Measuring sexual behavior stigma among cisgender men who have sex with men: an assessment of cross-country measurement invariance.

Autor:	Murray SM; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Wiginton JM; School of Social Work, San Diego State University; Department of Medicine, University of California-San Diego, San Diego, CA, USA., Xue QL; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Department of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins School of Medicine, Baltimore, MD, USA., Dibble K; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Sanchez T; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Kane JC; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY., Augustinavicius J; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Nowak RG; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA., Crowell TA; U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA., Njindam IM; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Tamoufe U; Metabiota, San Francisco, CA, USA., Charurat M; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD.; Center for International Health Education and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA., Turpin G; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Sithole B; EpiC, FHI 360, Mbabane, Eswatini., Mothopeng T; The People's Matrix Association, Maseru, Lesotho., Nemande S; Evolve, Yaoundé, Cameroon., Simplice A; ONG Arc-en-Ciel, Lomé, Togo., Kouanda S; Institut de Recherche en Sciences de la Santé, Ouagadougou, Burkina Faso.; Institut Africain de Santé Publique, Ouagadougou, Burkina Faso., Diouf D; Enda Santé, Dakar, Senegal., Lyons C; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Baral S; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jazyk:	angličtina
Zdroj:	Stigma and health [Stigma Health] 2024 Aug; Vol. 9 (3), pp. 349-361. Date of Electronic Publication: 2023 May 04.
DOI:	10.1037/sah0000443
Abstrakt:	Objectives: Globally, cisgender men who have sex with men experience sexual stigma, but limited investigation of cross-population scale performance hinder comparisons. As measurement invariance is a necessary but seldom-established criterion of valid cross-cultural comparisons, we assessed invariance in scales of stigma related to sexual behavior across 9 countries. Methods: This secondary analysis used data collected from adult (mean age=29.6, standard deviation=12.5) cisgender men who have sex with men (n=8,669) in studies from 6 West African, 2 Southern African, and 1 North American country from 2012-2016. A common item set assessed 2 sexual behavior stigma domains. A sequential process was used to test the factor structure and measurement invariance, which included multigroup confirmatory factor analyses (CFA). Individual countries, items, living with HIV, and disclosure were explored as possible sources of noninvariance. Results: Goodness-of-fit statistics indicated adequate fit of the same 2-factor model in 7 of the 9 countries. The chi 2 difference test comparing a constrained and unconstrained 7-country model in which loadings and thresholds were freely estimated was significant ( p <0.001), indicating metric and scalar noninvariance, but removing the US provided evidence of invariance and freeing certain items led to a finding of partial invariance. Sexuality disclosure exhibited a direct relationship with select stigma items in several countries. Conclusions: Our findings point to the utility of the two stigma scale dimensions in making cross-country comparisons, but also to the necessity of assessing invariance with explicit attention to several factors including differential disclosure of sexuality across contexts to ensure valid comparisons.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu