Measuring stigma associated with tuberculosis and HIV/AIDS in southern Thailand: exploratory and confirmatory factor analyses of two new scales
To develop scales to measure tuberculosis and HIV/AIDS stigma in a developing world context. Cross-sectional study of tuberculosis patients in southern Thailand, who were asked to rate their agreement with items measuring TB and HIV/AIDS stigma. Developing the scales involved exploratory and confirm...
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| Veröffentlicht in: | Tropical medicine & international health 2008, Vol.13 (1), p.21-30 |
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| creator | Van Rie, Annelies Sengupta, Sohini Pungrassami, Petchawan Balthip, Quantar Choonuan, Sophen Kasetjaroen, Yutichai Strauss, Ronald P Chongsuvivatwong, Virasakdi |
| description | To develop scales to measure tuberculosis and HIV/AIDS stigma in a developing world context. Cross-sectional study of tuberculosis patients in southern Thailand, who were asked to rate their agreement with items measuring TB and HIV/AIDS stigma. Developing the scales involved exploratory and confirmatory factor analyses, internal consistency, construct validity, test-retest reliability and standardized summary scores. Factor analyses identified two sub-scales associated with both tuberculosis and HIV/AIDS stigma: community and patient perspectives. Goodness-of-fit was good (TLI = 94, LFI = 0.88 and RMSEA = 0.11), internal consistency was excellent (Cronbach's alphas 0.82-0.91), test-retest reliability was moderate, and construct validity showed an inverse correlation with social support. Our scales have good psychometric properties that measure stigma associated with tuberculosis and HIV/AIDS and allow assessment of stigma from community and patient perspectives. Their use will help document the burden of stigma, guide the development of interventions and evaluate stigma reduction programmes in areas with a high HIV/AIDS and tuberculosis burden. |
| doi_str_mv | 10.1111/j.1365-3156.2007.01971.x |
| format | Article |
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Cross-sectional study of tuberculosis patients in southern Thailand, who were asked to rate their agreement with items measuring TB and HIV/AIDS stigma. Developing the scales involved exploratory and confirmatory factor analyses, internal consistency, construct validity, test-retest reliability and standardized summary scores. Factor analyses identified two sub-scales associated with both tuberculosis and HIV/AIDS stigma: community and patient perspectives. Goodness-of-fit was good (TLI = 94, LFI = 0.88 and RMSEA = 0.11), internal consistency was excellent (Cronbach's alphas 0.82-0.91), test-retest reliability was moderate, and construct validity showed an inverse correlation with social support. Our scales have good psychometric properties that measure stigma associated with tuberculosis and HIV/AIDS and allow assessment of stigma from community and patient perspectives. Their use will help document the burden of stigma, guide the development of interventions and evaluate stigma reduction programmes in areas with a high HIV/AIDS and tuberculosis burden.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/j.1365-3156.2007.01971.x</identifier><identifier>PMID: 18290998</identifier><language>eng</language><publisher>Oxford, UK: Oxford, UK : Blackwell Publishing Ltd</publisher><subject>Acquired immune deficiency syndrome ; Adult ; AIDS ; Attitudes ; Bacterial diseases ; Biological and medical sciences ; Cross-Sectional Studies ; développement dune échelle ; escala de desarrollo ; estigma ; Factor Analysis, Statistical ; Female ; Focus Groups ; General aspects ; HIV ; HIV Infections - complications ; HIV Infections - psychology ; Human bacterial diseases ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Interviews as Topic ; Male ; Medical sciences ; Mycobacterium ; Psychometrics - statistics & numerical data ; Reproducibility of Results ; scale development ; SIDA ; Social Support ; Statistical analysis ; Stereotyping ; stigma ; Tailandia ; Thailand ; Thaïlande ; tuberculose ; Tuberculosis ; Tuberculosis - complications ; Tuberculosis - psychology ; Tuberculosis and atypical mycobacterial infections ; Tuberculosis, Pulmonary - complications ; Tuberculosis, Pulmonary - psychology ; VIH ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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Cross-sectional study of tuberculosis patients in southern Thailand, who were asked to rate their agreement with items measuring TB and HIV/AIDS stigma. Developing the scales involved exploratory and confirmatory factor analyses, internal consistency, construct validity, test-retest reliability and standardized summary scores. Factor analyses identified two sub-scales associated with both tuberculosis and HIV/AIDS stigma: community and patient perspectives. Goodness-of-fit was good (TLI = 94, LFI = 0.88 and RMSEA = 0.11), internal consistency was excellent (Cronbach's alphas 0.82-0.91), test-retest reliability was moderate, and construct validity showed an inverse correlation with social support. Our scales have good psychometric properties that measure stigma associated with tuberculosis and HIV/AIDS and allow assessment of stigma from community and patient perspectives. Their use will help document the burden of stigma, guide the development of interventions and evaluate stigma reduction programmes in areas with a high HIV/AIDS and tuberculosis burden.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Attitudes</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>développement dune échelle</subject><subject>escala de desarrollo</subject><subject>estigma</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Focus Groups</subject><subject>General aspects</subject><subject>HIV</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - psychology</subject><subject>Human bacterial diseases</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mycobacterium</subject><subject>Psychometrics - statistics & numerical data</subject><subject>Reproducibility of Results</subject><subject>scale development</subject><subject>SIDA</subject><subject>Social Support</subject><subject>Statistical analysis</subject><subject>Stereotyping</subject><subject>stigma</subject><subject>Tailandia</subject><subject>Thailand</subject><subject>Thaïlande</subject><subject>tuberculose</subject><subject>Tuberculosis</subject><subject>Tuberculosis - complications</subject><subject>Tuberculosis - psychology</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Tuberculosis, Pulmonary - complications</subject><subject>Tuberculosis, Pulmonary - psychology</subject><subject>VIH</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Rie, Annelies</creatorcontrib><creatorcontrib>Sengupta, Sohini</creatorcontrib><creatorcontrib>Pungrassami, Petchawan</creatorcontrib><creatorcontrib>Balthip, Quantar</creatorcontrib><creatorcontrib>Choonuan, Sophen</creatorcontrib><creatorcontrib>Kasetjaroen, Yutichai</creatorcontrib><creatorcontrib>Strauss, Ronald P</creatorcontrib><creatorcontrib>Chongsuvivatwong, Virasakdi</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>MEDLINE - Academic</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Rie, Annelies</au><au>Sengupta, Sohini</au><au>Pungrassami, Petchawan</au><au>Balthip, Quantar</au><au>Choonuan, Sophen</au><au>Kasetjaroen, Yutichai</au><au>Strauss, Ronald P</au><au>Chongsuvivatwong, Virasakdi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measuring stigma associated with tuberculosis and HIV/AIDS in southern Thailand: exploratory and confirmatory factor analyses of two new scales</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2008</date><risdate>2008</risdate><volume>13</volume><issue>1</issue><spage>21</spage><epage>30</epage><pages>21-30</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>To develop scales to measure tuberculosis and HIV/AIDS stigma in a developing world context. Cross-sectional study of tuberculosis patients in southern Thailand, who were asked to rate their agreement with items measuring TB and HIV/AIDS stigma. Developing the scales involved exploratory and confirmatory factor analyses, internal consistency, construct validity, test-retest reliability and standardized summary scores. Factor analyses identified two sub-scales associated with both tuberculosis and HIV/AIDS stigma: community and patient perspectives. Goodness-of-fit was good (TLI = 94, LFI = 0.88 and RMSEA = 0.11), internal consistency was excellent (Cronbach's alphas 0.82-0.91), test-retest reliability was moderate, and construct validity showed an inverse correlation with social support. Our scales have good psychometric properties that measure stigma associated with tuberculosis and HIV/AIDS and allow assessment of stigma from community and patient perspectives. Their use will help document the burden of stigma, guide the development of interventions and evaluate stigma reduction programmes in areas with a high HIV/AIDS and tuberculosis burden.</abstract><cop>Oxford, UK</cop><pub>Oxford, UK : Blackwell Publishing Ltd</pub><pmid>18290998</pmid><doi>10.1111/j.1365-3156.2007.01971.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Tropical medicine & international health, 2008, Vol.13 (1), p.21-30 |
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| source | MEDLINE; Wiley Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wiley Free Content; IngentaConnect Free/Open Access Journals |
| subjects | Acquired immune deficiency syndrome Adult AIDS Attitudes Bacterial diseases Biological and medical sciences Cross-Sectional Studies développement dune échelle escala de desarrollo estigma Factor Analysis, Statistical Female Focus Groups General aspects HIV HIV Infections - complications HIV Infections - psychology Human bacterial diseases Human immunodeficiency virus Human viral diseases Humans Infectious diseases Interviews as Topic Male Medical sciences Mycobacterium Psychometrics - statistics & numerical data Reproducibility of Results scale development SIDA Social Support Statistical analysis Stereotyping stigma Tailandia Thailand Thaïlande tuberculose Tuberculosis Tuberculosis - complications Tuberculosis - psychology Tuberculosis and atypical mycobacterial infections Tuberculosis, Pulmonary - complications Tuberculosis, Pulmonary - psychology VIH Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| title | Measuring stigma associated with tuberculosis and HIV/AIDS in southern Thailand: exploratory and confirmatory factor analyses of two new scales |
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