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Adaptation of the HIV Stigma Scale in Spaniards with HIV

Published online by Cambridge University Press:  15 September 2015

Maria José Fuster-RuizdeApodaca ,
Fernando Molero ,
Francisco Pablo Holgado  and
Silvia Ubillos
Maria José Fuster-RuizdeApodaca*
Affiliation:
UNED (Spain)
Fernando Molero
Affiliation:
UNED (Spain)
Francisco Pablo Holgado
Affiliation:
UNED (Spain)
Silvia Ubillos
Affiliation:
Universidad de Burgos (Spain)
*
*Correspondence concerning this article should be addressed to Maria J. Fuster-RuizdeApodaca. Universidad Nacional de Educación a Distancia (UNED). Calle Juan del Rosal 10. E-28040. Madrid (Spain). E-mail: mjfuster@psi.uned.es
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Abstract

The primary goal of this study was to adapt Berger, Ferrans, & Lahley (2001) HIV Stigma Scale in Spain, using Bunn, Solomon, Miller, & Forehand (2007) version. A second goal assessed whether the four-factor structure of the adapted scale could be explained by two higher-order dimensions, perceived external stigma and internalized stigma. A first qualitative study (N = 40 people with HIV, aged 28–59) was used to adapt the items and test content validity. A second quantitative study analyzed construct and criterion validity. In this study participants were 557 people with HIV, aged 18–76. The adapted HIV Stigma Scale for use in Spain (HSSS) showed a good internal consistency (α = .88) and good construct validity. Confirmatory Factor Analyses yielded a first-order, four-factor structure and a higher-order, bidimensional structure with the two expected factors (RMSEA = .051, 90% CI [.046, .056]; RMR = .073; GFI = .96; AGFI = .96; CFI = .98). Negative relations were found between stigma and quality of life (r = –.39; p < .01), self-efficacy to cope with stigma (r = –.50; p < .01) and the degree of HIV status disclosure (r = –.35; p < .01). Moreover, the people who had suffered AIDS-related opportunistic infections had a higher score in the Perceived External Stigma dimension than those who had not suffered them, t (493) = 3.02, p = .003, d = 0.26.

Keywords

HIVstigma scaleadaptationvaliditySpain
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 18 , 2015 , E66
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2015 

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