Validation of an adapted instrument to measure female genital fistula-related stigma.
Validation of an adapted instrument to measure female genital fistula-related stigma.
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DOI：
10.1080/17441692.2020.1813786
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发表时间：
2021-07
影响因子：
3.3
通讯作者：
Turan JM
中科院分区：
文献类型：
--
作者：
El Ayadi AM;Barageine JK;Neilands TB;Ryan N;Nalubwama H;Korn A;Turan JM
女性生殖器瘘会导致严重的生理、心理和社会后遗症。定性研究证实了污名的普遍性；然而，没有量化工具来衡量与瘘管相关的污名。我们将现有的HIV相关污名工具应用于瘘管相关的污名，并评估了其可靠性和有效性。我们招募了60名寻求生殖器瘘手术的乌干达妇女(2014年12月至2015年6月)。采用探索性因素分析对量表的潜在结构进行探索性分析，并采用ρ统计量对量表的内部一致性信度进行评价。我们通过污名与生活质量、抑郁症状和自尊的线性回归来评估结构效度。我们保留了15个因素中的“已实施的污名”和“内化的污名”(ρ=0.960和ρ=0.748)。污名与所有生活质量领域呈负相关；环境领域(实施污名，降低0.69分)和心理领域(内化污名，降低0.67分)的影响程度最大。两个污名领域与抑郁症状呈正相关，与自尊呈负相关，前者抑郁症状分别增加0.75分和1.05分，后者自尊分别降低0.45分和0.77分。结果表明，改进后的瘘管污名测试仪具有较好的信度和效度。这一工具可以帮助我们了解污名程度，比较个人和社区之间的污名，确定减少污名战略的优先顺序，并评估干预影响。
Female genital fistula results in severe physical, psychological, and social sequelae. Qualitative research confirms stigma pervasiveness; however, no quantitative instrument exists to measure fistula-related stigma. We adapted an existing HIV-related stigma instrument to fistula-related stigma, and assessed its reliability and validity. We recruited 60 Ugandan women seeking genital fistula surgery (December 2014-June 2015). We used exploratory factor analysis to explore the scale’s latent structure and evaluated internal consistency reliability with Raykov’s ρ statistic. We assessed construct validity through linear regression of stigma with quality of life, depressive symptoms and self-esteem. We retained 15 items across factors ‘enacted stigma’ and ‘internalized stigma’ (ρ=0.960 and ρ=0.748, respectively). Stigma was inversely associated with all quality of life domains; effect sizes were largest for environmental (enacted stigma, 0.69-point reduction) and psychological (internalized stigma, 0.67-point reduction) domains. Both stigma domains were associated positively with depressive symptoms and inversely with self-esteem, with 0.75 and 1.05-point increases in depressive symptoms and 0.45 and 0.77-point decreases in self-esteem for enacted and internalized stigma, respectively. Results suggest the reliability and validity of the adapted fistula stigma instrument. This instrument may help us understand stigma levels, compare stigma across individuals and communities, prioritize stigma-reduction strategies, and assess intervention impact.
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影响因子：
2.9
作者：
Rueda S;Mitra S;Chen S;Gogolishvili D;Globerman J;Chambers L;Wilson M;Logie CH;Shi Q;Morassaei S;Rourke SB
通讯作者：
Rourke SB
影响因子：
3.1
作者：
Changole J;Thorsen VC;Kafulafula U
通讯作者：
Kafulafula U
DOI：
10.1002/bs.3830190102
发表时间：
1974-01-01
期刊：
BEHAVIORAL SCIENCE
影响因子：
--
作者：
DEROGATIS, LR;LIPMAN, RS;COVI, L
通讯作者：
COVI, L
影响因子：
7
作者：
Auerswald, Max;Moshagen, Morten
通讯作者：
Moshagen, Morten
影响因子：
2.5
作者：
Khisa, Anne M.;Omoni, Grace M.;Spitzer, Rachel F.
通讯作者：
Spitzer, Rachel F.