Validation of 2 Spanish-Language Scales to Assess HIV-Related Stigma in Communities.

Validation of 2 Spanish-Language Scales to Assess HIV-Related Stigma in Communities.
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DOI:
10.1177/2325957414547738
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发表时间:
2015-11
影响因子:
--
通讯作者:
Shin SS
Shin SS
中科院分区:
其他
文献类型:
--
作者:
Franke MF;Nelson AK;Muñoz M;Cruz JS;Atwood S;Lecca L;Shin SS

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我们报告了2个西班牙语量表的心理测量学特性,这些量表旨在测量(1)社区,特别是卫生保健工作者对艾滋病毒的看法,以及(2)卫生保健工作者对艾滋病毒/艾滋病患者(PLWHA)的耻辱行为。艾滋病毒的意见量表包括3个组成部分(政策,回避和同情)和9个项目,而艾滋病毒/艾滋病污名工具护士的改编版,旨在捕捉污名行为,包括2个组成部分(与临床护理有关的歧视和拒绝分享或交换食物/礼物)。量表具有良好的信度和结构效度。相对于社区卫生工作者,治疗支持者更有可能有与回避和同情有关的污名化意见。我们提供了2个西班牙语量表,可用于识别对PLWHA有高度污名化意见和行为的人群。对卫生保健工作者,特别是治疗支持者进行正式培训,可以提高对艾滋病毒的认识,减少对艾滋病毒的污名。
We report the psychometric properties of 2 Spanish-language scales designed to measure (1) opinions about HIV in the community and particularly among health care workers and (2) observed acts of stigma toward people living with HIV/AIDS (PLWHA) by health care workers. The Opinions about HIV Scale included 3 components (policy, avoidance, and empathy) and 9 items, while an adapted version of the HIV/AIDS Stigma Instrument–Nurse, designed to capture acts of stigma, included 2 components (discrimination related to clinical care and refusal to share or exchange food/gifts). Scales demonstrated good reliability and construct validity. Relative to community health workers, treatment supporters were more likely to have stigmatizing opinions related to avoidance and empathy. We offer 2 Spanish-language scales that could be used to identify populations with high levels of stigmatizing opinions and behaviors toward PLWHA. Formal training of health care workers, especially treatment supporters, may raise awareness and reduce stigma toward HIV.