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Surveys

Excerpted from AIDSQuest: HIV/AIDS Survey Library, Horizons Program, 2008, Washington, DC: Population Council. (More on AIDSQuest)

Overview
The HIV Stigma Scale was designed at the College of Nursing, University of Illinois at Chicago. It measures stigma perceived by people living with HIV in the United States, and was developed based on the literature on stigma and psychosocial aspects of having HIV. The items that survived two rounds of content review were assembled in a booklet and distributed through HIV-related organizations in eight states. The 40 items of the HIV Stigma Scale focus on experiences, feelings, and opinions as to how people living with HIV feel and how they are treated. The person living with HIV responds to these items using a four-point scale to indicate level of agreement or disagreement.

Methodology/validity
Psychometric analysis was performed on 318 questionnaires (19 percent women, 21 percent African-American, 8 percent Hispanic). Four factors emerged from exploratory factor analysis: personalized stigma, disclosure concerns, negative self-image, and concern with public attitudes toward people living with HIV. Construct validity was supported by relationships with related constructs: self-esteem, depression, social support, and social conflict. Coefficient alphas between .90 and .93 for subscales and .96 for the 40-item instrument provided evidence of internal consistency reliability. The HIV Stigma Scale was reliable and valid with a large, diverse sample of people living with HIV.1

 

1Berger, Barbara E., Carol E. Ferrans, and Felissa R. Lashley. 2001. "Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale," Research in Nursing and Health 24: 518529.

 

HIV Stigma Scale
(PDF or Word)

Stigma Measures

Domains of stigma and discrimination

Measures for inappropriate fear of contagion and resulting avoidance of people living with HIV

Measures for negative judgments of people living with HIV

Measures for enacted stigma (discrimination)

Measures for compounded/layered stigma

Measures for other aspects of stigma

How to use the survey items

Methodological issues for data collection

An example: Developing a stigma index in India

Example of a survey module

Additional survey items

HIV Stigma Scale

 

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