breast cancer screening among financial female workers in Taiwan
Provisionally accepted
- 1China Medical University (Taiwan), Taichung, Taiwan
- 2Institute of labor, Occupational Safety and Health, Ministry of Labor, New Taipei, Taipei County, Taiwan
- 3Institute of Environmental and Occupational Health Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan
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Introduction: This study aimed to develop a Chinese version of a questionnaire to assess the knowledge, attitude, and practice of breast cancer screening among female workers in the financial industry and to evaluate its reliability and validity.Methods: An item pool relevant to knowledge of and attitudes toward breast cancer screening was generated, and 16 experts assessed the validity of the instrument's content relevance and domain coverage. We conducted a cross-sectional study of 1,511 women working in the financial industry in Taiwan. The questionnaire's construct validity was assessed using correlations between the items and other scales to evaluate knowledge of and attitudes toward breast cancer screening. The internal consistency was evaluated using Cronbach's α values.Results: Positive and negative attitudes toward mammography and attitudes toward reasons for not receiving a mammography accounted for 68.3%, 10.3%, and 20.9% of total variance, respectively. The Cronbach's α coefficients for knowledge of and attitudes toward breast cancer screening were 0.37 and 0.91, respectively. One interquartile range (IQR) increase in the total scores on the breast cancer attitudes toward mammography (6 points; adjusted odds ratio [AOR]: 1.47, 95% confidence interval [CI]: 1.24-1.75) and the total scores on the reasons for not receiving a mammography (8 points; AOR: 1.79; 95% CI: 1.46-2.20) were significantly associated with the practice of having ever received a mammography. Both scores showed significant exposure-response associations.: Our findings indicate that the Chinese version of the questionnaire used to evaluate attitudes and practices toward breast cancer screening among female workers in the financial industry demonstrated good construct validity and internal consistency.
Keywords: cancer screening questionnaire, construct validity, Content Relevance, Cross-sectional study, Domain coverage, Internal consistency
Received: 23 Jan 2025; Accepted: 13 Jun 2025.
Copyright: © 2025 Lin, Hung, Li and Chang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Tsai-Chung Li, China Medical University (Taiwan), Taichung, Taiwan
Ta Yuan Chang, China Medical University (Taiwan), Taichung, Taiwan
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