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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Validation of the HIV/AIDS Stigma Instrument - PLWA (HASI-P)
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 19, No. 8, Year 2007
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Description
This article describes the development and testing of a quantitative measure of HIV/AIDS stigma as experienced by people living with HIV/AIDS. This instrument is designed to measure perceived stigma, create a baseline from which to measure changes in stigma over time, and track potential progress towards reducing stigma. It was developed in three phases from 2003-2006: generating items based on results of focus group discussions; pilot testing and reducing the original list of items; and validating the instrument. Data for all phases were collected from five African countries: Lesotho, Malawi, South Africa, Swaziland and Tanzania. The instrument was validated with a sample of 1,477 persons living with HIV/AIDS from all of the five countries. The sample had a mean age of 36.1 years and 74.1% was female. The participants reported they knew they were HIV positive for an average of 3.4 years and 46% of the sample was taking antiretroviral medications. A six factor solution with 33 items explained 60.72% of the variance. Scale alpha reliabilities were examined and items that did not contribute to scale reliability were dropped. The factors included: Verbal Abuse (8 items, alpha=0.886); Negative Self-Perception (5 items, alpha=0.906); Health Care Neglect (7 items, alpha=0.832); Social Isolation (5 items, alpha=0.890); Fear of Contagion (6 items, alpha=0.795); and Workplace Stigma (2 items, alpha=0.758). This article reports on the development and validation of a new measure of stigma, HIV/AIDS Stigma Instrument - PLWA (HASI-P) providing evidence that supports adequate content and construct validity, modest concurrent validity, and acceptable internal consistency reliability for each of the six subscales and total score. The sacle is available is several African languages. © 2007 Taylor & Francis.
Authors & Co-Authors
Holzemer, William L.
United States, San Francisco
University of California, San Francisco
Uys, Leana Ria
South Africa, Durban
University of Kwazulu-natal
Chirwa, Maureen Leah
Malawi, Zomba
University of Malawi
Greeff, Minrie
South Africa, Potchefstroom
North-west University
Makoae, Lucy Nthabiseng
Lesotho, Roma
National University of Lesotho
Kohi, Thecla W.
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Dlamini, Priscilla S.
Swaziland, Mbabane
University of Eswatini
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
Statistics
Citations: 205
Authors: 12
Affiliations: 7
Identifiers
Doi:
10.1080/09540120701245999
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Infectious Diseases
Violence And Injury
Study Approach
Qualitative
Quantitative
Study Locations
Eswatini
Lesotho
Malawi
South Africa
Tanzania
Participants Gender
Female