Liam Cahill, Anthony J Gifford, Bethany A Jones, Daragh T McDermott
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引用次数: 0
摘要
大多数评估人体免疫缺陷病毒(HIV)焦虑的研究都依赖于单项测量方法或心理测量方法,这些方法在概念和语言方面都已经过时。我们亟需一种稳健、可靠且与时俱进的测量方法,来识别有可能逃避 HIV 检测、治疗和预防的人群,从而支持全球根除 HIV 的目标。焦点小组为艾滋病焦虑量表(HAS)的初步开发提供了信息,并通过专家反馈进行了修订。在两项研究中对因子结构进行了评估。在研究 1 中,对 251 名参与者进行了探索性因子分析(EFA)。在研究 2 中,对 200 名参与者进行了确认性因子分析(CFA),同时还进行了有效性、内部一致性和测量不变性评估。研究 1 和研究 2 建立了一个 3 因子模型,形成了一个包含以下子量表的 16 个项目的量表:艾滋病的社会心理影响、艾滋病的生活方式影响和艾滋病检测焦虑。在研究 2 中,HAS 在不同群体中表现出良好的因子结构、可接受的有效性和出色的内部一致性。HAS 为艾滋病焦虑症提供了一种现代的、可靠的测量方法,解决了以往工具的局限性,有助于识别和支持有艾滋病回避行为风险的人群。我们建议未来的研究继续验证和测试这一新的测量方法,但它提供了一个标准化的工具,可为 HIV 检测、预防和治疗的针对性干预措施提供依据。
The HIV Anxiety Scale (HAS): Developing and Validating a Measure of Human Immunodeficiency Virus (HIV) Anxiety.
Most research assessing human immunodeficiency virus (HIV) anxiety relies on single-item measures or psychometric measures that are outdated in terms of concepts and language. There is a critical need for a robust, reliable, and contemporary measure to identify populations at risk of avoiding HIV testing, treatment, and prevention, thereby supporting global HIV eradication goals. Focus groups informed the initial development of the HIV Anxiety Scale (HAS), revised through expert feedback. The factor structure was assessed in two studies. In Study 1, an Exploratory Factor Analysis (EFA) was conducted with 251 participants. In Study 2, a Confirmatory Factor Analysis (CFA) with 200 participants was performed alongside validity, internal consistency, and measurement invariance assessments. Studies 1 and 2 elicited a 3-factor model, resulting in a 16-item measure with the following subscales: Psychosocial Implications of HIV, Lifestyle Implications of HIV, and HIV Testing Anxiety. The HAS demonstrated a good factor structure, acceptable validity and excellent internal consistency across diverse groups in Study 2. The HAS provides a contemporary, robust measure of HIV anxiety, addressing limitations of previous tools and contributing to efforts to identify and support populations at risk of HIV avoidance behaviours. We recommend that future research continue to validate and test this new measure, but it offers a standardised tool to inform targeted interventions for HIV testing, prevention, and treatment.
期刊介绍:
AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76