title: [Stigmatization in HIV/AIDS: first German adaptation of the HIV-stigma scale (HSS-D)].
abstract: Despite improvements in medical treatment and numerous public health campaigns stigmatization remains a potent stressor for people living with HIV/ AIDS. This study provides an initial German adaptation of the HIV Stigma Scale (HSS-D). Participants were 167 HIV-positive homosexual men aged 22-74 years. Exploratory factor analysis replicated the original four-factor structure (subscales: enacted stigma, disclosure concerns, negative self-image, concern with public attitudes). Further psychometric analysis led to a revised version comprising 21 items (HSS-D21). The scale showed high reliability (α=0.90). Significant associations with anxiety, depres-sion, life satisfaction and perceived social support confirmed for construct validity. The majority of the respondents expressed high acceptance of the stigma measure. In order to eslish a thorough German adaptation further research with diverse samples is needed.
authors.affiliation: Klinikum rechts der Isar, Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München.
authors.forename: Andreas
authors.initials: A
authors.lastname: Dinkel
authors.affiliation: Klinikum rechts der Isar, Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München.
authors.forename: Christina
authors.initials: C
authors.lastname: Nather
authors.affiliation: MVZ Karlsplatz, HIV Schwerpunktpraxis, München.
authors.forename: Hans
authors.initials: H
authors.lastname: Jaeger
authors.affiliation: MVZ Karlsplatz, HIV Schwerpunktpraxis, München.
authors.forename: Eva
authors.initials: E
authors.lastname: Jaegel-Guedes
authors.affiliation: Klinikum rechts der Isar, Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München.
authors.forename: Claas
authors.initials: C
authors.lastname: Lahmann
authors.affiliation: Klinikum rechts der Isar, Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München.
authors.forename: Christina
authors.initials: C
authors.lastname: Steinke
authors.affiliation: MUC Research GmbH, München.
authors.forename: Eva
authors.initials: E
authors.lastname: Wolf
authors.affiliation: Klinikum rechts der Isar, Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München.
authors.forename: Joram
authors.initials: J
authors.lastname: Ronel
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology*; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology; D003863:Depression / Q000523:psychology; D005163:Factor Analysis, Statistical; D005858:Germany; D015658:HIV Infections / Q000523:psychology*; D018451:Homosexuality, Male; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D015203:Reproducibility of Results; D057545:Social Stigma; D055815:Young Adult