COVID-19 Public Stigma Scale (COVID-PSS): development, validation, psychometric analysis and interpretation.
COVID-19 Public Stigma Scale (COVID-PSS): development, validation, psychometric analysis and interpretation.
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DOI：
10.1136/bmjopen-2020-048241
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发表时间：
2021-11-02
期刊：
影响因子：
2.9
通讯作者：
Wongpakaran T
中科院分区：
文献类型：
--
作者：
Nochaiwong S;Ruengorn C;Awiphan R;Kanjanarat P;Ruanta Y;Phosuya C;Boonchieng W;Nanta S;Chongruksut W;Thavorn K;Wongpakaran N;Wongpakaran T
在 COVID-19 大流行期间，对 COVID-19 感染的社会耻辱已成为公共话语和社会现象的主要组成部分。因此，我们的目标是开发并验证 COVID-19 公共耻辱量表 (COVID-PSS)。泰国封锁期间的全国调查横断面研究。我们邀请 4004 名成年公众完成了一套测量工具，包括 COVID-PSS、全球对 COVID-19 的恐惧、对 COVID-19 感染的感知风险、Bogardus 社交距离量表、疼痛强度量表和失眠严重程度指数。通过探索性和验证性因素分析以及非参数项目反应理论（IRT）分析，构建并重申了模型拟合的因素结构维度。测试了心理测量学特性的有效性和可靠性。执行基于锚的方法来对正确的截止分数进行分类。经过因素分析、IRT 分析和模型拟合测试后，我们创建了最终的 10 项 COVID-PSS，具有三因素结构：刻板印象、偏见和恐惧。表面有效性和内容有效性是通过公众和专家的观点建立的。 COVID-PSS 与全球对 COVID-19 的恐惧（0.68，95% CI 0.66 至 0.70）、感知的 COVID-19 感染风险（0.79，95% CI 0.77 至 0.80）以及 Bogardus 社交距离量表（0.50，95% CI 0.48 至 0.80）显着相关（Spearman 等级，95% CI）。 0.53），表明收敛效度良好。 COVID-PSS与疼痛强度量表和失眠严重程度指数之间的相关性统计<0.2，支持判别有效性。 COVID-PSS 的可靠性令人满意，具有良好的内部一致性（Cronbach’s α 为 0.85，95% CI 0.84 至 0.86）和重测重现性（组内相关性为 0.94，95% CI 0.86 至 0.96）。拟议的截止分数如下：公众对 COVID-19 感染的污名没有/最低（≤18）、中度（19-25）和高度（≥26）。 COVID-PSS 实用且适合在公共卫生调查中衡量对 COVID-19 的耻辱感。然而，可能需要跨文化适应。
Amid the COVID-19 pandemic, social stigma towards COVID-19 infection has become a major component of public discourse and social phenomena. As such, we aimed to develop and validate the COVID-19 Public Stigma Scale (COVID-PSS). National-based survey cross-sectional study during the lockdown in Thailand. We invited the 4004 adult public to complete a set of measurement tools, including the COVID-PSS, global fear of COVID-19, perceived risk of COVID-19 infection, Bogardus Social Distance Scale, Pain Intensity Scale and Insomnia Severity Index. Factor structure dimensionality was constructed and reaffirmed with model fit by exploratory and confirmatory factor analyses and non-parametric item response theory (IRT) analysis. Psychometric properties for validity and reliability were tested. An anchor-based approach was performed for classifying the proper cut-off scores. After factor analysis, IRT analysis and test for model fit, we created the final 10-item COVID-PSS with a three-factor structure: stereotype, prejudice and fear. Face and content validity were established through the public and experts’ perspectives. The COVID-PSS was significantly correlated (Spearman rank, 95% CI) with the global fear of COVID-19 (0.68, 95% CI 0.66 to 0.70), perceived risk of COVID-19 infection (0.79, 95% CI 0.77 to 0.80) and the Bogardus Social Distance Scale (0.50, 95% CI 0.48 to 0.53), indicating good convergent validity. The correlation statistics between the COVID-PSS and the Pain Intensity Scale and Insomnia Severity Index were <0.2, supporting the discriminant validity. The reliability of the COVID-PSS was satisfactory, with good internal consistency (Cronbach’s α of 0.85, 95% CI 0.84 to 0.86) and test–retest reproducibility (intraclass correlation of 0.94, 95% CI 0.86 to 0.96). The proposed cut-off scores were as follows: no/minimal (≤18), moderate (19–25) and high (≥26) public stigma towards COVID-19 infection. The COVID-PSS is practical and suitable for measuring stigma towards COVID-19 in a public health survey. However, cross-cultural adaptation may be needed.
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4.8
作者：
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通讯作者：
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影响因子：
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作者：
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作者：
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影响因子：
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影响因子：
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作者：
Person B;Sy F;Holton K;Govert B;Liang A;National Center for Inectious Diseases/SARS Community Outreach Team
通讯作者：
National Center for Inectious Diseases/SARS Community Outreach Team