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伯杰HIV耻辱量表18项中文简版的编制

Development of an 18-item abbreviated Chinese version of Berger's HIV Stigma Scale.

作者信息

Yu Chia-Hui, Huang Chu-Yu, Lee Yuan-Ti, Cheng Su-Fen

机构信息

College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.

Department of Medical Quality, Chung Shan Medical University Hospital, Taichung, Taiwan.

出版信息

Int J Nurs Pract. 2019 Apr;25(2):e12708. doi: 10.1111/ijn.12708. Epub 2018 Nov 6.


DOI:10.1111/ijn.12708
PMID:30402922
Abstract

AIM: Human immunodeficiency virus (HIV) stigma in people living with HIV is associated with depression and poor treatment adherence. The current literature lacks a Chinese instrument to measure HIV stigma in Taiwan. Thus, the purpose of this study was to develop an abbreviated Chinese translation version of Berger's HIV Stigma Scale. METHODS: The instrument development process was guided by Brislin's Translation Model of establishment of construct validity and convergent validity and verification of reliability. RESULTS: This study recruited 540 HIV-infected adults (January-November 2015). Data analysis using confirmatory factor analysis resulted in an 18-item abbreviated Chinese version of Berger's HIV Stigma Scale, consisting with four factors: personalized stigma (seven items), disclosure concerns (three items), negative self-image (four items), and concerns with public attitudes toward people with HIV (four items). The final model demonstrated a good fit. A positive correlation between HIV stigma and depression was found. The Cronbach α for internal consistency was 0.92. CONCLUSION: The 18-item abbreviated Chinese version of Berger's HIV Stigma Scale demonstrated adequate reliability and validity to assess HIV stigma among Chinese people living with HIV. It is a feasible tool that allows for rapid assessment of HIV-related stigma.

摘要

目的:感染人类免疫缺陷病毒(HIV)者所面临的HIV污名化与抑郁及治疗依从性差有关。目前的文献中缺乏用于测量台湾地区HIV污名化情况的中文工具。因此,本研究旨在开发一个简化的中文版伯杰HIV污名量表。 方法:量表开发过程以布里斯林的翻译模型为指导,建立结构效度和收敛效度并验证信度。 结果:本研究招募了540名HIV感染成人(2015年1月至11月)。使用验证性因素分析进行数据分析,得出了一个包含18个条目的简化中文版伯杰HIV污名量表,由四个因素组成:个人化污名(7个条目)、披露担忧(3个条目)、负面自我形象(4个条目)以及对公众对HIV感染者态度的担忧(4个条目)。最终模型显示拟合良好。发现HIV污名与抑郁之间存在正相关。内部一致性的Cronbach α系数为0.92。 结论:18个条目的简化中文版伯杰HIV污名量表在评估中国HIV感染者的HIV污名方面显示出足够的信度和效度。它是一个可行的工具,可用于快速评估与HIV相关的污名。

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