HIV Stigma Scale: Propriedades Psicométricas da Versão Portuguesa
DOI:
https://doi.org/10.17575/psicologia.1729Palavras-chave:
VIH /SIDA, Estigma, Propriedades Psicométricas, PortugalResumo
O objetivo deste estudo foi traduzir, adaptar e analisar as propriedades psicométricas de uma versão breve da Escala de Estigmatização VIH, usando uma amostra de 100 adultos VIH+, com idade média de 49.88 (DP = 12-03), com diagnóstico médio há 9.39 (DP = 7.36) anos. As qualidades psicométricas foram analisadas atendendo à estrutura de um fator e da estrutura original de quatro fatores, mostrando um melhor ajustamento para este último modelo. A validade convergente foi considerada próxima do aceitável para o fator atitudes públicas e autoimagem negativa, e boa para os fatores preocupação com a divulgação e estigma personalizado. Os resultados mostraram validade discriminante adequada para todos os fatores. O coeficiente Omega foi superior a .70 para os quatro fatores, mostrando confiabilidade adequada. Esta versão portuguesa parece ser é uma boa escala para avaliar o estigma de pessoas que vivem com VIH em Portugal.
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Referências
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238-46. https://doi.org/10.1037/0033-2909.107.2.238
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588–606. https://doi.org/10.1037/0033-2909.88.3.588
Berger, B. E., Ferrans, C. E., & Lashley, F. R. (2001). Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Research in Nursing & Health, 24, 518-529. https://doi.org/10.1002/nur.10011
Brewer, M. B. (2007). The social psychology of intergroup relations: social categorization, ingroup bias, and outgroup prejudice. In A. W. Kruglanski & E. T. Higgins (Eds.), Social Psychology: Handbook of Basic Principles (pp. 695-715). The Guilford Press.
Bunn J. Y., Solomon S. E., Millar C., & Forehand R. (2007). Measurement of stigma in people with HIV: A re-examination of the HIV Stigma Scale. AIDS Education and Prevention, 19, 198–208. https://doi.org/10.1521/aeap.2007.19.3.198
Burnham, K. E., Cruess, D. G., Kalichman, M. O., Grebler, T., Cherry, C., & Kalichman, S. C. (2016). Trauma symptoms, internalized stigma, social support, and sexual risk behavior among HIV-positive gay and bisexual MSM who have sought sex partners online. AIDS Care, 28, 347-353. https://doi.org/10.1080/09540121.2015.1096894
Canavarro, M. (1995). Inventário de sintomas psicopatológicos - B.S.I. In M. R. Simões, M. Gonçalves, & L. S. Almeida (Eds), Testes e provas psicológicas em Portugal (vol. II, pp. 87-109). Braga: SHO/APPORT
Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7(3), 309–319. https://doi.org/10.1037/1040-3590.7.3.309
Comrey, A. L., & Lee, H. B. (1992). A first course in factor analysis (2nd ed.). Lawrence Erlbaum.
Deacon, H. (2006). Towards a sustainable theory of health‐related stigma: Lessons from the HIV/AIDS literature. Journal of Community & Applied Social Psychology, 16, 418-425. https://doi.org/10.1002/casp.900
Derlega, V. J., Winstead, B. A., Greene, K., Serovich, J., & Elwood, W. N. (2004). Reasons for HIV disclosure/nondisclosure in close relationships: Testing a model of HIV–disclosure decision making. Journal of Social and Clinical Psychology, 23, 747-767. https://doi.org/10.1521/jscp.23.6.747.54804
Dunn, T., Baguley, T., & Brunsden, V. (2014). From alpha to omega: A practical solution to the pervasive problem of internal consistency estimation. British Journal of Psychology, 105, 399–412. https://doi.org/10.1111/bjop.12046
Earnshaw, V. A., & Chaudoir, S. R. (2009). From conceptualizing to measuring HIV stigma: A review of HIV stigma mechanism measures. AIDS and Behavior, 13, 1160-1177. https://doi.org/10.1007/s10461-009-9593-3
Fachado, A., Martinez, M., Villalva, M., & Pereira, M. (2007). Adaptação cultural e validação da versão portuguesa questionário medical outcomes study social suporte survey (MOSSSS). Acta Médica Portuguesa, 20, 525-533.
Ferreira, J. A., & Castela, M. C. (1999). Questionário de ideação suicida. In M. R. Simões, M. M. Gonçalves, & L. S. Almeida (Ed), Testes e Provas Psicológicas em Portugal, (vol. II, pp. 123-130). APPORT/SHO.
Fife, B. L., & Wright, E. R. (2000). The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer. Journal of Health and Social Behavior, 1, 50-67. https://doi.org/10.2307/2676360
Finch, W., Immekus, J., & French, B. (2016). Applied Psychometrics Using SPSS and AMOS. Information Age Publishing Inc.
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50. https://doi.org/10.2307/3151312
Franke M. F., Muñoz M., Finnegan K., Zeladita J., Sebastian J. L., Bayona J. N., & Shin S. S. (2010). Validation and abbreviation of an HIV Stigma Scale in an adult Spanish-speaking population in urban Peru. AIDS and Behavior, 14, 189–199. https://doi.org/10.1007/s10461-008-9474-1
Fuster-Ruiz de Apodaca, M. J., Molero, F., Holgado, F. P., & Ubillos, S. (2015). Adaptation of the HIV Stigma Scale in Spaniards with HIV. The Spanish Journal of Psychology, 18, 1-15. https://doi.org/10.1017/S1138741615000694
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Simon & Schuster Inc.
Gonçalves, A. R. C. (2018). Fatores associados à adesão terapêutica em pessoas com VIH/SIDA [Factors associated with therapeutic adherence in people with HIV / AIDS] [Unpublished master thesis]. Universidade do Minho.
Heckman, T. G., Miller, J., Kochman, A., Kalichman, S. C., Carlson, B., & Silverthorn, M. (2002). Thoughts of suicide among HIV-infected rural persons enrolled in a telephone delivered mental health intervention. Annals of Behavioral Medicine, 24, 141-148. https://doi.org/10.1207/S15324796ABM2402_11
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
International Test Comission (2017). ITC Guidelines for Translating and Adapting Tests (Second Edition). International Journal of Testing, 18(2), 101-134. https://doi.org/10.1080/15305058.2017.1398166
Jeyaseelan, L., Kumar, S., Mohanraj, R., Rebekah, G., Rao, D., & Manhart, L. E. (2013). Assessing HIV/AIDS stigma in South India: Validation and abridgement of the Berger HIV stigma scale. AIDS and Behavior, 17, 434-443. https://doi.org/10.1007/s10461-011-0128-3
Jimenez J. C., Puig M., Ramos J. C., Morales M., Asencio G., Sala A. C., Castro, E., Velez Santori, C., Santiago, L., & Zorrilla C. (2010). Measuring HIV felt stigma: A culturally adapted scale targeting PLWHA in Puerto Rico. AIDS Care: Psychological and Socio-Medical Aspects of AIDS/HIV, 22(11), 1314–1322. https://doi.org/10.1080/09540121003758481
Kanahara, S. (2006). A Review of the definitions of stereotype and a proposal for a professional model. Individual Differences Research, 4, 306-321.
Kline, R. B. (2011). Principles and practice of structural equation modeling. Guilford Press.
Lindberg, M. H., Wettergren, L., Wiklander, M., Svedhem-Johansson, V., & Eriksson, L. E. (2014). Psychometric evaluation of the HIV stigma scale in a Swedish context. PLoS One, 9, 1-16. https://doi.org/10.1371/journal.pone.0114867
Logie, C., & Gadalla, T. M. (2009). Meta-analysis of health and demographic correlates of stigma towards people living with HIV. AIDS care, 21, 742-753. https://doi.org/10.1080/09540120802511877
Luz, P., Torres, T., Almeida-Brasil, C., Marins, L., Bezerra, D., Veloso, V. Grinsztejn, B., Harel, D., & Thombs, B. (2020). Translation and validation of the Short HIV Stigma scale in Brazilian Portuguese. Health Qual Life Outcomes, 18, 322 https://doi.org/10.1186/s12955-020-01571-1
Marôco, J. (2014). Análise de equações estruturais: Fundamentos teóricos, sostware & aplicações (2.ª Edição). ReportNumber.
Massicotte, A. C. R. (2010). A comparative analysis of quality of life and stigma experienced by people living with HIV receiving antiretroviral therapy in a home-based care project in Malema and Ribaue districts, Mozambique [Unpublished Doctoral dissertation]. University of South Africa, South Africa.
Matos, M. S. (2019). A vida continua: Vivência e adaptação de homens ao VIH/SIDA [Life goes on: Men's living and adapting to HIV / AIDS] [Unpublished master thesis]). Universidade do Minho.
Mo, P. K., & Ng, C. T. (2017). Stigmatization among people living with HIV in Hong Kong: A qualitative study. Health Expectations, 20, 943-951. https://doi.org/10.1111/hex.12535
NIH (2019). Relatório infeção VIH e SIDA em Portugal – 2019 [HIV infection and AIDS report in Portugal – 2019]. http://www.insa.min-saude.pt/relatorio-infecao-vih-e-sida-em-portugal-2019/
Orr, L., Shebl, F. M., Heimer, R., Khoshnood, K., Barbour, R., Khouri, D., Aaraj, E., Mokhbat, J. E., & Crawford, F. W. (2021). Violence and discrimination against men who have sex with men in Lebanon: The role of international displacement and migration. Journal of Interpersonal Violence, 36(21-22), 10267–10284. https://doi.org/10.1177/0886260519884684
Poon, C., Saewyc, E., & Chen, W. (2012). Enacted stigma, problem substance use, and protective factors among Asian sexual minority youth in British Columbia. Canadian Journal of Community Mental Health, 30, 47-64. https://doi.org/10.7870/cjcmh-2011-0016
Reinius, M., Wettergren, L., Wiklander, M., Svedhem, V., Ekström, A.M., & Eriksson, L. (2017). Development of a 12-item short version of the HIV stigma scale. Health Qual Life Outcomes, 15, 115. https://doi.org/10.1186/s12955-017-0691-z
Reisner, S. L., Pardo, S. T., Gamarel, K. E., Hughto, J. M. W., Pardee, D. J., & Keo-Meier, C. L. (2015). Substance use to cope with stigma in healthcare among US female-to-male trans masculine adults. LGBT Health, 2, 324-332. https://doi.org/10.1089/lgbt.2015.0001
Rueda, S., Mitra, S., Chen, S., Gogolishvili, D., Globerman, J., Chambers, L., Wilson, M., Logie, C. H., Shi, Q., Morassaei, S., & Rourke, S. B. (2016). Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: A series of meta-analyses. BMJ Open, 6(7), 1-15. https://doi.org/10.1136/bmjopen-2016-011453
Satorra, A., & Bentler, P.M. (1994). Corrections to test statistics and standard errors in covariance structure analysis. In A. von Eye & C.C. Clogg (Eds.) Latent variables analysis: applications for developmental research (pp. 399–419). Sage.
Satorra, A., & Bentler, P.M. (2001). A scaled difference chi-square test statistic for moment structure analysis. Psychometrika, 66, 507–514. https://doi.org/10.1007/BF02296192
Sayles, J. N., Hays, R. D., Sarkisian, C. A., Mahajan, A. P., Spritzer, K. L., & Cunningham, W. E. (2008). Development and psychometric assessment of a multidimensional measure of internalized HIV stigma in a sample of HIV-positive adults. AIDS and Behavior, 12(5), 748-758. https://doi.org/10.1007/s10461-008-9375-3
Schmitt, T. A. (2011). Current methodological considerations in exploratory and confirmatory factor analysis. Journal of Psychoeducational Assessment, 29(4), 304-321. https://doi.org/10.1177/0734282911406653
Silva, C. F. L. (2016). Fatores preditores de psicopatologia em pessoas que vivem com VIH/SIDA [Predictors of psychopathology in people living with HIV/AIDS] [Unpublished master thesis]. Universidade do Minho.
Sousa, M. D. F. (2017). Variáveis associadas à ideação suicida em pessoas com VIH – Sida [Variables associated with suicidal ideation in people with HIV – AIDS] [Unpublished master thesis]. Universidade do Minho.
Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173−180. https://doi.org/10.1207/s15327906mbr2502_4
Steiger, J. H., Shapiro, A., & Browne, M. W. (1985). On the multivariate asymptotic distribution of sequential chi-square statistics. Psychometrika, 50, 253−263. https://doi.org/10.1007/BF02294104
Steward, W. T., Herek, G. M., Ramakrishna, J., Bharat, S., Chandy, S., Wrubel, J., & Ekstrand, M. L. (2008). HIV-related stigma: Adapting a theoretical framework for use in India. Social Science & Medicine, 67, 1225-1235. https://doi.org/10.1016/j.socscimed.2008.05.032
Tanaka, J. S., & Huba, G. J. (1985). A fit index for covariance structure models under arbitrary GLS estimation. British Journal of Mathematical and Statistical Psychology, 38(2), 197–201. https://doi.org/10.1111/j.2044-8317.1985.tb00834.x
Wagner, G. J., Bogart, L. M., Klein, D. J., Green, H. D., Mutchler, M. G., McDavitt, B., & Hilliard, C. (2016). Association of internalized and social network level HIV stigma with high-risk condomless sex among HIV-positive African American men. Archives of Sexual Behavior, 45, 1347-1355. https://doi.org/10.1007/s10508-015-0641-y
World Health Organization (2018). Global Health Observatory Data. https://www.who.int/gho/hiv/en/
