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The Thai Internalized HIV-related Stigma Scale.
Penpaktr Uthis1, Sunisa Suktrakul1, Rangsima Wiwatwongwana2
1Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Frontiers in Psychology
|April 3, 2023
Summary
This study developed and validated the Thai Internalized HIV-related Stigma Scale (Thai-IHSS) for people living with HIV in Thailand. The validated scale effectively measures internalized stigma, offering a crucial tool for mental health support.
Area of Science:
- Psychiatry and Mental Health
- Public Health
- Health Psychology
Background:
- Internalized stigma significantly impacts people living with HIV (PLHIV).
- A culturally relevant measurement tool is needed to assess internalized HIV-related stigma in Thailand.
- Existing stigma scales may not adequately capture the nuances of stigma in the Thai context.
Purpose of the Study:
- To develop and validate a contextually appropriate internalized HIV-related Stigma Scale for PLHIV in Thailand.
- To provide a reliable instrument for measuring internalized stigma among PLHIV.
- To inform interventions aimed at reducing the negative consequences of internalized stigma.
Main Methods:
- The study involved two stages: item development through focus groups and pilot testing, followed by psychometric validation.
- A cross-sectional survey of 400 PLHIV in Thailand was conducted for validation.
- Exploratory factor analysis was used to determine the scale's structure and psychometric properties.
Main Results:
- The 22-item Thai Internalized HIV-related Stigma Scale (Thai-IHSS) was developed.
- The Thai-IHSS comprises four components: negative self-thoughts, anticipated negative thoughts, effects on self, and effects on family/healthcare access.
- The scale demonstrated acceptable concurrent, convergent, and congruent validity, along with a reliable 8-item brief version.
Conclusions:
- The Thai-IHSS is a valid and reliable instrument for assessing internalized HIV-related stigma in Thailand.
- The scale can be utilized in Thailand and other culturally similar regions.
- Findings support the use of the Thai-IHSS to identify and address internalized stigma among PLHIV, potentially improving health outcomes.
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