This study aimed of validating a ten-item HIV stigma scale that was originally developed in the U.S.A. and adapting it for Japanese adults with HIV. To adapt the HIV stigma scale for Japanese adults with HIV, a forward-backward translation method was employed. We assessed its validity and reliability using questionnaire survey data collected from 463 Japanese adults with HIV between August 2017 and February 2018. Although the validity was acceptable, the internal consistency in two subcategories in the Japanese version of the HIV stigma scale was low (ω: 0.63, 0.60). Therefore, we performed exploratory factor analysis, which suggested a different model consisting of two subcategories. Then, we assessed the reliability and validity of the scale. The omega values were between 0.83 and 0.89, the absolute correlations (|r|) to other psychological scales for external validity were between 0.34 and 0.51, and the non-response rates for feasibility were between 0.9 and 1.8. The Japanese version of the HIV stigma scale therefore had sufficient reliability and validity. This questionnaire may help identify individuals that need increased care, which may improve their quality of life.
This study targeted clinical psychologists engaged in student counseling in Japan and investigated their level of clinical and psychological knowledge about sexual orientation. This study also assessed the relationship between sexuality education and self-learning experiences and knowledge. A questionnaire which included 13 items assessing basic and clinical knowledge about sexuality, experiences regarding education on homosexuality, experiences of self-learning, and experiences with sexual minorities, was anonymously administered to 484 student counselors trained as clinical psychologists. The total number of valid responses was 321 (66.3%). About 80% of the participants correctly answered the items under the category "basic knowledge about homosexuality," although their clinical knowledge and knowledge regarding differences in sexual orientation and gender identity were limited. 277 had attended graduate school and the proportion of participants who had received education on homosexuality during graduate clinical psychology training was 14.8%. Education on homosexuality received during graduate clinical psychology training and that received via self-learning had little associations with the level of knowledge about sexuality. These results suggest that the level of clinical knowledge of Japanese student counselors was insufficient for appropriate clinical practice. Issues surrounding sexuality education and clinical psychologist training, as well as the limitations of this study, are discussed.
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