scholarly journals Application of the Chinese version of Zelaya’s HIV-related stigma scale to undergraduates in mainland China

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Fang Ruan ◽  
Guochen Fu ◽  
Mingyu Zhou ◽  
Lan Luo ◽  
Jing Chen ◽  
...  

Abstract Background This cross-sectional study aims to validate the Chinese version of Zelaya’s HIV-related Stigma Scale (CVZHSS) among a large undergraduate sample in mainland China, and apply it to measure the level of different dimensions of stigma and their respective determinants. Methods From September 10, 2018, to January 9, 2019, a total of 10,665 eligible undergraduates conveniently drawn from 30 provinces in mainland China (except for Tibet) completed the self-designed online questionnaire distributed via sojump.com voluntarily, anonymously and confidentially. Both exploratory and confirmatory factor analyses (EFA and CFA) were first performed to test its construct validity, Cronbach’s alpha was then used to assess its internal consistency, and Logistic regression analyses were finally carried out to identify predictors of various dimensions of stigma. Results As expected from the original model, four factors (i.e., “fear of casual transmission”, “moral judgment”, “personal stigma” and “perceived community stigma”) were extracted using principal component analysis with varimax rotation, accounting for 63.26% of the total variance. The CFA further confirmed the four-factor construct (CFI = 0.92, GFI = 0.91, RMSEA = 0.07). In addition, all the four factors demonstrated acceptable internal consistency with Cronbach’s alpha ranging from 0.83 to 0.92. Stigma as measured by “fear of casual transmission” (74.4%), “moral judgement” (61.6%), “personal stigma” (79.0%) and “perceived community stigma”(36.5%) is highly prevalent among undergraduates. Except for non-freshmen, less knowledge about HIV and unsafe sex which were consistently associated with higher levels of stigma in all four dimensions, other eight variables including gender, residential area, major, sexual orientation, having ever being tested perception of HIV risk, willingness to utilize HTC service and awareness of the national AIDS policy played differential roles in affecting different dimensions of stigma. Conclusions The CVZHSS is a reliable and valid measurement tool and can be used to identify undergraduates with high levels of stigma. However, the four dimensions (Fear, moral judgement, personal stigma and perceived community stigma) were respectively influenced by different determinants, and thus should be treated independently when designing, implementing and evaluating stigma reduction programs.

2019 ◽  
Author(s):  
Fang Ruan ◽  
Guochen Fu ◽  
Mingyu Zhou ◽  
Lan Luo ◽  
Jing Chen ◽  
...  

Abstract Background: This cross-sectional study aims to validate the Chinese version of Zelaya's HIV-related Stigma Scale (CVZHSS) among a large undergraduate sample in mainland China, and apply it to measure the level of different dimensions of stigma and their respective determinants.Methods From September 10, 2018, to January 9, 2019, a total of 10665 eligible undergraduates conveniently drawn from 30 provinces in mainland China (except for Tibet) completed the self-designed online questionnaire distributed via sojump.com voluntarily, anonymously and confidentially. Both exploratory and confirmatory factor analyses (EFA and CFA) were first performed to test its construct validity, Cronbach's alpha was then used to assess its internal consistency, and Logistic regression analyses were finally carried out to identify predictors of various dimensions of stigma. Results As expected from the original model, four factors (i.e., "fear of casual transmission", "moral judgment", "personal stigma" and "perceived community stigma") were extracted using principal component analysis with varimax rotation, accounting for 63.26% of the total variance. The CFA further confirmed the four-factor construct (CFI=0.92, GFI=0.91, RMSEA=0.07). In addition, all the four factors demonstrated acceptable internal consistency with Cronbach's alpha ranging from 0.83 to 0.92. Stigma as measured by "fear of casual transmission" (74.4%), "moral judgement" (61.6%), "personal stigma" (79.0%) and "perceived community stigma"(36.5%) is highly prevalent among undergraduates. Except for non-freshmen, less knowledge about HIV and unsafe sex which were consistently associated with higher levels of stigma in all four dimensions, other eight variables including gender, residential area, major, sexual orientation, having ever being tested perception of HIV risk, willingness to utilize HTC service and awareness of the national AIDS policy played differential roles in affecting different dimensions of stigma. Conclusions The CVZHSS is a reliable and valid measurement tool and can be used to identify undergraduates with high levels of stigma. However, the four dimensions (Fear, moral judgement, personal stigma and perceived community stigma) were respectively influenced by different determinants, and thus should be treated independently when designing, implementing and evaluating stigma reduction programs.


2021 ◽  
Author(s):  
Neddy Pamela Castañeda-Daniels ◽  
Adalberto Campo-Arias ◽  
John Carlos Pedrozo-Pupo

AbstractObjectiveTo know the dimensionality and internal consistency of the Tuberculosis-Related Stigma Scale in patients living with tuberculosis in Santa Marta, Colombia. Method: One hundred and twenty-two patients between the ages of 18 and 75 participated (M=40.3, SD=14.9), 63.9% were men, 44.3% were single, 69.7% had low income, 80.3% had pulmonary tuberculosis, and 13.1% had co-infection with HIV. The Tuberculosis-Related Stigma Scale was applied; it is composed of two subscales: perceived and internalized stigma. The internal structure was explored by confirmatory factor analysis (EFA). Internal consistency was measured with Cronbach’s alpha and McDonald’s omega. Besides, the differential functioning of the scales according to gender was explored with Kendall’s tau-b coefficient.ResultsCFA did not show excellent goodness-of-fit indicators for the perceived stigma scale (Satorra-Bentler’s chi-square of 184.48, degree of freedom of 44, p=0.001, RMSEA of 0.16, 95%CI 0.14 - 0.19, CFI of 0.77, TLI of 0.72, and SRMR of 0.08) and internalized (Satorra-Bentler’s chi-square of 189.14, degree of freedom of 54, p=0.001; RMSEA of 0.14, 95%CI 0.12 - 0.17, CFI of 0.82, TLI of 0.78, and SRMR of 0.07). The alpha and omega coefficients were 0.89 and 0.91 for both scales, respectively. Non-gender differential functioning was observed; Kendall’s tau-b were between 0.00 and 0.15.ConclusionsThe Tuberculosis-Related Stigma Scale has an excellent internal consistency but poor goodness-of-fit indicators of unidimensionality. Evaluating the scale’s psychometric performance is recommenced in future research.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yixin Hu ◽  
Hangming Zhang ◽  
Weihao Xu ◽  
Ming Zhao ◽  
Juan Liu ◽  
...  

Abstract Background The Pittsburgh Fatigability Scale (PFS) was developed to capture fatigue and demand in a single tool, filling a gap that no validated questionnaire existed to measure perceived fatigability. Since fatigability is a more sensitive measure of a person’s susceptibility to fatigue, we validated the simplified-Chinese version of the PFS among Chinese community-dwelling older adults. Methods This cross-sectional study was conducted in an urban community in Beijing between November 2018 and July 2019. The PFS was translated into simplified-Chinese by the translation, retro-translation method. Internal consistency of the Physical subscale of the PFS was evaluated by Cronbach’s alpha. Convergent validity and discriminant validity were evaluated against physical performance measures (i.e., Short Physical Performance Battery & Timed Up and Go Test) and daily living performance (i.e., Barthel Index & Instrumental activity of daily living). Results Our study included 457 participants, including 182 men (39.8%) and 275 women (60.2%). The age range of the included participants was 61–96 years (mean = 84.8 years, SD = 5.8 years). The simplified-Chinese version of PFS Physical scores showed strong internal consistency (Cronbach’s alpha = 0.81). Higher PFS Physical scores were associated with worse physical performance, and daily living performance (|correlation coefficient| range: 0.36–0.56, p < .001). Age- and sex-adjusted PFS Physical scores had moderate to good overall discrimination for correctly classifying people by their physical performance and daily living performance (AUCs range 0.70–0.87, p < .001). Conclusions The PFS simplified-Chinese version is a valid instrument to assess perceived physical fatigability in Chinese-speaking older adults with good convergent validity. Thus, the PFS, with low cost and greater feasibility, is a desired tool to measure fatigability in large population studies.


2020 ◽  
Author(s):  
Yixin Hu ◽  
Hangming Zhang ◽  
Weihao Xu ◽  
Ming Zhao ◽  
Juan Liu ◽  
...  

Abstract Background: The Pittsburgh Fatigability Scale (PFS) was developed to capture fatigue and demand in a single tool, filling a gap that no validated questionnaire existed to measure perceived fatigability. Since fatigability is a more sensitive measure of a person’s susceptibility to fatigue, we validated the simplified-Chinese version of the PFS among Chinese community-dwelling older adults.Methods: The PFS was translated into the simplified-Chinese by the translation, retro-translation method. Internal consistency of the Physical subscale of the PFS was evaluated by Cronbach’s alpha. Convergent validity and discriminant validity were evaluated against physical performance measures (i.e., Short Physical Performance Battery & Timed Up and Go Test) and daily living performance (i.e., Barthel Index & Instrumental activity of daily living).Results: The simplified-Chinese version of PFS Physical scores showed strong internal consistency (Cronbach’s alpha=0.81). Higher PFS Physical scores were associated with worse physical performance, and daily living performance (|correlation coefficient| range: 0.36-0.56, p<.001). Age- and sex-adjusted PFS Physical scores had moderate to good overall discrimination for correctly classifying people by their physical performance and daily living performance (AUCs range 0.70-0.87, p<.001)Conclusions: The PFS simplified-Chinese version is a valid instrument to assess perceived physical fatigability in Chinese-speaking older adults with good convergent validity. Thus, the PFS, with low cost and greater feasibility, is a desired tool to measure fatigability in large population studies.


2021 ◽  
Author(s):  
Adalberto Campo-Arias ◽  
Guillermo Augusto Ceballos-Ospino ◽  
Edwin Herazo

Objective: To establish the Reported and Intended Behavior Scale (RIBS) psychometric performance, a mental disorder-related stigma measurement, among Colombian adolescents. Methods: A validation study was carried out with 350 students aged between 10 and 17, 53.7% of whom were girls. The RIBS has two sub-scales -reported behaviors and intended behaviors, with four items each. Frequencies were estimated for reported behaviors, whereas internal consistency (Cronbach's alpha and McDonald's omega) and confirmatory factor analysis (CFA) were measured for intended behaviors. Results: The reported behavior sub-scale ranged from 10.0 to 24.9%, whereas the intended behavior sub-scale presented a Cronbach's alpha of 0.88 (CI95% 0.86-0.90) and a McDonald's omega of 0.88. For the CFA, KMO was 0.81; Bartlett chi squared, 771.1 (df=6, p=0.01); and Eigen value, 2.95 that explained 73.9% of the total variance. For the goodness-of-fit tests, chi squared was 21.9 (df=2, p=.001); RMSEA, 0.17 (CI90% 0.11-0.24); CFI, 0.97; TLI, 0.92; and SMSR, 0.03. Conclusions: The RIBS can measure reported behaviors, and the intended behavior sub-scale shows high internal consistency. However, the dimensionality of the intended behavior sub-scale presents modest goodness-of-fit indexes. These findings need further replications.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017250 ◽  
Author(s):  
Le Cai ◽  
Gerd Ahlström ◽  
Pingfen Tang ◽  
Ke Ma ◽  
David Edvardsson ◽  
...  

ObjectivesThe aim of the study was to evaluate the psychometric properties of a Chinese translation of the English version of the Person-centred Climate Questionnaire – Staff version (PCQ-S) for Chinese palliative care staff in a hospital context.DesignThis was a cross-sectional design. The 14-item English PCQ-S was translated and backtranslated using established procedures. Construct validity and reliability including internal consistency and test-retest reliability were assessed among hospital staff. Construct validity was tested using principal component analysis (PCA), internal consistency was assessed using Cronbach’s alpha, and test-retest reliability was evaluated with the weighted kappa (Kp), Pearson correlation coefficient (r) and intra-class correlation coefficient (ICC).SettingThis study was conducted in three hospitals in Kunming, the capital of Yunnan province in south-west China.ParticipantsA sample of hospital staff (n=163) on duty in the palliative care departments of three hospitals in Kunming consented to participate in the study.ResultsThe 14-item Chinese PCQ-S consists of the three subscales also present in other language versions. It showed strong internal consistency, with a Cronbach’s alpha of 0.94 for the total scale, 0.87 for the safety subscale, 0.90 for the everydayness subscale and 0.88 for the community subscale. The Chinese PCQ-S had high test-retest reliability as evidenced by a high Kp coefficient and a high correlation coefficient for all scales between test and retest scores, on ‘a climate of safety’ (Kp=0.77, r=0.88, p<0.01), ‘a climate of everydayness’ (Kp=0.82, r=0.91, p<0.01), ‘a climate of community’ (Kp=0.75, r=0.79, p<0.01), and on overall scale scores (Kp=0.85, r=0.93, p<0.01). The ICC to evaluate the test-retest reliability was 0.97 (95% CI 0.95 to 0.98).ConclusionsThe Chinese version of the PCQ-S showed satisfactory reliability and validity for assessing staff perceptions of person-centred care in Chinese hospital environments.


2018 ◽  
Vol 25 (7) ◽  
pp. 1622-1630 ◽  
Author(s):  
Xuan Ye ◽  
Hong-Yue Liu ◽  
Sheng-Rong Lu ◽  
Qing Zhai ◽  
Bo Yu

PurposeTo test the reliability and validity of the Chinese version of the Cancer Stigma Scale (CASS).MethodsAfter translation, back-translation and cross-cultural adaptation of the CASS into Chinese (C-CASS), a random online survey of the general population in China was conducted. Reliability was analyzed by internal consistency (Cronbach’s α) and construct validity was analyzed by confirmatory factor analysis. The C-CASS was evaluated in a sample of 382 non-cancer patients through online format.ResultsThe study found that the C-CASS had satisfactory internal reliability (Cronbach’s α of the overall scale and six components was 0.88 and 0.70–0.89, respectively). Confirmatory factor analysis confirmed the six-factor structure (χ2/df = 2.2, GFI = 0.91, CFI = 0.94, RMSEA = 0.056, SRMR = 0.065). Younger individuals and those who had less knowledge of cancer showed more negative attitudes towards cancer.ConclusionThe C-CASS had adequate internal consistency, reliability and indices of model fit, allowing its feasible use to assess levels of cancer stigma in Chinese populations.


2020 ◽  
Author(s):  
Johanne Ouedraogo ◽  
Magnoudewa Pana ◽  
Mylène Tantchou Dipankui ◽  
Maman Joyce Dogba

Abstract Context: In recent years internalized stigma, or self-stigma, has been the focus of a number of studies in people living with chronic diseases and mental illness, as it can negatively impact access to care and quality of life. However, few studies have looked at self-stigma experienced by people living with diabetes, specifically among immigrants, a population with a higher risk of stigmatization. Furthermore, the majority of the tools used to measure this type of stigma are only available in English. In order to assess the level of self-stigma among francophone populations living with diabetes, it is imperative to possess a specific French-language tool allowing the measurement of self-stigma in this population. Objective: The aim of this study was to translate and validate a French version of the Self-Stigma Scale-Short (SSS-S), a tool for assessing internalized stigma, in the Canadian immigrant population living with diabetes. Methods: The reliability and validity of the French stigma scale were tested in a sample of 30 immigrant patients living with type 2 diabetes recruited using the volunteer method. Exploratory and confirmatory factor analyses were performed to assess the factors formulated in the original scale, the SSS-S. To evaluate the psychometric properties of the scale, Cronbach's alpha was used to estimate internal consistency and intraclass correlation coefficients were used to assess reliability. Results: The total mean score of the scale obtained for the study sample was 16.57 (± 5.10), showing a low level of stigma. Analysis of the scores indicated good internal consistency (Cronbach’s alpha = 0.86) and excellent reliability (ICC = 0.94) for the full scale. The results of the exploratory factor analysis confirmed the original three-dimensional structure of the SSS-S, despite an unsatisfactory confirmatory factor analysis. (Pr > chi-squared of the base model < 0.05, RMSEA > 0.06, for both models). Conclusion: The French stigma scale is a valid and reliable tool that can be used to assess internalized stigma in patients living with diabetes.


2019 ◽  
Author(s):  
Chia‐Hui Yu ◽  
Chu‐Yu Huang ◽  
Yuan‐Ti Lee ◽  
Su‐Fen Cheng

2021 ◽  
pp. 1-9
Author(s):  
Mike K.T. Cheung ◽  
Sam C.C. Chan

BACKGROUND: Self-efficacy is a key psychosocial factor influencing the outcome of vocational rehabilitation programs. There is lack of a validated job-seeking self-efficacy measure for Chinese persons with disabilities. OBJECTIVE: The aim of this study was to validate the Chinese version of the Job-Seeking Self-Efficacy Scale (C-JSS) developed by Barlow, Wright, and Cullen (2002) and to examine its psychometric properties using a Chinese sample of persons with disabilities. METHODS: JSS was first translated into Chinese and reviewed by vocational rehabilitation practitioners and persons with disabilities. Ninety-seven Chinese participants with disabilities were recruited to fill in the questionnaire of JSS and other questions. The internal consistency, structural and coverage validities of C-JSS were evaluated. RESULTS: C-JSS showed a high internal consistency (Cronbach’s alpha = 0.95) and unidimensional factorial structure. For concurrent validity, there were significant correlations between C-JSS with the score of WHODAS 2.0 (p = 0.001), educational level (p <  0.001), job-seeking behavior (p = 0.031), and self-reported professional skills (p = 0.008). CONCLUSION: The results of this study provide preliminary evidence that C-JSS is a reliable and valid instrument to measure the self-efficacy of job-seeking behavior among a Chinese sample of persons with disabilities.


Sign in / Sign up

Export Citation Format

Share Document