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Development of internalized and personal stigma among patients with and without HIV infection and occupational stigma among health care providers in Southern China

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机构: [1]Prince Songkla Univ, Epidemiol Unit, Fac Med, Hat Yai, Songkhla, Thailand; [2]Kunming Med Univ, Sch Publ Hlth, Kunming, Yunnan Province, Peoples R China; [3]Kunming Med Univ, Yunnan Ctr Dis Prevent & Control, Kunming, Yunnan Province, Peoples R China; [4]Kunming Med Univ, Affiliated Hosp 1, Infect Dis Dept, Kunming, Yunnan Province, Peoples R China; [5]Yunnan Ctr Dis Prevent & Control, 158 Dongsi St, Kunming 650022, Yunnan Province, Peoples R China
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关键词: HIV/AIDS-related stigma exploratory factor analysis confirmatory factor analysis guilt blaming being refused refusing service

摘要:
Background: HIV/AIDS-related stigma is a major barrier of access to care for those infected with HIV. The aim of this study was to examine, validate, and adapt measuring scales of internalized, personal, and occupational stigma developed in Africa into a Chinese context. Methods: A cross-sectional study was conducted from January to September 2015 in Kunming, People's Republic of China. Various scales were constructed on the basis of the previous studies with modifications by experts using exploratory and confirmatory factor analyses (EFA + CFA). Validation of the new scales was done using multiple linear regression models and hypothesis testing of the factorial structure invariance. Results: The numbers of subjects recruited for the development/validation samples were 696/667 HIV-positive patients, 699/667 non-HIV patients, and 157/155 health care providers. EFA revealed a two-factor solution for internalized and personal stigma scales (guilt/blaming and being refused/refusing service), which were confirmed by CFA with reliability coefficients (r) of 0.869 and 0.853, respectively. The occupational stigma scale was found to have a three-factor structure (blaming, professionalism, and egalitarianism) with a reliability coefficient (r) of 0.839. Higher correlations of factors in the HIV patients (r=0.537) and non-HIV patients (r=0.703) were observed in contrast to low-level correlations (r=0.231, 0.286, and 0.266) among factors from health care providers. Conclusion: The new stigma scales are valid and should be used to monitor HIV/AIDS stigma in different groups of Chinese people in health care settings.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 3 区 医学:内科
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 医学:内科
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出版当年[2016]版:
Q2 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q2 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Prince Songkla Univ, Epidemiol Unit, Fac Med, Hat Yai, Songkhla, Thailand; [2]Kunming Med Univ, Sch Publ Hlth, Kunming, Yunnan Province, Peoples R China;
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通讯机构: [5]Yunnan Ctr Dis Prevent & Control, 158 Dongsi St, Kunming 650022, Yunnan Province, Peoples R China
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