Assessing the Validity of the Social Impact Scale Among a Longitudinal Cohort of Adolescents and Young Adults Living With Perinatally Acquired HIV.

IF 2.9 3区 医学 Q3 IMMUNOLOGY
Ohemaa Poku, Naa-Djama Attoh-Okine, Thomas Corbeil, Ying Chen, Luke Kluisza, Afifa Ahmed, Lucy Liotta, Corey Morrison, Curtis Dolezal, Reuben N Robbins, Claude A Mellins
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Abstract

Background: With few psychometrically evaluated HIV-related stigma measures for adolescents and young adults living with HIV, we examined the developmental applicability (ie, validity) of 2 subscales of the commonly used stigma measure, the Social Impact Scale, among a cohort of adolescents and young adults with perinatally acquired HIV.

Setting: Data were obtained from a New York City longitudinal study (N = 340). This study primarily comprised Black and Latinx adolescents and young adults with either perinatally acquired HIV or those with perinatal exposure but who are uninfected. Data for this analysis were obtained from the population with perinatally acquired HIV and spanned approximately a 15-year survey period (2003-2018).

Methods: A confirmatory factor analysis was used at 7 time points to assess whether the Social Rejection and Internalized Shame subscales were consistent in this cohort over time. Overall and individual Cronbach alphas were reported to show the strength of the internal consistency.

Results: The mean age from baseline to follow-up 6 ranged from 12 to 23 years over the study period. The Social Rejection subscale was acceptably valid across follow-up periods with strong factor loadings and Cronbach alphas higher than 0.70. However, the Internalized Shame subscale was less valid among younger adolescents. Starting at follow-up 2, we observed better validity with the Internalized Shame subscale performance.

Conclusion: Future research must consider mechanisms for developing and adapting measures from a developmental perspective to best measure the experiences of HIV-related stigma among younger populations.

在围产期感染艾滋病病毒的青少年中评估社会影响量表的有效性。
背景:针对感染艾滋病毒的青少年和年轻成人(AYA)的与艾滋病毒相关的污名化测量方法很少经过心理测量学评估,因此我们研究了常用污名化测量方法--社会影响量表(SIS)的两个分量表在围产期感染艾滋病毒的青少年和年轻成人中的发展适用性(即有效性):数据来自纽约市的一项纵向研究(N=340)。该研究主要包括感染围产期艾滋病病毒(PHIV)的黑人和拉美裔青少年,或感染围产期艾滋病病毒但未感染的青少年。本次分析的数据来自 PHIV 群体,调查时间跨度约 15 年(2003-2018 年):在七个时间点采用了确认性因子分析,以评估社会排斥和内化羞耻分量表在该群体中是否随着时间的推移而保持一致。报告了总体和个体的克朗巴赫系数,以显示内部一致性的强度:研究期间,从基线到随访 6 的平均年龄为 12-23 岁。社会排斥子量表在各随访期的有效性均可接受,具有较强的因子负荷,Cronbach's alphas高于0.70。然而,内化羞耻感分量表在年龄较小的青少年中的有效性较低。从随访 2 开始,我们观察到内化羞耻感子量表的有效性有所提高:未来的研究必须考虑从发展的角度制定和调整测量机制,以最好地测量年轻人群中与艾滋病相关的耻辱感。
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来源期刊
CiteScore
5.80
自引率
5.60%
发文量
490
审稿时长
3-6 weeks
期刊介绍: JAIDS: Journal of Acquired Immune Deficiency Syndromes​ seeks to end the HIV epidemic by presenting important new science across all disciplines that advance our understanding of the biology, treatment and prevention of HIV infection worldwide. JAIDS: Journal of Acquired Immune Deficiency Syndromes is the trusted, interdisciplinary resource for HIV- and AIDS-related information with a strong focus on basic and translational science, clinical science, and epidemiology and prevention. Co-edited by the foremost leaders in clinical virology, molecular biology, and epidemiology, JAIDS publishes vital information on the advances in diagnosis and treatment of HIV infections, as well as the latest research in the development of therapeutics and vaccine approaches. This ground-breaking journal brings together rigorously peer-reviewed articles, reviews of current research, results of clinical trials, and epidemiologic reports from around the world.
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