Translation, cross-cultural adaptation, and psychometric testing of the Young Pregnancy Stigma Scale (YPrSS-BI): Indonesian version.

OBJECTIVE

To translate the Young Parent Stigma Scale (YPSS) into Bahasa Indonesia and adapt for pregnant adolescents to become Young Pregnancy Stigma Scale (YPrSS-BI). To evaluate the psychometric properties of the YPrSS-BI and determine the perceived stigma and related variables of pregnant adolescents.

DESIGN

A cross-sectional validation study.

SETTING

West Sumatra province, Indonesia.

PARTICIPANTS

Pregnant adolescents (n=184) aged 15-19 years old.

METHODS

The YPSS was translated and modified as YPrSS-BI for cultural congruity using the procedure of Beaton et al. (2000). A convenience sample of pregnant adolescents in West Sumatra, Indonesia provided data for exploratory factor analysis.

FINDINGS

A four-factor solution across 22 items was found to explain a total variance of 66.9% of the perceived stigma of pregnant adolescent women. Cronbach's alpha of the YPrSS-BI was satisfactory for the total scale (0.88), and adequate to excellent across the four factors (0.77-0.94).

CONCLUSION

The YPrSS-BI is a valid and reliable instrument to measure stigma perceived by pregnant Indonesian adolescents.

IMPLICATIONS FOR PRACTICE

Stigma, entangled with social and cultural burdens, can negatively impact physical and mental health of adolescents during pregnancy. Healthcare providers can use the YPrSS-BI to evaluate stigmatized feelings of pregnant girls and foster potential interventions to reduce stigma burden.