Searchable Title

Stigmatizing Attitudes Towards People Living with HIV/AIDS: Validation of a Measurement Scale. (SAT-PLWHA-S) Copyright: Creative Common License.

Reference Type

Journal Article

Authors, Section

Beaulieu, M.; Adrien, A.; Potvin, L.; Dassa, C.; Comite Consultatif Sur les Attitudes Envers les PVVIH

Title, Section

Stigmatizing Attitudes Towards People Living with HIV/AIDS: Validation of a Measurement Scale. (SAT-PLWHA-S) Copyright: Creative Common License.

Publication Year

2014

Journal Title

BMC Public Health

Volume

14

Issue

Dec. 4

Pages

1246

Availability

online

PMID

PMID: 25476441

DOI

10.1186/1471-2458-14-1246

Abstract

BACKGROUND: Although stigmatization has long been recognized as a major obstacle to HIV prevention. The lack of a valid and reliable measurement tool for stigmatization is a major gap in the research. This study aimed to: 1) develop a scale of stigmatizing attitudes towards people living with HIV (SAT-PLWHA-S) and 2) demonstrate its reliability and validity. METHODS: French and English-speaking experts (n = 21) from different professional communities (academics, practitioners) assessed the clarity and relevance of the proposed items. The psychometric properties of the SAT-PLWHA-S were assessed with a random digit dial population based telephone survey (n = 1,500) of respondents in Quebec, Canada. Analyses included exploratory and confirmatory factor analyses, correlations, multiple linear regressions, t-tests, hypothesis testing of factorial structure invariance, and Cronbach's alpha. RESULTS: Confirmatory factor analysis (CFA) supported a 27-item structure with seven factors: 1) concerns about occasional encounters; 2) avoidance of personal contact; 3) responsibility and blame, 4) liberalism, 5) non-discrimination, 6) confidentiality of seropositive status, and 7) criminalization of HIV transmission. Cronbach's alphas indicate satisfactory internal consistency. An assessment of concurrent validity using Pearson's correlation and multiple linear regression shows that homophobia and HIV transmission knowledge are significant determinants of stigmatizing attitudes toward PLHIV. Discriminant validity (t-test) results suggest that the SAT-PLWHA-S can differentiate attitudes between different groups and indicates invariant factor structure across language. CONCLUSIONS: The results of this study suggest that the SAT-PLWHA-S is a reliable and valid tool for measuring stigmatizing attitudes toward PLHIV and that it can contribute to a deeper understanding of HIV stigma.

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