Measurement of Stigma in Men Who Have Sex with Men in Hanoi, Vietnam: Assessment of a Homosexuality-Related Stigma Scale.
Measurement of Stigma in Men Who Have Sex with Men in Hanoi, Vietnam: Assessment of a Homosexuality-Related Stigma Scale.
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DOI：
10.1155/2013/174506
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Nguyen HT
中科院分区：
文献类型：
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作者：
Ha H;Ross MW;Risser JM;Nguyen HT
Objective.制定和评估越南河内男男性行为者（MSM）的同性恋相关污名量表。方法.我们于2011年在越南河内进行了一项采用响应驱动抽样的横断面研究。我们使用了交叉验证方法。进行因子分析，并构建子项相关矩阵，以确定潜在的因子结构，检验拟合优度，并评估所确定的尺度的收敛性和判别效度。在分离样品和整个样品中进行内部一致性检查，并分别对每个测定因子进行内部一致性检查。结果在分离样本中的结果是一致的。三个同性恋相关的污名因素：制定同性恋污名，感知同性恋污名，和内化同性恋污名。验证性因素分析的拟合指数在两个分裂样本中均支持假设的三因素结构（子样本A和B：χ 2/自由度比分别为1.77和1.59，非范数拟合指数分别为0.92和0.94，比较拟合指数分别为0.93和0.95，近似均方根分别为0.06和0.05）。项目相关支持量表的收敛效度和判别效度。三个量表的可靠性表明，良好的一致性（克朗巴赫的α：0.79-0.84）在分裂样本和整个数据。结论我们的量表有很好的心理测量特性测量同性恋相关的耻辱。这些全面而实用的工具不仅对评估针对男男性行为者的污名及其后果至关重要，而且对指导针对男男性行为者的干预措施的制定以及评估越南和其他具有类似环境的国家现有减少污名工作的有效性至关重要。
Objective. To develop and assess a homosexuality-related stigma scale among men who have sex with men (MSM) in Hanoi, Vietnam. Methods. We conducted a cross-sectional study using respondent-driven sampling in Hanoi, Vietnam, in 2011. We used a cross-validation approach. Factor analysis was performed, and interitem correlation matrices were constructed to identify the latent factor structures, examine the goodness of fit, and assess convergent and discriminant validity of the determined scales. Internal consistency checks were performed in split samples and whole sample, and separately for each determined factor. Results. The findings were consistent in split samples. Three homosexuality-related stigma factors were identified: enacted homosexual stigma, perceived homosexual stigma, and internalized homosexual stigma. The fit indices of the confirmatory factor analysis in both split samples supported the hypothesized three-factor structures (in subsamples A and B: χ 2/degrees of freedom ratio = 1.77 and 1.59, nonnormed fit index = 0.92 and 0.94, comparative fit index = 0.93 and 0.95, and the root mean square of approximation = 0.06 and 0.05, resp.). The interitem correlation supported the convergent and discriminant validity of the scales. The reliability of the three scales indicated good consistency (Cronbach's alpha: 0.79–0.84) across split samples and for the whole data. Conclusion. Our scales have good psychometric properties for measuring homosexuality-related stigma. These comprehensive and practical tools are crucial not only to assess stigma against MSM and its consequence, but also to guide the development of interventions targeting MSM, as well as to evaluate the efficacy of existing stigma reduction efforts in Vietnam and other countries with similar settings.