Measuring HIV-related stigma among Chinese service providers: confirmatory factor analysis of a multidimensional scale.
An HIV-related stigma scale for health care workers needs to be multidimensional in that it should encompass attitudes that might be experienced by the general public about people living with HIV/AIDS (PLWHA) (e.g., fear, shame, blame) and, further, specifically capture perceptions of appropriate professional care and medical responsibilities regarding PLWHA. A 17-item, 5-factor multidimensional HIV-related stigma scale was developed and validated using both exploratory and confirmatory factor analysis among 1,101 service providers in China. The sample was divided into a development sample (N = 551) and a validation sample (N = 550). The fit of the final confirmatory factor model with five hypothesized subscales was excellent in both samples. The final stigma subscales included: Discrimination Intent at Work, Opinion about Health Care for HIV/AIDS Patients, Prejudiced Attitudes, Internalized Shame, and Fear of PLWHA.
Department of Psychology, University of California Los Angeles, 405 Hilgard Avenue, Los Angeles, CA 90095-1563, USA. jastein@ucla.edu
Judith A
JA
Stein
Li
L
Li
D001291:Attitude of Health Personnel; D002681:China; D005163:Factor Analysis, Statistical; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000523:psychology*; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D011287:Prejudice; D015203:Reproducibility of Results