The University of Sydney Central Clinical School, The Faculty of Medicine and Health, The University of Sydney, NSW, Australia 2006; The Woolcock Institute of Medical Research, Glebe, NSW, Australia 2037.
Department of Public Health, Institute for Tropical Medicine, Antwerp, Belgium.
Int J Infect Dis. 2022 Jan;114:97-104. doi: 10.1016/j.ijid.2021.10.040. Epub 2021 Oct 29.
Tuberculosis (TB) stigma contributes to diagnostic delay, disease concealment, and reduced wellbeing for affected individuals. Despite the availability of several TB stigma scales, most high-TB burden countries do not have a culturally validated version available. This study evaluated the Van Rie TB stigma scale (VTSS) among people with TB in Vietnam.
This study consisted of two phases. In phase 1, the VTSS was culturally and linguistically adapted to the Vietnamese context. In phase 2, people with TB were invited to complete a survey containing the VTSS, a depression scale, and a quality of life scale. The data analysis included confirmatory factor analysis (CFA), exploratory factor analysis (EFA), construct validity, and floor or ceiling effects.
In phase 1, items were reworded from the third person to the first person. The TB/HIV co-infection items (items 7 and 11) were the least relevant for people with TB (62% and 73% relevance, respectively). In phase 2, the CFA demonstrated adequate goodness-of-fit indices (GFI = 0.88, CFI = 0.96, RMSEA = 0.058); however several of the item factor loadings were low. The EFA demonstrated good internal consistency (α = 0.85) and revealed one dominant factor. Construct validity was low.
The VTSS demonstrated good psychometric properties in Vietnam. Depending on the purpose of the scale, the HIV co-infection items and item 10 could be considered for removal.
结核病（TB）污名化导致诊断延误、病情隐瞒和受影响个体的幸福感降低。尽管有几种结核病污名量表，但大多数结核病负担高的国家都没有可用的文化验证版本。本研究评估了越南结核病患者中的 Van Rie 结核病污名量表（VTSS）。
本研究包括两个阶段。在第一阶段，VTSS 经过文化和语言改编，以适应越南的情况。在第二阶段，邀请结核病患者完成一项包含 VTSS、抑郁量表和生活质量量表的调查。数据分析包括验证性因子分析（CFA）、探索性因子分析（EFA）、结构有效性和地板或天花板效应。
在第一阶段，将项目从第三人称改为第一人称。结核病/艾滋病合并感染项目（项目 7 和 11）与结核病患者相关性最低（分别为 62%和 73%）。在第二阶段，CFA 显示出良好的拟合优度指数（GFI=0.88，CFI=0.96，RMSEA=0.058）；然而，一些项目的因子负荷较低。EFA 显示出良好的内部一致性（α=0.85），并揭示了一个主要因素。结构有效性较低。
VTSS 在越南具有良好的心理测量特性。根据量表的目的，可以考虑删除 HIV 合并感染项目和项目 10。
