Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale

Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale
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DOI:
10.1002/nur.10011
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发表时间:
2001-12-01
影响因子:
2
通讯作者:
Lashley, FR
Lashley, FR
中科院分区:
医学4区
文献类型:
--
作者:
Berger, BE;Ferrans, CE;Lashley, FR

文献摘要

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根据关于艾滋病毒感染者的耻辱感和心理社会方面的文献,制定了一个衡量艾滋病毒感染者所感受到的耻辱感的工具。通过两轮内容审查的项目被汇编成一本小册子,并通过美国各地的艾滋病毒相关组织分发。对HIV感染者(19%为女性,21%为非洲裔美国人,8%为西班牙裔)返回的318份问卷进行了心理测量学分析。探索性因素分析得出四个因素:个人化的耻辱,披露的关注,负面的自我形象,并关注公众对艾滋病毒感染者的态度。提取一个高阶因子提供了单一整体结构的证据。结构效度也得到了相关结构(自尊、抑郁、社会支持和社会冲突)关系的支持。系数α为.90和.93之间的分量表和.96的40项工具提供了内部一致性可靠性的证据。艾滋病毒污名量表是可靠和有效的,有一个大的,不同的艾滋病毒感染者样本。(C)John Wiley & Sons,Inc.
An instrument to measure the stigma perceived by people with HIV was developed based on the literature on stigma and psychosocial aspects of having HIV. Items surviving two rounds of content review were assembled in a booklet and distributed through HIV-related organizations across the United States. Psychometric analysis was Performed on 318 questionnaires returned by people with HIV (19% women, 21% African American, 8% Hispanic). Four factors emerged from exploratory factor analysis: Personalized stigma, disclosure concerns, negative self-image, and concern with public attitudes toward people with HIV. Extraction of one higher-order factor provided evidence of a single overall construct. Construct validity also was supported by relationships with related constructs: self-esteem, depression, social support, and social conflict. Coefficient alphas between .90 and .93 for the subscales and .96 for the 40-item instrument provided evidence of internal consistency reliability. The HIV Stigma Scale was reliable and valid with a large, diverse sample of people with HIV. (C) 2001 John Wiley & Sons, Inc.