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Translation and Validation of the Korean Version of the Revised Health Care System Distrust Scale (HCSD-K) in Korean American Women

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  • Hye Chong Hong

    (Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Korea)

  • Ari Min

    (Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Korea)

Abstract

Background: Trust in the healthcare system is a major contributor for racial disparities in health and health care. We aimed to formally translate and cross-culturally adapt the Korean version of the Revised Health Care System Distrust (HCSD-K) scale with a sample of Korean American women and examine the psychometric properties of the HCSD-K scale. Methods: Ten Korean American women participated in the cognitive interview. A self-administered questionnaire was completed by 196 Korean American women aged 50–74 years. Instrument adaptation was performed using committee-based translation and cognitive interviewing. Construct validity, convergent validity, and internal consistency were examined to evaluate the psychometric properties of the HCSD-K scale. Results: The translated instrument was found to be semantically sound. A confirmatory factor analysis revealed a two-factor structure with an excellent fit. Convergent validity was supported by correlations between the HCSD-K scale and both the Perceived Discrimination in Health Care and Trust in Physician scales. Cronbach’s alpha for the total HCSD-K was 0.83. Conclusion: The nine-item HCSD-K scale demonstrated satisfactory reliability and validity. It is an appropriate instrument for measuring healthcare system distrust in Korean American women. Further study is needed to confirm the study results in a gender-mixed Korean population.

Suggested Citation

  • Hye Chong Hong & Ari Min, 2018. "Translation and Validation of the Korean Version of the Revised Health Care System Distrust Scale (HCSD-K) in Korean American Women," IJERPH, MDPI, vol. 15(9), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1964-:d:168625
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    References listed on IDEAS

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    1. Henry Kaiser, 1970. "A second generation little jiffy," Psychometrika, Springer;The Psychometric Society, vol. 35(4), pages 401-415, December.
    2. Yang, T.-C. & Matthews, S.A. & Hillemeier, M.M., 2011. "Effect of health care system distrust on breast and cervical cancer screening in Philadelphia, Pennsylvania," American Journal of Public Health, American Public Health Association, vol. 101(7), pages 1297-1305.
    3. Mohseni, Mohabbat & Lindstrom, Martin, 2007. "Social capital, trust in the health-care system and self-rated health: The role of access to health care in a population-based study," Social Science & Medicine, Elsevier, vol. 64(7), pages 1373-1383, April.
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