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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The development and validation of the HIV/AIDS Stigma Instrument - Nurse (HASI-N)
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 21, No. 2, Year 2009
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Description
Illness-related stigma remains a serious problem in the management of HIV disease in Africa. This article describes a series of study phases conducted to develop and validate an instrument to measure HIV/AIDS-related stigma as perpetrated and experienced by nurses. Data were collected in Lesotho, Malawi, South Africa, Swaziland and Tanzania, from 2004-2006. The first phase was a qualitative study with focus group participants (n=251) to gather emic and etic descriptions of HIV/AIDS-related stigma in the five countries. Based on the qualitative data, a 46-item instrument was developed and tested during a second phase in the same five countries (n=244). The result of this phase was a 33-item, three-factor instrument with an average Cronbach alpha of 0.85. A third phase tested the instrument in 1474 nurses. The result was a final 19-item instrument, the HIV/AIDS Stigma Instrument - Nurse (HASI-N), comprised of two factors (Nurses Stigmatizing Patients and Nurses Being Stigmatized) with a Cronbach alpha of 0.90. Concurrent validity was tested by comparing the level of stigma with job satisfaction and quality of life. A significant negative correlation was found between stigma and job satisfaction. The HASI-N is the first inductively derived instrument measuring stigma experienced and enacted by nurses. It has the potential to be used not only to measure stigma, but also to develop stigma-reduction interventions. © 2009 Taylor & Francis.
Authors & Co-Authors
Uys, Leana Ria
South Africa, Durban
University of Kwazulu-natal
Holzemer, William L.
United States, San Francisco
University of California, San Francisco
Chirwa, Maureen Leah
Malawi, Lilongwe
Lilongwe University of Agriculture and Natural Resources
Dlamini, Priscilla S.
Swaziland, Mbabane
University of Eswatini
Greeff, Minrie
South Africa, Potchefstroom
North-west University
Kohi, Thecla W.
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Makoae, Lucy Nthabiseng
Lesotho, Roma
National University of Lesotho
Stewart, Anita L.
United States, San Francisco
University of California, San Francisco
Mullan, Joseph
United States, San Francisco
University of California, San Francisco
Phetlhu, René Deliwe
South Africa, Potchefstroom
North-west University
Wantland, Dean J.
United States, San Francisco
University of California, San Francisco
Durrheim, Kevin L.
South Africa, Durban
University of Kwazulu-natal
Cuca, Yvette P.
United States, San Francisco
University of California, San Francisco
Naidoo, Joanne Rachel
South Africa, Durban
University of Kwazulu-natal
Statistics
Citations: 74
Authors: 14
Affiliations: 7
Identifiers
Doi:
10.1080/09540120801982889
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Disability
Health System And Policy
Infectious Diseases
Study Approach
Qualitative
Study Locations
Eswatini
Lesotho
Malawi
South Africa
Tanzania