Examining the Psychometrics of the National HIV Behavioral Surveillance Measure for Community HIV-Related Stigma

Angel B. Algarin, Gladys E. Ibañez, David W. Forrest, Monica Faraldo, Emma C. Spencer, Lorene Maddox

Research output: Contribution to journalArticlepeer-review

Abstract

The research tested the psychometrics of the Centers for Disease Control and Prevention’s National HIV Behavioral Surveillance (NHBS) community HIV-related stigma scale. Data was from men who have sex with men (MSM) NHBS cycles conducted 2011–2017 in Miami-Dade, Florida among n = 1455 participants. MSM were cis-gender male, 18+ years old, reported lifetime oral/anal sex with a male, and lived in Miami-Dade County. We assessed reliability using Cronbach’s alpha and McDonald’s omega, determined factors using principal factor analysis, and assessed construct validity using five a priori hypotheses. The scale was unidimensional, had questionable internal reliability (α = 0.68, ω = 0.69), and met four of five a priori hypotheses in the expected direction. Correlations were medium-weak in strength and only one was consistently met. Future iterations of the NHBS survey should consider replacing the 4-item community HIV-related stigma scale with an instrument that has superior internal reliability, measures multiple HIV-related stigma dimensions, and demonstrates stronger evidence of validity.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - 2021

Keywords

  • Florida
  • HIV-related stigma
  • Men who have sex with men
  • Psychometrics

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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