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评估非裔美国艾滋病毒感染者的耻辱感。

Assessing Stigma among African Americans Living with HIV.

作者信息

Rao Deepa, Molina Yamile, Lambert Nina, Cohn Susan E

机构信息

Department of Global Health, University of Washington, Seattle Washington.

Health Services Department, University of Washington, Seattle, Washington.

出版信息

Stigma Health. 2016 Aug;1(3):146-155. doi: 10.1037/sah0000027. Epub 2016 Feb 25.

DOI:10.1037/sah0000027
PMID:27761520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5067075/
Abstract

PURPOSE: In the present study, we validated a culturally adapted stigma scale designed to assess stigma among African Americans living with HIV. METHODS: We collected data on the scale using an audio computer assisted self-interview (ACASI) format. We validated the scale with a sample of 62 African American participants living with HIV. RESULTS: Findings demonstrated that stigma can be measured succinctly and effectively in a 14-item scale with two subscales measuring enacted and internalized stigma. DISCUSSION: We identified many advantages to using the scale, which demonstrated good psychometric properties when used with an audio computer assisted self-interview format and with an African American sample. We recommend this scale's use in both clinical practice and research study of HIV-stigma reduction interventions with African American populations.

摘要

目的：在本研究中，我们验证了一种经过文化调适的耻辱感量表，该量表旨在评估感染艾滋病毒的非裔美国人中的耻辱感。 方法：我们使用音频计算机辅助自我访谈（ACASI）形式收集了该量表的数据。我们用62名感染艾滋病毒的非裔美国参与者样本对该量表进行了验证。 结果：研究结果表明，耻辱感可以通过一个包含14个条目的量表简洁有效地进行测量，该量表有两个子量表，分别测量表现出的耻辱感和内化的耻辱感。 讨论：我们确定了使用该量表的许多优点，当与音频计算机辅助自我访谈形式以及非裔美国样本一起使用时，该量表显示出良好的心理测量特性。我们建议在针对非裔美国人的艾滋病毒耻辱感减少干预措施的临床实践和研究中使用该量表。

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[8]
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本文引用的文献

[1]
Barriers and facilitators to engagement of vulnerable populations in HIV primary care in New York City.

J Acquir Immune Defic Syndr. 2015-5-1

[2]
Mortality among blacks or African Americans with HIV infection--United States, 2008-2012.

MMWR Morb Mortal Wkly Rep. 2015-2-6

[3]
Exploratory factor analysis in validation studies: uses and recommendations.

Psicothema. 2014

[4]
'Triply cursed': racism, homophobia and HIV-related stigma are barriers to regular HIV testing, treatment adherence and disclosure among young Black gay men.

Cult Health Sex. 2014-6

[5]
A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: how far have we come?

J Int AIDS Soc. 2013-11-13

[6]
Intersectionality of internalized HIV stigma and internalized substance use stigma: Implications for depressive symptoms.

J Health Psychol. 2015-8

[7]
HIV stigma mechanisms and well-being among PLWH: a test of the HIV stigma framework.

AIDS Behav. 2013-6

[8]
Feasibility, acceptability, and preliminary efficacy of the unity workshop: an internalized stigma reduction intervention for African American women living with HIV.

AIDS Patient Care STDS. 2012-9-17

[9]
The stigma scale for chronic illnesses 8-item version (SSCI-8): development, validation and use across neurological conditions.

Int J Behav Med. 2013-9

[10]
Understanding the behavioral determinants of retention in HIV care: a qualitative evaluation of a situated information, motivation, behavioral skills model of care initiation and maintenance.

AIDS Patient Care STDS. 2012-5-21

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