一个适应的尺度来衡量家庭接触调查期间感知到的结核病和艾滋病污名
M Armstrong-Hough1, T Shelby2, J Ggita3
1Departments of Epidemiology, and, Social & Behavioral Sciences, New York University School of Global Public Health, New York, NY, USA;, Uganda Tuberculosis Implementation Research Consortium, Makerere University, Kampala, Uganda;, Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, USA.
概括
一个新的尺度有效地测量了家庭中的结核病 (TB) 和人类免疫缺陷病毒 (HIV) 污名. 这种经过验证的工具对于结核病接触调查来说更简短,更容易使用.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 测量结核病 (TB) 和人类免疫缺陷病毒 (HIV) 污名对于了解接触调查期间的健康行为至关重要.
- 家庭环境中结核病-艾滋病污名的标准化测量工具有限,阻碍了有效的干预策略.
研究的目的:
- 适应和验证一个家庭污名度表,用于测量乌干达的结核病-艾滋病毒污名.
- 为编程研究开发一种心理测量上健全,较短,易于管理的尺度.
主要方法:
- 调整现有的耻辱措施,并与乌干达的家庭接触者进行认知访谈.
- 现场测试了163名结核病患者接触者的适应秤,并与60名接触者重新测试.
- 利用因子分析和评估项目间的协差来改进和选择最终的规模项目.
主要成果:
- 调整后的尺度表现出良好的心理测量特性,结核病和艾滋病毒项目加载在不同的因素上.
- 因子分析证实,物品没有显著的交叉负载,表明规模单维性.
- 结核病 (克朗巴赫α = 0.92) 和艾滋病毒 (克朗巴赫α = 0.89) 亚尺度的高内部一致性得到了实现.
结论:
- 适应的结核病-艾滋病毒污名度表是一个有效和可靠的工具,用于家庭接触调查.
- 该尺度的简洁性和易于管理使其适用于计划性研究和公共卫生评估.
- 这种经过验证的工具可以帮助识别和解决结核病-艾滋病污名,从而有可能改善健康结果.
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