The Development and Initial Validation of the Indonesian HIV Social Stigma (I-HSS) Scale

Angga Wilandika, Diah Nur Indah Sari

Abstract

Human immunodeficiency virus (HIV) social stigma causes people living with HIV (PLWH) to cover their HIV status. Also, HIV social stigma makes PLWH afraid of seeking information and treatment. Thus, to eliminate the HIV social stigma, measuring tools are needed to obtain the social stigma of the disease. The study aims are to develop and assessed the validation of the instrument of HIV social stigma in society. The instrument was developed through a multi-stage process of item generations and psychometric test of the instrument consists of content validity, construct validity and reliability test. The HIV social stigma scale was distributed to a cross-sectional sample of people in several regions in West Java, Indonesia (n=125). The final version of the I-HSS scales contained 25 items grouped into three dimensions (ignorance, prejudice, and discrimination) with a five-point Likert scale to score each item. Reliability was adequate for most dimensions (Cronbach’s alpha 0,76 - 0,78). Thus, the I-HSS scale were moderately correlated with one other (r = 0,52 - 0,84). Therefore, the I-HSS scale suggest a reliable and valid tool to measure social stigma toward people living with HIV in the community.

Keywords

human immunodeficiency virus; community; social stigma; scale

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References

Arnold, E.A., Rebchook, G.M., & Kegeles, S.M., 2014. ‘Triply Cursed’: Racism, Homophobia and HIV-related Stigma are Barriers to Regular HIV Testing, Treatment Adherence and Disclosure among Young Black Gay Men. Cult. Health Sex, 16, pp.710–722.

Bruce, D., & Harper, G.W., 2011. Operating without a Safety Net: Gay Male Adolescents and Emerging Adults’ Experiences of Marginalization and Migration, and Implications for Theory of Syndemic Production of Health Disparities. Heal. Educ. Behav, 38, pp.367–378.

Deribew, A., Abebe, G., Apers, L., Jira, C., Tesfaye, M., Shifa, J., Abdisa, A., Woldemichael, K., Deribie, F., & Bezabih, M., 2010. Prejudice and Misconceptions about Tuberculosis and HIV in Rural and Urban Communities in Ethiopia: A Challenge for the TB/HIV Control Program. BMC Public Health, 10(400).

Earnshaw, V.A., Smith, L.R., Cunningham, C.O., & Copenhaver, M.M., 2015. Intersectionality of Internalized HIV Stigma and Internalized Substance Use Stigma: Implications for Depressive Symptoms. J. Health Psychol. 20, pp.1083–1089.

Evans-Lacko, S., Little, K., Meltzer, H., Rose, D., Rhydderch, D., Henderson, C., & Thornicroft, G., 2010. Development and Psychometric Properties of the Mental Health Knowledge Schedule. Can. J. Psychiatry, 55, pp.440–448.

Gilbert, L., & Walker, L., 2010. ‘My Biggest Fear was that People Would Reject Me Once They Knew My Status’: Stigma As Experienced by Patients in An HIV/AIDS Clinic in Johannesburg, South Africa. Health Soc. Care Community, 18, pp.139–146.

Haladyna, T.M., & Rodriguez, M.C., 2013. Developing and Validating Test Items. Taylor & Francis.

Kamila, N., & Siwiendrayanti, A., 2010. Perceptions of People Living with HIV and AIDS of The Role of Peer Support Groups. KEMAS J. Kesehat. Masy, 6.

Lindberg, M.H., Wettergren, L., Wiklander, M., Svedhem-Johansson, V., & Eriksson, L.E., 2014. Psychometric Evaluation of The HIV Stigma Scale in a Swedish Context. PLoS One, 9, pp.e114867.

Molina, Y., & Ramirez-Valles, J., 2013. HIV/AIDS Stigma: Measurement and Relationships to Psycho-behavioral Factors in Latino Gay/Bisexual Men and Transgender Women. AIDS Care, 25, pp.1559–1568.

Monjok, E., Smesny, A., & Essien, E.J., 2009. HIV/AIDS-Related Stigma and Discrimination in Nigeria: Review of Research Studies and Future Directions for Prevention Strategies. Afr. J. Reprod. Health, 13.

Nyblade, L., Stangl, A., Weiss, E., & Ashburn, K., 2009. Combating HIV Stigma in Health Care Settings: What Works?. J. Int. AIDS Soc. 12(15).

Starks, T.J., Payton, G., Golub, S.A., Weinberger, C.L., & Parsons, J.T., 2014. Contextualizing Condom Use: Intimacy Interference, Stigma, and Unprotected Sex. J. Health Psychol, 19, pp.711–720.

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