Rongkavilit C, Wright K, Chen X, Naar-King S, Chuenyam T, Phanuphak P
Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children's Hospital of Michigan, Detroit, MI 48201, USA.
Int J STD AIDS. 2010 Feb;21(2):126-32. doi: 10.1258/ijsa.2009.008488.
The objective of the present paper is to assess stigma and to create an abbreviated 12-item Stigma Scale based on the 40-item Berger's Stigma Scale for Thai youth living with HIV (TYLH). TYLH aged 16-25 years answered the 40-item Stigma Scale and the questionnaires on mental health, social support, quality of life and alcohol/substance use. Sixty-two (88.6%) of 70 TYLH reported at least one person knowing their serostatus. Men having sex with men were more likely to disclose the diagnosis to friends (43.9% versus 6.1%, P < 0.01) and less likely to disclose to families (47.6% versus 91.8%, P < 0.01). Women were more likely to disclose to families (90.2% versus 62.1%, P < 0.01) and less likely to disclose to friends (7.3% versus 31%, P < 0.05). The 12-item Stigma Scale was reliable (Cronbach's alpha, 0.75) and highly correlated with the 40-item scale (r = 0.846, P < 0.01). Half of TYLH had mental health problems. The 12-item Stigma Scale score was significantly associated with mental health problems (beta = 0.21, P < 0.05). Public attitudes towards HIV were associated with poorer quality of life (beta = -1.41, P < 0.01) and mental health problems (beta = 1.18, P < 0.01). In conclusion, the12-item Stigma Scale was reliable for TYLH. Increasing public understanding and education could reduce stigma and improve mental health and quality of life in TYLH.
本文的目的是评估污名化情况，并基于针对泰国感染艾滋病毒青年（TYLH）的40项伯杰污名量表创建一个缩写版的12项污名量表。16至25岁的TYLH回答了40项污名量表以及关于心理健康、社会支持、生活质量和酒精/物质使用的问卷。70名TYLH中有62名（88.6%）报告至少有一人知道他们的血清学状态。男男性行为者向朋友透露诊断的可能性更高（43.9%对6.1%，P<0.01），向家人透露的可能性更低（47.6%对91.8%，P<0.01）。女性向家人透露的可能性更高（90.2%对62.1%，P<0.01），向朋友透露的可能性更低（7.3%对31%，P<0.05）。12项污名量表是可靠的（克朗巴哈系数为0.75），并且与40项量表高度相关（r = 0.846，P<0.01）。一半的TYLH有心理健康问题。12项污名量表得分与心理健康问题显著相关（β = 0.21，P<0.05）。公众对艾滋病毒的态度与较差的生活质量（β = -1.41，P<0.01）和心理健康问题（β = 1.18，P<0.01）相关。总之，12项污名量表对TYLH是可靠的。提高公众的理解和教育可以减少污名化，并改善TYLH的心理健康和生活质量。
