title: Development and psychometric assessment of a multidimensional measure of internalized HIV stigma in a sample of HIV-positive adults.
abstract: There is a need for a psychometrically sound measure of the stigma experienced by diverse persons living with HIV/AIDS (PLHA). The goal of this study was to develop and evaluate a multidimentional measure of internalized HIV stigma that captures stigma related to treatment and other aspects of the disease among sociodemographically diverse PLHA. We developed a 28-item measure of internalized HIV stigma composed of four scales based on previous qualitative work. Internal consistency reliability estimates in a sample of 202 PLHA was 0.93 for the overall measure, and exceeded 0.85 for three of the four stigma scales. Items discriminated well across scales, and correlations of the scales with shame, social support, and mental health supported construct validity. This measure should prove useful to investigators examining in the role of stigma in HIV treatment and health outcomes, and evaluating interventions designed to mitigate the impacts of stigma on PLHA.
authors.affiliation: Division of General Internal Medicine and Health Services Research, UCLA, 911 Broxton Ave., Los Angeles, CA 90024, USA. jsayles@mednet.ucla.edu
authors.forename: Jennifer N
authors.initials: JN
authors.lastname: Sayles
authors.forename: Ron D
authors.initials: RD
authors.lastname: Hays
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Sarkisian
authors.forename: Anish P
authors.initials: AP
authors.lastname: Mahajan
authors.forename: Karen L
authors.initials: KL
authors.lastname: Spritzer
authors.forename: William E
authors.initials: WE
authors.lastname: Cunningham
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011287:Prejudice; D011594:Psychometrics; D011795:Surveys and Questionnaires; D055815:Young Adult