Development of internalized and personal stigma among patients with and without HIV infection and occupational stigma among health care providers in Southern China
机构：[1]Epidemiology Unit, Faculty of Medicine, Prince of Songkla University,Hat Yai, Songkhla, Thailand[2]School of Public Health, Kunming Medical University, Kunming, Yunnan Province, Peoples R China[3]Yunnan Center for Disease Prevention and Contro, Kunming, Yunnan Province, Peoples R China[4]Infectious Diseases Department, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, People’s Republic of China昆明医科大学附属第一医院
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.
基金：
China Medical Board under the project of "Join Research Capacity Strengthening of the Western Rural Health Network, China"
第一作者机构：[1]Epidemiology Unit, Faculty of Medicine, Prince of Songkla University,Hat Yai, Songkhla, Thailand[2]School of Public Health, Kunming Medical University, Kunming, Yunnan Province, Peoples R China
共同第一作者：
通讯作者：
通讯机构：[3]Yunnan Center for Disease Prevention and Contro, Kunming, Yunnan Province, Peoples R China[*1]Yunnan Center for Disease Prevention and Control, 158 Dongsi Street, Xishan District, Kunming 650022, Yunnan Province, People’s Republic of China
推荐引用方式(GB/T 7714)：
Li Jing,Assanangkornchai Sawitri,Lu Lin,et al.Development of internalized and personal stigma among patients with and without HIV infection and occupational stigma among health care providers in Southern China[J].PATIENT PREFERENCE AND ADHERENCE.2016,10:2309-2320.doi:10.2147/PPA.S112771.
APA：
Li, Jing,Assanangkornchai, Sawitri,Lu, Lin,Jia, Manhong,McNeil, Edward B....&Chongsuvivatwong, Virasakdi.(2016).Development of internalized and personal stigma among patients with and without HIV infection and occupational stigma among health care providers in Southern China.PATIENT PREFERENCE AND ADHERENCE,10,
MLA：
Li, Jing,et al."Development of internalized and personal stigma among patients with and without HIV infection and occupational stigma among health care providers in Southern China".PATIENT PREFERENCE AND ADHERENCE 10.(2016):2309-2320
