The Black identity, hair product use, and breast cancer scale

Autoři: Dede Teteh aff001;  Marissa Ericson aff002;  Sabine Monice aff003;  Lenna Dawkins-Moultin aff001;  Nasim Bahadorani aff004;  Phyllis Clark aff005;  Eudora Mitchell aff006;  Lindsey S. Treviño aff001;  Adana Llanos aff007;  Rick Kittles aff001;  Susanne Montgomery aff003
Působiště autorů: Department of Population Sciences, Division of Health Equities, City of Hope Comprehensive Cancer Center, Duarte, California, United States of America aff001;  Department of Psychology, University of Southern California, Los Angeles, California, United States of America aff002;  School of Behavioral Health, Loma Linda University, Loma Linda, California, United States of America aff003;  Department of Health Sciences, California State University-Northridge, Northridge, California, United States of America aff004;  Healthy Heritage Movement, Riverside, California, United States of America aff005;  Quinn Community Outreach Corporation, Moreno Valley, California, United States of America aff006;  Rutgers School of Public Health and Cancer Institute of New Jersey, Piscataway, New Jersey, United States of America aff007
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
prolekare.web.journal.doi_sk: 10.1371/journal.pone.0225305



Across the African Diaspora, hair is synonymous with identity. As such, Black women use a variety of hair products, which often contain more endocrine-disrupting chemicals than products used by women of other races. An emerging body of research is linking chemicals in hair products to breast cancer, but there is no validated instrument that measures constructs related to hair, identity, and breast health. The objective of this study was to develop and validate the Black Identity, Hair Product Use, and Breast Cancer Scale (BHBS) in a diverse sample of Black women to measure the social and cultural constructs associated with Black women’s hair product use and perceived breast cancer risk.


Participants completed a 27-item scale that queried perceptions of identity, hair products, and breast cancer risk. Principal Component Analyses (PCA) were conducted to establish the underlying component structures, and confirmatory factor analysis (CFA) was used to determine model fit.


Participants (n = 185) were African American (73%), African, and Caribbean Black women (27%) aged 29 to 64. PCA yielded two components that accounted for 61% of total variance. Five items measuring sociocultural perspectives about hair and identity loaded on subscale 1 and accounted for 32% of total variance (α = 0.82; 95% CI = 0.77–0.86). Six items assessing perceived breast cancer risk related to hair product use loaded on subscale 2 and accounted for 29% of total variance (α = 0.82 (95% CI = 0.74–0.86). CFA confirmed the two-component structure (Root Mean Square Error of Approximation = 0.03; Comparative Fit Index = 0.91; Tucker Lewis Index = 0.88).


The BHBS is a valid measure of social and cultural constructs associated with Black women’s hair product use and perceived breast cancer risk. This scale is useful for studies that assess cultural norms in the context of breast cancer risk for Black women.

Klíčová slova:

African American people – Behavior – Breast cancer – Cancer detection and diagnosis – Culture – principal component analysis – Relaxation (psychology) – Women's health


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