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Development and Validation of the Youth Pre-Exposure Prophylaxis (PrEP) Stigma Scale
Henna Budhwani1, İbrahim Yiğit2, Allysha C Maragh-Bass3,4
1Center of Population Sciences for Health Equity, College of Nursing, Florida State University, 32306, Tallahassee, FL, USA. hbudhwani@fsu.edu.
AIDS and Behavior
|August 27, 2022
Summary
This study validated the Youth PrEP Stigma Scale for assessing stigma among young people. The scale shows excellent reliability and is crucial for HIV prevention research in at-risk youth.
Area of Science:
- Public Health
- Psychometrics
- Adolescent Health
Background:
- Stigma remains a significant barrier to HIV prevention for young people.
- Existing scales do not adequately measure PrEP-related stigma in youth.
- Pre-exposure prophylaxis (PrEP) is a key HIV prevention tool for at-risk youth.
Purpose of the Study:
- To validate the Youth PrEP Stigma Scale for assessing stigma among youth prescribed PrEP.
- To establish the psychometric properties and reliability of the new scale.
- To provide a tool for research on PrEP stigma and its impact on HIV prevention.
Main Methods:
- Validation study conducted within the Adolescent Trials Network P3 (2019-2021).
- Data collected from 235 sexual and gender minority youth (16-24 years) prescribed PrEP.
- Statistical analyses included descriptive statistics, exploratory factor analysis, and correlation coefficients.
Main Results:
- The Youth PrEP Stigma Scale demonstrated a robust three-factor structure: PrEP Disapproval by Others, Enacted PrEP Stigma, and PrEP User Stereotypes.
- The scale exhibited excellent internal consistency, with Cronbach's alphas ranging from 0.83 to 0.90.
- Significant correlations were found between the scale and anticipated HIV stigma, perceived HIV risk, and sexual identity disclosure.
Conclusions:
- The validated Youth PrEP Stigma Scale is a reliable instrument for measuring PrEP stigma in adolescents and young adults.
- This scale can enhance intervention and mechanistic research to address barriers in HIV prevention among at-risk youth.
- The findings underscore the importance of addressing PrEP stigma to improve uptake and adherence to HIV prevention strategies.
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