Assessing HIV/AIDS stigma and discrimination in developing countries

Becky L. Genberg, Surinda Kawichai, Alfred Chingono, Memory Sendah, Suwat Chariyalertsak, Kelika A. Konda, David D. Celentano

Research output: Contribution to journalArticle

Abstract

HIV/AIDS-related stigma and discrimination are barriers to HIV prevention effectiveness, voluntary counseling and testing uptake, and accessing care in many international settings. Most published stigma scales are not comprehensive and have been primarily tested in developed countries. We sought to draw on existing literature to develop a scale with strong psychometric properties that could easily be used in developing countries. From 82 compiled questions, we tested a 50-item scale which yielded 3 dimensions with 22 items in pilot testing in rural northern Thailand (n = 200) and urban and peri-urban Zimbabwe (n = 221). The three factors (shame, blame and social isolation; perceived discrimination; equity) had high internal consistency reliability and good divergent validity in both research settings. Systematic and significant differences in stigmatizing attitudes were found across countries, with few differences by age or sex noted within sites. This short, comprehensive and standardized measure can be easily incorporated into questionnaires in international research settings.

Original languageEnglish (US)
Pages (from-to)772-780
Number of pages9
JournalAIDS and behavior
Volume12
Issue number5
DOIs
StatePublished - Sep 1 2008

Keywords

  • Discrimination
  • HIV/AIDS-related stigma
  • Scale development

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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