智利年轻人中艾滋病毒公众污名量表的发展和心理测量特性

摘要(中文译文)

智利HIV发病率的上升凸显了对文化适宜的HIV污名测量工具的需求。然而，在拉丁美洲背景下，可用于测量公众HIV污名（即普通人群所持有的污名）的工具寥寥无几。本研究通过开发和验证适用于智利青年人的HIV公众污名量表（HIV Public Stigma Scale, HPSS）来填补这一空白。在329名大学生样本中，探索性结构方程模型支持了单一高阶污名因子下的三因子结构。最终确定的14条目量表在验证性因子分析中展现出极佳的拟合度，且各分量表及整体构念均具有较高的内部一致性。较高的HPSS得分与较低的HIV检测意愿和较高的感知HIV严重程度显著相关，但与感知易感性之间未观察到关系。HPSS具有良好的心理测量学特性，为指导污名减少干预和公共卫生策略提供了一种简短、可靠的公众HIV污名测量工具。

Abstract

Rising HIV incidence in Chile underscores the need for culturally appropriate measures of HIV stigma. However, few instruments are available to measure public HIV stigma (stigma held by the general population) on Latin American context. This study addressed this gap by developing and validating the HIV Public Stigma Scale (HPSS) for Chilean young adults. In a sample of 329 university students, exploratory structural equation modeling supported a three-factor structure underlying a single higher-order stigma factor. The final 14-item scale demonstrated excellent fit in confirmatory factor analysis and high internal consistency across subscales and the overall construct. Higher HPSS scores were significantly associated with lower intention to get tested for HIV and greater perceived HIV severity, although no relationship was observed with perceived susceptibility. The HPSS exhibits robust psychometric properties and provides a brief, reliable measure of public HIV stigma to guide stigma-reduction interventions and public health strategies.

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