Development and psychometric testing of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI) in Korea

This study aimed to develop and examine the psychometric properties of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI). Study participants were 282 women who migrated to Korea from Asian countries to marry and had a mean age of 33.24 years and had immigrated a mean of 5.58 years a...

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Bibliographic Details
Published in:Women & health 2017-09, Vol.57 (8), p.1007-1030
Main Authors: Yang, Sook Ja, Chee, Yeon Kyung
Format: Article
Language:English
Subjects:
Access
Adult
Asian Continental Ancestry Group
Asian cultural groups
China - ethnology
Classical test theory
Discrimination
Emigrants and Immigrants - statistics & numerical data
Exploratory factor analysis
Factor Analysis, Statistical
Female
Females
Health care
Health education
Health literacy
Health Literacy - statistics & numerical data
Health problems
Health promotion
Health services utilization
Humans
Immigrants
Item response theory
Literature reviews
marital immigrants
Marriage
Marriage - ethnology
Medicine
Middle Aged
Numeracy
Philippines - ethnology
Psychometrics - statistics & numerical data
Quantitative psychology
Reproducibility of Results
Republic of Korea - epidemiology
scale development
Surveys and Questionnaires
Translating
Vietnam - ethnology
women
Young Adult
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Summary:This study aimed to develop and examine the psychometric properties of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI). Study participants were 282 women who migrated to Korea from Asian countries to marry and had a mean age of 33.24 years and had immigrated a mean of 5.58 years ago. Data were collected between March 2013 and May 2013. An initial 31 preliminary items were developed based on literature reviews and focus group interviews, including three constructs of health literacy: skills (print, numeracy), tasks (access, understand, appraise, apply), and health contexts (health promotion and disease prevention, health care maintenance and treatment, health system navigation). Exploratory factor analyses of the HLI-FMI yielded 12 items in two factors: Access-Understand Health Literacy (seven items) and Appraise-Apply Health Literacy (five items; Cronbach's alpha = 0.74). Criterion validity was supported through a significant correlation with the Rapid Estimate of Adult Literacy in Medicine-Short Form. Guided by a classical test theory and item response theory, item difficulty and discrimination were within acceptable ranges. HLI-FMI scores were positively associated with participant education and Korean proficiency. The HLI-FMI appears to be the first valid and reliable comprehensive health literacy measure for evaluating health literacy in Korean female marriage immigrants.
ISSN:0363-0242
1541-0331
DOI:10.1080/03630242.2016.1222328