Duke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
AIDS Behav. 2022 May;26(5):1530-1543. doi: 10.1007/s10461-021-03506-3. Epub 2021 Nov 3.
HIV stigmatizing attitudes are embedded in social context, making it important to develop culturally specific tools for accurate measurement. The goal of this study was to develop and evaluate the psychometric properties of the HIV Stigmatizing Attitudes Scale (HSAS) in Moshi, Tanzania. Items were adapted based on a scale developed by Visser et al. which was one of the first to measure HIV stigmatizing attitudes in the general population (i.e., people not living with HIV). Items were translated into Swahili and modified with iterative feedback. The HSAS was administered to participants (N = 1494) in an HIV stigma reduction intervention study at two antenatal care clinics in Moshi, Tanzania. The HSAS was found to have strong domain coherence and high reliability based on Cronbach's alpha, Omega 6 coefficient values, and the composite reliability coefficient, and high validity based on content-oriented evidence, relations to other variables, and response process. Factor analysis revealed a two-factor structure (Moral Judgment and Interpersonal Distancing), consistent with the original Visser scale. The HSAS provides a robust way to measure HIV stigma in the Tanzanian context and can be culturally adapted to other settings.
HIV 污名化态度根植于社会背景，因此开发针对特定文化的准确测量工具非常重要。本研究旨在开发和评估坦桑尼亚莫希的 HIV 污名化态度量表 (HSAS) 的心理测量特性。项目改编自 Visser 等人开发的量表，该量表是第一个用于测量一般人群（即未感染 HIV 的人群）中 HIV 污名化态度的量表之一。项目被翻译成斯瓦希里语，并通过迭代反馈进行修改。HSAS 在坦桑尼亚莫希的两个产前保健诊所的一项 HIV 污名减少干预研究中对参与者（N=1494）进行了评估。基于 Cronbach's alpha、Omega 6 系数值和综合可靠性系数，HSAS 具有较强的领域内一致性和可靠性，并且基于内容导向的证据、与其他变量的关系和反应过程具有较高的有效性。因子分析显示出与原始 Visser 量表一致的两因素结构（道德判断和人际疏远）。HSAS 为在坦桑尼亚背景下测量 HIV 污名提供了一种可靠的方法，并且可以适用于其他文化背景。
