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AIDS and Behavior

Erschienen in:

01.12.2010 | Original Paper

Stigma Against Children Affected by AIDS (SACAA): Psychometric Evaluation of a Brief Measurement Scale

verfasst von: Junfeng Zhao, Xiaoming Li, Xiaoyi Fang, Yan Hong, Guoxiang Zhao, Xiuyun Lin, Liying Zhang, Bonita Stanton

Erschienen in: AIDS and Behavior | Ausgabe 6/2010

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Abstract

The current study was designed to develop and evaluate a brief scale measuring perceived public stigma against children affected by HIV/AIDS. The participants include 755 children who have lost one or both parents to HIV/AIDS (AIDS orphans), 466 children facing the potential of losing their parents to HIV/AIDS (vulnerable children), and 404 comparison children who did not have HIV-related illness or death in their families. The data in this study demonstrated that the SACAA scale provides a psychometrically sound measure of perceived stigma against children affected by AIDS in China. The SACAA scale is a reliable measure for children of both genders, at different developmental stages, and for both children affected by HIV/AIDS and comparison children. Known-group validation and correlation analysis demonstrate excellent construct validity of this brief SACAA scale. The SACAA score was positively associated with psychopathological symptoms and negatively associated with psychosocial well-being among participating children.

Nur mit Berechtigung zugänglich

Parker R, Aggleton P. HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Soc Sci Med. 2003;57(1):13–24.CrossRefPubMed

Daniel M, Apila HM, Bjorgo R, Lie GT. Breaching cultural silence: enhancing resilience among Ugandan orphans. Afr J AIDS Res. 2007;6(2):109–20.

Chesney MA, Smith AW. Critical delays in HIV testing and care. Am Behav Sci. 1999;42(7):1162–74.CrossRef

Herek GM, Capitanio JP, Widaman KF. HIV-related stigma and knowledge in the United States: prevalence and trends, 1991–1999. Am J Public Health. 2002;92(3):371–7.CrossRefPubMed

Kang E, Rapkin BD, Remien RH, Mellins CA, Oh A. Multiple dimensions of HIV stigma and psychological distress among Asians and Pacific Islanders living with HIV illness. AIDS Behav. 2005;9(2):145–54.CrossRefPubMed

Mahajan AP, Sayles JN, Patel VA, et al. Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS. 2008;22(Suppl 2):S67–79.CrossRefPubMed

Mak WWS, Cheung RYM, Law RW, et al. Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS. Soc Sci Med. 2007;64(8):1549–59.CrossRefPubMed

Campbell C, Deacon H. Unraveling the contexts of stigma: from internalization to resistance to change. J Commun Appl Soc Psychol. 2006;16(6):411–7.CrossRef

Campbell C, Foulis CA, Maimane S, Sibiya Z. “I have an evil child at my house”: stigma and HIV/AIDS management in a South African community. Am J Public Health. 2005;95(5):808–15.CrossRefPubMed

10.

Campbell C, Nair Y, Maimane S, Nicholson J. ‘Dying twice’: a multi-level model of the roots of AIDS stigma in two South African communities. J Health Psychol. 2007;12(3):403–16.CrossRefPubMed

11.

Weiss M, Doongaji D, Siddhartha S, et al. The explanatory model interview catalogue (EMIC). Contribution to cross- cultural research methods from a study of leprosy and mental health. Br J Psychiatry. 1992;160:819–30.CrossRefPubMed

12.

Herek GM, Capitanio JP. Symbolic prejudice or fear of infection? A functional analysis of AIDS-related stigma among heterosexual adults. Basic Appl Soc Psychol. 1998;20:230–41.CrossRef

13.

Holzemer WL, Uys L, Makoae L, et al. A conceptual model of HIV/AIDS stigma from five African countries. J Adv Nurs. 2007;58:541–51.CrossRefPubMed

14.

Pryor JB, Reeder GD, Landau S. A social-psychological analysis of HIV-related stigma. Am Behav Sci. 1999;42:1193–211.CrossRef

15.

Project Siyam’kela. A report on the fieldwork leading to the development of HIV/AIDS stigma indicators and guidelines. POLICY Project, South Africa; Centre for the Study of AIDS, University of Pretoria; United States Agency for International Development; Chief Directorate: HIV, AIDS & TB, Department of Health, 2003.

16.

Brown L, Macintyre K, Trujillo L. Interventions to reduce HIV/AIDS stigma: what have we learned? AIDS Educ Prev. 2003;15:49–69.CrossRefPubMed

17.

Visser MJ, Kershaw T, Makin JD, Forsyth BWC. Development of parallel scales to measure HIV-related stigma. AIDS Behav. 2008;12:759–71.CrossRefPubMed

18.

Jacoby A. Felt versus enacted stigma: a concept revisited. Evidence from a study of people with epilepsy in remission. Soc Sci Med. 1994;38:269–74.CrossRefPubMed

19.

Malcolm A, Aggleton P, Bronfman M, Galvão J, Mane P, Verrall J. HIV-related stigmatization and discrimination: its forms and contexts. Crit Publ Health. 1998;8:347–70.CrossRef

20.

Scrambler G. Stigma and disease: changing paradigms. Lancet. 1998;352:1054–5.CrossRef

21.

Li X, Naar-King S, Barnett D, et al. A developmental psychopathology framework of the psychosocial needs of children orphaned by HIV/AIDS. J Assoc Nurses AIDS Care. 2008;19(2):147–57.CrossRefPubMed

22.

Siegel K, Gorey K. Childhood bereavement due to parental death from acquired immunodeficiency syndrome. J Dev Behav Pediatr. 1994;15(Suppl):S66–70.CrossRefPubMed

23.

Wood K, Chasea E, Aggletona P. ‘Telling the truth is the best thing’: teenage orphans’ experiences of parental AIDS-related illness and bereavement in Zimbabwe. Soc Sci Med. 2006;63(7):1923–33.CrossRefPubMed

24.

Ntozi JPM. AIDS morbidity and the role of the family in patient care in Uganda. Health Transit Rev. 1997;7(Suppl):1–22.PubMed

25.

Hamra M, Ross MW, Karuri K, Orrs M, D’Agostino A. The relationship between expressed HIV/AIDS-related stigma and beliefs and knowledge about care and support of people living with AIDS in families caring for HIV-infected children in Kenya. AIDS Care. 2005;17(7):911–22.PubMed

26.

Seeley J, Kajura E, Bachengana C, Okongo M, Wagner U, Mulder D. The extended family and support for people with AIDS in a rural population in south west Uganda: a safety net with holes? AIDS Care. 1993;5(1):117–22.CrossRefPubMed

27.

Zhao G, Li X, Fang X, Zhao J, Yang H, Stanton B. Care arrangement, grief, and psychological problems among children orphaned by AIDS in China. AIDS Care. 2007;19(9):1075–82.CrossRefPubMed

28.

Zhao G, Li X, Kaljee L, et al. Psycho-social consequences for children experiencing parental loss due to HIV/AIDS in Central China. AIDS Care. 2009;21(6):769–74.CrossRefPubMed

29.

DeVellis RF. Scale development: theory and applications. 2nd ed. Thousand Oaks: Sage; 2003.

30.

Rosenthal E. AIDS scourge in rural China leaves villages of orphans. New York Times. 2002.

31.

Fang X, Li X, Stanton B, et al. Parental HIV/AIDS on psychosocial adjustment of rural Chinese children. J Pediatr Psychol. 2009. Advance Access published February 10, 2009; doi:10.1093/jpepsy/jsp006.

32.

Kalichman S, Simbayi L, Jooste S, et al. Development of a brief scale to measure AIDS-related stigma in South Africa. AIDS Behav. 2005;9:135–43.CrossRefPubMed

33.

Green G, Platt S. Fear and loathing in health care settings reported by people with HIV. Sociol Health Illn. 1997;19(1):70–92.

34.

Liu H, Hu Z, Li X, Stanton B, Naar-King S, Yang H. Understanding interrelationships among HIV-related stigma, concern about HIV infection, and intent to disclose HIV serostatus: a pretest–posttest study in a rural area of eastern China. AIDS Patient Care STD. 2006;20(2):133–42.CrossRef

35.

Berger BE, Ferrans CE, Lashley FR. Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Res Nurs Health. 2001;24(6):518–29.CrossRefPubMed

36.

Wright K, Naar-King S, Lam P, Templin T, Frey M. Stigma scale revised: reliability and validity of a brief measure of stigma for HIV+ youth. J Adolesc Health. 2007;40:96–8.CrossRefPubMed

37.

Lu Y, Trout S, Lu K, Creswell JW. The needs of AIDS-infected individuals in rural China. Qual Health Res. 2005;15:1149–63.CrossRefPubMed

38.

Yang H, Wu Z, Duan S, et al. Living environment and schooling of children with HIV infected parent in southwest China. AIDS Care. 2006;18:647–55.CrossRefPubMed

39.

Zhang L, Li X, Kaljee L, et al. “I Felt I Have Grown Up as an Adult”: caregiving experience of children affected by HIV/AIDS in China. Child Care Health Dev. 2009;35(4):542–50.CrossRefPubMed

40.

Foster G, Levine C, Williamson JA. Generation at risk: the global impact of HIV/AIDS on orphans and vulnerable children. Cambridge: Cambridge University Press; 2005.

41.

Fendrich M, Weissman MM, Warner V. Screening for depressive disorder in children and adolescents: validating the center for epidemiologic studies depression scale for children. Am J Epidemiol. 1990;131:538–51.PubMed

42.

Asher SR, Hymel S, Renshaw PD. Loneliness in children. Child Dev. 1984;55(4):1456–64.CrossRef

43.

Wang X. Rating scales for mental health (Chinese Journal of Mental Health Supplement). Beijing: Chinese Association of Mental Health; 1993.

44.

Rosenberg M. Society and the adolescent self-image. Princeton: Princeton University Press; 1965.

45.

Bryan A, Rocheleau CA, Robbins RN, Hutchison KE. Condom use among high-risk adolescents: testing the influence of alcohol use on the relationship of cognitive correlates of behavior. Health Psychol. 2005;24(2):133–42.CrossRefPubMed

46.

Whitaker DJ, Miller KS, Clark LF. Reconceptualizing adolescent sexual behavior: beyond did they or didn’t they? Fam Plan Persp. 2000;32(3):111–7.CrossRef

47.

Cattell RB. The scree test for the number of factors. Multivar Behav Res. 1966;1:245–76.CrossRef

Titel: Stigma Against Children Affected by AIDS (SACAA): Psychometric Evaluation of a Brief Measurement Scale
verfasst von: Junfeng Zhao
Xiaoming Li
Xiaoyi Fang
Yan Hong
Guoxiang Zhao
Xiuyun Lin
Liying Zhang
Bonita Stanton
Publikationsdatum: 01.12.2010
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 6/2010
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-009-9629-8

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