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TESTS	OF	
NORMALITY
Dr Lipilekha Patnaik
Professor, Community Medicine
Institute of Medical Sciences & SUM Hospital
Siksha ‘O’ Anusandhan deemed to be University
Bhubaneswar, Odisha, India
Email: drlipilekha@yahoo.co.in
1
Session	Objectives
• How	to	check	normality	of	a	dataset
• Skewness and	Kurtosis	z	values
• Tests	of	Normality	– Shapiro-Wilk test
• Normality	plots	–
Histogram,	Q-Q	plot,	Box	plot
• Interpretation	of	normality	tests
2
Where	to	do	normality	tests
Continuous	(dependant)	variable	in	each	
independent	groups	or	categories
Before	doing	parametric	tests
3
Skewness and Kurtosis
• Start	with	skewness and	kurtosis.	
• The	skewness and	kurtosis	measures	should	be	as	
close	to	zero	as	possible.	
• In	reality,	however,	data	are	often	skewed	and	
kurtotic.	A	small	departure	from	zero	is	therefore	no	
problem.
• As	a	consequence,	you	must	divide	the	measure	by	its	
standard	error,	and	you	need	to	do	this	by	hand,	using	
a	calculator.	This	will	give	you	the	z-value,	which	
should	be	somewhere	within	-1.96	to	+1.96
4
Kolmogorov-Smirnov	Test		&
Shapiro-Wilk Test
• Kolmogorov-Smirnov	Test	and	the	Shapiro-WilkTest	are	well	
known	tests.	
• The	Shapiro-WilkTest	is	more	appropriate.
• The	null	hypothesis	for	this	test	of	normality	is	that	the	data	are	
normally	distributed.
• If	the Sig. value	of	the	Shapiro-WilkTest	is	>	0.05,	the	data	is	
normal.	If	it	is	below	0.05,	the	data	significantly	deviate	from	a	
normal	distribution.
5
Histogram
• Look	at	the	graphical	figures,	for	both	groups.	
• Inspect	the	histograms	visually.	They	should	
have	the	approximate	shape	of	a	normal	curve.
• Insert	the	curve	and	check.
6
Q-Q	Plot
7
• In	order	to	determine	normality	graphically,	we	can	use	the	
output	of	a	normal	Q-Q	Plot.	
• In	normally	distributed	data,	the	dots	should	be	approximately	
distributed	along	the	line.
• If	the	data	points	stray	from	the	line	in	an	obvious	non-linear	
fashion,	the	data	are	not	normally	distributed.	
8
Box	plots
• Look	at	the	box	plots.	They	should	be	
approximately	symmetrical.
9
10
11
12
Summary
• The	skewness &	kurtosis	z-values,	which	should	
be	somewhere	in	the	span	-1.96	to	+1.96.
• The	Shapiro-Wilk p-value	should	be	above	0.05
• The	Histograms,	Normal	Q-Q	plots	and	Box	plots,	
which	should	visually	indicate	that	our	data	are	
approximately	normally	distributed.
13
• Remember	that	your	data	do	not	have	to	be	
perfectly	normally	distributed.	
• The	main	thing	is	that	they	are	approximately	
normally	distributed,	and	that	you	check	
each	category	of	the	independent	variable.
• (In	our	example,	both	male	and	female	data)
14
Interpretation	of	normality	tests
Sample	characteristics:	
• A	Shapiro-Wilk’s test	(P>0.05)	and	visual	inspection	
of	their	histograms,	normal	Q-Q	plots	and	box	plots	
showed	that	BMI	are	approximately	normally	
distributed	for	females	with	a	skewness of	0.385								
(	SE=0.263)	and	a	kurtosis	of	0.840(SE	=	0.520)	.
• Data	are	skewed	for	males	with	a	skewness of	0.499		
(	SE=0.225)	and	a	kurtosis	of	0.368	(SE	=	0.446)	for	
males.
15
16

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