测量中国服务提供者中与艾滋病相关的污名：多维量表的验证性因素分析
Measuring HIV-related stigma among Chinese service providers: confirmatory factor analysis of a multidimensional scale.
作者信息
Stein Judith A, Li Li
机构信息
Department of Psychology, University of California Los Angeles, 405 Hilgard Avenue, Los Angeles, CA 90095-1563, USA.
出版信息
AIDS Behav. 2008 Sep;12(5):789-95. doi: 10.1007/s10461-007-9339-z. Epub 2007 Dec 7.
An HIV-related stigma scale for health care workers needs to be multidimensional in that it should encompass attitudes that might be experienced by the general public about people living with HIV/AIDS (PLWHA) (e.g., fear, shame, blame) and, further, specifically capture perceptions of appropriate professional care and medical responsibilities regarding PLWHA. A 17-item, 5-factor multidimensional HIV-related stigma scale was developed and validated using both exploratory and confirmatory factor analysis among 1,101 service providers in China. The sample was divided into a development sample (N = 551) and a validation sample (N = 550). The fit of the final confirmatory factor model with five hypothesized subscales was excellent in both samples. The final stigma subscales included: Discrimination Intent at Work, Opinion about Health Care for HIV/AIDS Patients, Prejudiced Attitudes, Internalized Shame, and Fear of PLWHA.
医护人员的艾滋病相关污名量表需要具备多维度性，因为它应涵盖普通公众对艾滋病毒/艾滋病感染者（PLWHA）可能持有的态度（例如恐惧、羞耻、指责），此外，还应具体体现对艾滋病毒/艾滋病感染者适当的专业护理和医疗责任的认知。通过探索性和验证性因素分析，在中国的1101名服务提供者中开发并验证了一个包含17个项目、5个因素的多维度艾滋病相关污名量表。样本被分为开发样本（N = 551）和验证样本（N = 550）。最终的验证性因素模型与五个假设子量表在两个样本中的拟合度都非常好。最终的污名子量表包括：工作中的歧视意图、对艾滋病毒/艾滋病患者医疗保健的看法、偏见态度、内化羞耻以及对艾滋病毒/艾滋病感染者的恐惧。
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