Development and psychometric assessment of a multidimensional measure of internalized HIV stigma in a sample of HIV-positive adults
Development and psychometric assessment of a multidimensional measure of internalized HIV stigma in a sample of HIV-positive adults
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DOI：
10.1007/s10461-008-9375-3
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发表时间：
2008-09-01
影响因子：
4.4
通讯作者：
Cunningham, William E.
中科院分区：
文献类型：
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作者：
Sayles, Jennifer N.;Hays, Ron D.;Cunningham, William E.
有必要对不同艾滋病毒/艾滋病感染者（PLHA）所经历的耻辱进行心理计量学上合理的衡量。本研究的目的是开发和评估一种内化艾滋病毒耻辱感的多维测量方法，该方法在社会人口统计学不同的PLHA中捕获与治疗和该疾病其他方面相关的耻辱感。我们在以往定性工作的基础上开发了一个由四个量表组成的28个项目的内化艾滋病毒耻辱测量。202份PLHA样本的整体测量内部一致性信度估计为0.93，四个病耻感量表中的三个超过0.85。量表上的项目有很好的区分性，量表与羞耻感、社会支持和心理健康的相关性支持构念效度。这一措施应该证明对研究人员在艾滋病毒治疗和健康结果中耻辱感的作用，以及评估旨在减轻耻辱感对艾滋病毒感染者的影响的干预措施有用。
There is a need for a psychometrically sound measure of the stigma experienced by diverse persons living with HIV/AIDS (PLHA). The goal of this study was to develop and evaluate a multidimentional measure of internalized HIV stigma that captures stigma related to treatment and other aspects of the disease among sociodemographically diverse PLHA. We developed a 28-item measure of internalized HIV stigma composed of four scales based on previous qualitative work. Internal consistency reliability estimates in a sample of 202 PLHA was 0.93 for the overall measure, and exceeded 0.85 for three of the four stigma scales. Items discriminated well across scales, and correlations of the scales with shame, social support, and mental health supported construct validity. This measure should prove useful to investigators examining in the role of stigma in HIV treatment and health outcomes, and evaluating interventions designed to mitigate the impacts of stigma on PLHA.