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Measuring and assessing HIV/AIDS stigma and discrimination among migrant workers in Zhejiang, China


Background:
The aim of this study was to develop a Chinese HIV/AIDS Stigma Scale (C-HSS) and test its reliability and validity among migrant workers in eastern China.

Methods:
Nine hundred sixty four migrant workers completed the C-HSS questionnaire in Zhejiang province. The Split-half reliability coefficient (R) and Cronbach’s alpha coefficient (a) for internal consistency of the scale were used. Factor analysis was applied for construct validity. Scores of total and subscales were compared among migrants. Correlation between scores and knowledge of HIV/AIDS was analyzed.

Results:
The 24-items scale and the four subscales of C-HSS had good internal consistency (R overall was 0.877, subscales ranged from 0.693 to 0.862; Cronbach’s alpha overall was 0.845, subscales ranged from 0.709 to 0.810). Correlation coefficients between each domain and total score were significant (p < 0.01). The cumulative contribution rate was 54.17 % by five public factors based on exploratory factor analysis. Except for the thirteenth item and twentieth item, four public factors were in accordance with the basic conceived concept. The confirmatory factor analysis indicated a good fit to the data for the four-domain structure. Negative correlation existed between the level of HIV/AIDS knowledge and stigma.

Conclusion:
The results suggest that the C-HSS is a reliable and valid measure for HIV/AIDS stigma in migrant workers.

Keywords:
HIV/AIDS, Stigma, Scale, Migrant workers


Autoři: Haiyan Xing 1*;  Wei Yu 2;  Ya Li 1
Působiště autorů: Department of Nursing, School of Medicine, Shaoxing University, Shaoxing City, Zhejiang Province, China. 1;  Institute of Epidemiology, Shaoxing Keqiao District Center for Disease Control and Prevention, Shaoxing City, Zhejiang Province, China. 2
Vyšlo v časopise: BMC Public Health 2016, 16:845
Kategorie: Research article
prolekare.web.journal.doi_sk: https://doi.org/10.1186/s12889-016-3518-7

© 2016 The Author(s).

Open access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The electronic version of this article is the complete one and can be found online at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3518-7

Souhrn

Background:
The aim of this study was to develop a Chinese HIV/AIDS Stigma Scale (C-HSS) and test its reliability and validity among migrant workers in eastern China.

Methods:
Nine hundred sixty four migrant workers completed the C-HSS questionnaire in Zhejiang province. The Split-half reliability coefficient (R) and Cronbach’s alpha coefficient (a) for internal consistency of the scale were used. Factor analysis was applied for construct validity. Scores of total and subscales were compared among migrants. Correlation between scores and knowledge of HIV/AIDS was analyzed.

Results:
The 24-items scale and the four subscales of C-HSS had good internal consistency (R overall was 0.877, subscales ranged from 0.693 to 0.862; Cronbach’s alpha overall was 0.845, subscales ranged from 0.709 to 0.810). Correlation coefficients between each domain and total score were significant (p < 0.01). The cumulative contribution rate was 54.17 % by five public factors based on exploratory factor analysis. Except for the thirteenth item and twentieth item, four public factors were in accordance with the basic conceived concept. The confirmatory factor analysis indicated a good fit to the data for the four-domain structure. Negative correlation existed between the level of HIV/AIDS knowledge and stigma.

Conclusion:
The results suggest that the C-HSS is a reliable and valid measure for HIV/AIDS stigma in migrant workers.

Keywords:
HIV/AIDS, Stigma, Scale, Migrant workers


Zdroje

1. Ogden J, Nyblade L. Common at its core: HIV-related stigma across contexts. Washington: International Center for Research on Women; 2005.

2. Deacon H, Uys L, Mohlahlane R. HIV and Stigma in South Africa, HIV/AIDS in South Africa 25 Years On. 2009. p. 105–20.

3. Kalichman SC, Simbayi LC. HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sex Transm Infect. 2003;79(6):442–7.

4. He Q, Wang Y, Lin P, Raymond HF, Li Y, Yang F, Zhao J, Li J, Ling L, McFarland W. High prevalence of risk behavior concurrent with links to other high-risk populations: a potentially explosive HIV epidemic among men who have sex with men in Guangzhou, China. Sex Transm Infect. 2009;85(5):383–90.

5. Wang H, Chen RY, Sharp GB, Brown K, Smith K, Ding G, Jin X, Xu J, Dong R, Wang N. Mobility risk behavior and HIV/STI rates among female sex workers in Kaiyuan city, Yunnan province, China. BMC Infect Dis. 2010;10:198.

6. Qing QQ, Wang L, Ding ZW, Wang LY, Hei FX, Li PL, Chen FF. Situation on HIV/AIDS epidemics among migrant population in China, 2008–2011. Chin J Epidemiol. 2013;34(1):41–3.

7. Yan JY. Survey on knowledge, attitude and practice related to AIDS in 12 senior high schools and technical schools in Shandong province. Chin J Dis Control Prev. 2006;10(5):454–7.

8. Tian SH, Tian BC, Cheng YL, Zhang W. Survey on AIDS prevention knowledge, attitude and behavior in urban and rural residents in four provinces. Chin J Public Health. 2006;22(11):1326–7.

9. Sean DY, Kelika K, Carlos C, Jerry G, Lee SJ, Ximena S, Thomas C. Effect of a community popular opinion leader HIV/STI intervention on stigma in Urban, Coastal Peru. AIDS Behav. 2011;15:930–7.

10. Li XH, He GP, Wang HH. Concept and measurement of HIV/AIDS related stigma and discrimination. Adv Psychol Sci. 2009;17(2):414–20.

11. Genberg BL, Kawichai S, Chingono A, Sendah M, Chariyalertsak S, Konda KA, Celentano DD. Assessing HIV/AIDS stigma and discrimination in developing countries. AIDS Behav. 2008;12:772–80.

12. Yang JH, Wang P, Yuan B. Development of HIV-related stigma questionnaire. Chinese J Clin Psychol. 2010;18(3):304–6.

13. Liu JH, Jiang HY, Chen H, Liao QH, Fu J, Lu FB, Liu WX, Li Y. A survey on AIDS discrimination among medical college students. Chin J Prey Med. 2009;43(11):1026–8.

14. Lau JTF, Tsui HY, Chan K. Reducing discriminatory attitudes toward people living with HIV/AIDS (PLWHA) in Hong Kong:an intervention study using an integrated knowledge-based PLWHA participation and cognitive approach. AIDS Care. 2005;17(1):85–101.

15. Zhang Y, Sheng Y. Investigation of discrimination attitudes against HIV infection or AIDS patients among medical and nursing students. Chin J Nurs. 2007;42(12):1075–7.

16. Zelaya CE, Sivaram S, Johnson SC, Srikrishnan AK, Solomon S, Celentano DD. HIV/AIDS stigma: reliability and validity of a new measurement instrument in Chennai, India. AIDS Behav. 2008;12:781–8.

17. Xing HY, Wen DH, Chen SM, Yu W, Ma Q. Reliability and validity of Chinese version Zelaya’S HIV/AIDS stigma scale. Chin J Nurs. 2012;47(12):1096–8.

18. Yu W, Xing HY, Yan HB, Ren SF. Knowledge and influential factors of AIDS among migrant workers in Shaoxing county. Chinese Rural Health Service Administration. 2011;31(6):621–3.

19. Gong T. The intervention report analysis of prevention of AIDS for floating population at Kangjian Street in 2014. Chinese Community Doctors. 2014;30(30):171–2.

20. Zhang ZH. Awareness status of AIDS and related factors among floating population in the development zone of Nantong. Chin Med Pharm. 2013;3(22):51–3,71.

21. Nunnally JC, Bernstein IR. Psychometric Theory. 3rd ed. New York: McGraw-Hill; 1994.

22. Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC Public Health. 2009;9:341.

23. Department of Services and Management of Migrant Population, National Health and Family Planning Commission of China. Report on China’s Migrant Population Development 2014. 1st ed. Beijing: China Population Publishing House; 2014. p. 177–83.

24. http://news.xinhuanet.com/politics/2013-01/27/c_114514921.htm. Accessed 30 Mar 2016.

25. Liu P, Tang XX. Prevalence status of HIV among floating population and

prevention and control in China. Med Soc. 2010;23(2):39–41.

26. National Health and Family Planning Commission People's Republic of China. 2014 China AIDS Response Progress Report, 2014.9-10, download

from http://unaids.org.cn/en/index/dbSearch_Result.asp?id=201&class=2&classname=Searchable+Document+Database.

27. Zhao FX, Wand XC. Research progress for AIDS risk factors in floating population. Chin J AIDS STD. 2010;16(3):330–3.

28. http://news.xinhuanet.com/health/2004-11/30/content_2276503.htm. Accessed 30 Nov 2004

29. Wang F, Wang YX, Ma LN, Li YB, Dong QL, Hu XY, Zhang XH, Zhou B, Hao LJ, Wang Y, Lu ZX. Analysis on the factors influencing attitudes and practices related to HIV/AIDS discrimination among rural inhabitants. Chinese J Health Educ. 2008;24(8):569–71.

30. Luan XY, Wu Y, Chen B, Wang LM, Dong L, Huang ZG, Zhou YQ. Survey and intervention on elimination of HIV/AIDS-related discrimination among medical staff of a third-grade class A hospital in Chongqing. Pract Prev Med. 2012;19(6):942–4.

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