Document Detail


Measuring stigma associated with tuberculosis and HIV/AIDS in southern Thailand: exploratory and confirmatory factor analyses of two new scales.
MedLine Citation:
PMID:  18290998     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To develop scales to measure tuberculosis and HIV/AIDS stigma in a developing world context. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Authors:
Annelies Van Rie; Sohini Sengupta; Petchawan Pungrassami; Quantar Balthip; Sophen Choonuan; Yutichai Kasetjaroen; Ronald P Strauss; Virasakdi Chongsuvivatwong
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Tropical medicine & international health : TM & IH     Volume:  13     ISSN:  1365-3156     ISO Abbreviation:  Trop. Med. Int. Health     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-02-22     Completed Date:  2008-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610576     Medline TA:  Trop Med Int Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  21-30     Citation Subset:  IM    
Affiliation:
The University of North Carolina, Chapel Hill, NC, USA. vanrie@email.unc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Sectional Studies
Factor Analysis, Statistical
Female
Focus Groups
HIV Infections / complications,  psychology*
Humans
Interviews as Topic
Male
Psychometrics / statistics & numerical data
Reproducibility of Results
Social Support
Stereotyping*
Thailand
Tuberculosis / complications,  psychology*
Tuberculosis, Pulmonary / complications,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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