Evidence for the Reliability and Validity of the Internalized AIDS-Related Stigma Scale in Rural Uganda

Tsai, Alexander C.; Weiser, Sheri D.; Steward, Wayne T.; Mukiibi, Nozmo F. B.; Kawuma, Annet; Kembabazi, Annet; Muzoora, Conrad; Hunt, Peter W.; Martin, Jeffrey N.; Bangsberg, David R.

doi:10.1007/s10461-012-0281-3

Cited by 64 publications

(67 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Five articles were psychometric assessments of measurements and analysed correlates of internalised stigma as part of construct validity checks (Holzemer et al, 2007;Kalichman et al, 2009;Kingori et al, 2013;Tsai et al, 2012;Visser et al, 2008). Three articles aimed to assess predictors of another outcome and assessed correlates of internalised stigma as part of exploratory analyses to inform more complex modelling of other outcomes (Neuman & Obermeyer, 2013;Pearson et al, 2009;Simbayi et al, 2007b).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The most common measurement used in seven included articles was the Internalized AIDSrelated Stigma Scale (IA-RSS), developed by Kalichman and colleagues (2009) (Cloete et al, 2008;Kalichman et al, 2009;Peltzer, 2012;Simbayi et al, 2007b;Takada et al, 2014;Tsai et al, 2012;Tsai, Bangsberg, Bwana, et al, 2013). Five articles (Cuca et al, 2012;Holzemer et al, 2007;Makoae et al, 2009;Nattabi et al, 2011;Sorsdahl et al, 2011) reported use of the negative self-perception subscale of the HIV/AIDS Stigma Instrument-PLWA (HASI-P).…”

Section: Internalised Hiv Stigma Measurement Validity and Reliabilitymentioning

confidence: 99%

“…One article tested measurement invariance (both configural and metric) (Holzemer et al, 2007). One article reported use of non-parametric equality-of-medians tests (Tsai et al, 2012). Thirteen articles reported high measurement reliability for internalised stigma, with alphas at or above .70 and one article reported reliability below .70 (Neuman & Obermeyer, 2013).…”

Section: Internalised Hiv Stigma Measurement Validity and Reliabilitymentioning

confidence: 99%

“…The following variables were assessed as potential HIV-and treatment-related correlates of internalised stigma: time since diagnosis (Cloete et al, 2008;Makoae et al, 2009;Nattabi et al, 2011;Sorsdahl et al, 2011), HIV symptomatology and physical health (Holzemer et al, 2007;Kalichman et al, 2009;Simbayi et al, 2007b;Takada et al, 2014;Tsai et al, 2012;Tsai, Bangsberg, Bwana, et al, 2013), ART use (Nattabi et al, 2011;Simbayi et al, 2007b;Wagner et al, 2013), time on ART (Nattabi et al, 2011;Pearson et al, 2009;Tsai, Bangsberg, Bwana, et al, 2013;Wagner et al, 2013), interaction of time by ART , time attending healthcare facility (Nattabi et al, 2011;Simbayi et al, 2007b) and HIV-related knowledge and misconceptions (Visser et al, 2008;Visser & Sipsma, 2013). Time since diagnosis was associated with less internalised stigma in two cross-sectional studies (Simbayi et al, 2007b;Sorsdahl et al, 2011) with small effect sizes (r=-.09, p <.01 and OR=.87, 95%…”

Section: Hiv-and Treatment-related Factorsmentioning

confidence: 99%

See 3 more Smart Citations

Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa

Pantelic

Shenderovich

Cluver

et al. 2015

Health Psychology Review

View full text Add to dashboard Cite

Objective: This systematic review aims to synthesize evidence on predictors of internalised HIV stigma amongst people living with HIV in Sub-Saharan Africa.Method: PRISMA guidelines were used. Studies were identified through electronic databases, grey literature, reference harvesting and contacts with key researchers. Quality of findings was assessed through an adapted version of the Cambridge Quality Checklists.Results: A total of 590 potentially relevant titles were identified. Seventeen peer-reviewed articles and one draft book chapter were included. Studies investigated socio-demographic, HIV-related, intrapersonal and inter-personal correlates of internalised stigma. Eleven articles used cross-sectional data, six articles used prospective cohort data and one used both prospective cohort and cross-sectional data to assess correlates of internalised stigma. Poor HIV-related health weakly predicted increases in internalized HIV stigma in three longitudinal studies. Lower depression scores and improvements in overall mental health predicted reductions in internalized HIV stigma in two longitudinal studies, with moderate and weak effects respectively. No other consistent predictors were found. Conclusion:Studies utilizing analysis of change and accounting for confounding factors are necessary to guide policy and programming but are scarce. High-risk populations, other stigma markers that might layer upon internalised stigma, and structural drivers of internalised stigma need to be examined.

show abstract

Section: Study Characteristicsmentioning

confidence: 99%

Section: Internalised Hiv Stigma Measurement Validity and Reliabilitymentioning

confidence: 99%

Section: Internalised Hiv Stigma Measurement Validity and Reliabilitymentioning

confidence: 99%

Section: Hiv-and Treatment-related Factorsmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa

Pantelic

Shenderovich

Cluver

et al. 2015

Health Psychology Review

View full text Add to dashboard Cite

show abstract

“…Stigma was measured with the six-item Internalized AIDS-Related Stigma Scale which was found to yield high levels of reliability and validity in Africa (Kalichman et al, 2005(Kalichman et al, , 2009Tsai et al, 2013). A dichotomous response scale was used, that is, "agree" versus "disagree".…”

Section: Hiv-stigmamentioning

confidence: 99%

Sub-optimal adherence to combination anti-retroviral therapy and its associated factors according to self-report, clinician-recorded and pharmacy-refill assessment methods among HIV-infected adults in Addis Ababa

et al. 2016

View full text Add to dashboard Cite

Adherence to combination antiretroviral therapy (cART) is generally high in most resource-limited settings. However, sub-optimal adherence occurs in a sizable proportion of patients, and is independently predictive of detectable viremia. We investigated sub-optimal adherence according to self-report, clinician-recorded, and pharmacy-refill assessment methods, and their associated factors among HIV-infected adults receiving cART in Addis Ababa, Ethiopia. Eighthundred seventy patients who initiated cART between May 2009 and April 2012 were randomly selected, and 664 patients who were alive, had remained in clinical care and were receiving cART for at least six-months were included. Sub-optimal adherence was defined as patients' response of less than "all-of the time" to the self-report adherence question, or any clinicianrecorded poor adherence during the six most recent clinic visits, or a pharmacy-refill of <95% medication possession ratio (MPR). Logistic regression models were fitted to identify factors associated with sub-optimal adherence. The average adherence level to cART, expressed as MPR, was nearly 97%. However, sub-optimal adherence occurred in 12%, 4%, and 27% of patients according to self-report, clinician-recorded, and pharmacy-refill measures, respectively. More satisfaction with social support was significantly associated with less sub-optimal adherence according to self-report and clinician-record. Younger age, lower educational level, and lower CD4 cell count at cART initiation were significantly associated with sub-optimal refill-based adherence. Findings from our large multi-center study suggest that sub-optimal adherence was present in up to a quarter of the patients, despite a high degree of average adherence to cART. Interventions aimed at preventing sub-optimal adherence should focus on improving social support, on younger patients, on patients with lower educational level, and on those who started cART at a lower CD4 cell count. ARTICLE HISTORY

show abstract

Interventions for reduction of stigma in people with HIV/AIDS

Wariki

Nomura

Ota

et al. 2013

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Evidence for the Reliability and Validity of the Internalized AIDS-Related Stigma Scale in Rural Uganda

Cited by 64 publications

References 61 publications

Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa

Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa

Sub-optimal adherence to combination anti-retroviral therapy and its associated factors according to self-report, clinician-recorded and pharmacy-refill assessment methods among HIV-infected adults in Addis Ababa

Interventions for reduction of stigma in people with HIV/AIDS

Contact Info

Product

Resources

About