Adaptation of the HIV Stigma Scale in Spaniards with HIV

  1. María Jóse Fuster Ruiz de Apocada
  2. Fernando Molero Alonso
  3. Francisco Pablo Holgado Tello
  4. Silvia Ubillos Landa
The Spanish Journal of Psychology

ISSN: 1138-7416

Year of publication: 2015

Volume: 18

Pages: 66-15

Type: Article

DOI: 10.1017/S1138741615000694 DIALNET GOOGLE SCHOLAR


The primary goal of this study was to adapt Berger, Ferrans, & Lahley (2001) HIV Stigma Scale in Spain, using Bunn, Solomon, Miller, & Forehand (2007) version. A second goal assessed whether the four-factor structure of the adapted scale could be explained by two higher-order dimensions, perceived external stigma and internalized stigma. A first qualitative study (N = 40 people with HIV, aged 28�59) was used to adapt the items and test content validity. A second quantitative study analyzed construct and criterion validity. In this study participants were 557 people with HIV, aged 18�76. The adapted HIV Stigma Scale for use in Spain (HSSS) showed a good internal consistency (a = .88) and good construct validity. Confirmatory Factor Analyses yielded a first-order, four-factor structure and a higher-order, bidimensional structure with the two expected factors (RMSEA = .051, 90% CI [.046, .056]; RMR = .073; GFI = .96; AGFI = .96; CFI = .98). Negative relations were found between stigma and quality of life (r = �.39; p < .01), self-efficacy to cope with stigma (r = �.50; p < .01) and the degree of HIV status disclosure (r = �.35; p < .01). Moreover, the people who had suffered AIDS-related opportunistic infections had a higher score in the Perceived External Stigma dimension than those who had not suffered them, t (493) = 3.02, p = .003, d = 0.26.

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