Adaptation and validation of a culturally adapted HIV stigma scale in Myanmar

Autor: Min San Tun, Thet Wai Nwe, Cheng-Shi Shiu, Htun Nyunt Oo, Sai Htun Lin, Feifei Huang, Wei-Ti Chen, Yin Thet Nu Oo
Rok vydání: 2021
Předmět:
Zdroj: BMC public health, vol 21, iss 1
BMC Public Health, Vol 21, Iss 1, Pp 1-10 (2021)
BMC Public Health
ISSN: 1471-2458
DOI: 10.1186/s12889-021-11685-w
Popis: Background HIV stigma is a common barrier to HIV prevention, testing, and treatment adherence, especially for low- and middle-income countries such as Myanmar. However, there was no validated Myanmar version of a stigma scale. Therefore, we adapted the English version of the 40-item Berger’s HIV stigma scale and the 7-item Indian HIV stigma scale into a 47-item Myanmar HIV stigma scale and then evaluated the scale’s psychometric properties. Method From January 2020 to May 2020, using random sampling methods, 216 eligible Myanmar people living with HIV/AIDS (PLWHA) were contacted from a closed Facebook group that included more than 10,000 PLWHA. A sample of 156 Myanmar PLWHA completed the online self-reported survey. Results A six-factor structure for the scale was determined through exploratory factor analysis, explaining 68.23% of the total variance. After deleting 12 items, the 35-item HIV stigma scale achieved Cronbach ‘s α of 0.72 to 0.95. Construct validity of the scale was demonstrated by significant association with self-reported depression and social support levels (r = 0.60, and − 0.77, p Conclusions The psychometric properties of the 35-item Myanmar version of the HIV stigma scale support it as a measure of stigma among PLWHA in Myanmar. This instrument could help healthcare providers to better understand how stigma operates in PLWHA and to develop tailored stigma-reduction interventions in Myanmar.
Databáze: OpenAIRE