Brazilian Version of the Health Care Provider HIV/AIDS Stigma Scale: Cross-Cultural Adaptation and Psychometric Evaluation Among Healthcare Students

We aimed to validate the Health Care Provider HIV/AIDS Stigma Scale (HPASS) among healthcare students in Brazil. The validation process occurred in three phases from August 2022 to July 2023: translation and cross-cultural adaptation; content validity assessment involving four experts; and evaluatio...

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Bibliographic Details
Published in:AIDS and behavior 2024-07, Vol.28 (7), p.2216-2225
Main Authors: Ribeiro, Paula Gonçalves, Vitori, Paulo Vitor Ramos, dos Santos, Maria Clara Silva, Mazzini, Yohan Cancilheri, dos Santos-Junior, Genival Araujo, Rocha, Kérilin Stancine Santos, Torres, Thiago Silva, Araújo, Dyego Carlos
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adaptation
AIDS
College students
Discrimination
Evaluation
Exploratory factor analysis
Factor analysis
Health care
Health care industry
Health Psychology
Health services
HIV
Human immunodeficiency virus
Infectious Diseases
Measures
Medicine
Medicine & Public Health
Multiculturalism & pluralism
Original Paper
Prejudice
Public Health
Quantitative psychology
Stereotypes
Stigma
Students
Validity
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Summary:We aimed to validate the Health Care Provider HIV/AIDS Stigma Scale (HPASS) among healthcare students in Brazil. The validation process occurred in three phases from August 2022 to July 2023: translation and cross-cultural adaptation; content validity assessment involving four experts; and evaluation of psychometric properties among 553 healthcare students from the Federal University of Espírito Santo. We used exploratory factor analysis and convergent validity for structural validation. The average scale content validity index was 0.90, while the evaluation of validity evidence based on the internal structure indicated a robust explanatory model. Parallel analysis indicated that the scale is composed by two dimensions: “Discrimination/Prejudice” and “Stereotype”; the composite reliability values for these dimensions were 0.96 and 0.85, respectively. The Brazilian version of HPASS has shown to be a simple, reliable, and psychometrically valid measure to quantify HIV stigma among healthcare students who speak Brazilian Portuguese. Resumen El objetivo de este estudio fue validar la “Health Care Provider HIV/AIDS Stigma Scale” (HPASS) entre estudiantes de salud en Brasil. El proceso de validación se llevó a cabo en tres etapas: traducción y adaptación transcultural; evaluación de la validez de contenido; y evaluación de las propiedades psicométricas con estudiantes de salud de la Universidad Federal de Espírito Santo. El índice de validez de contenido promedio de la escala fue de 0.90, mientras que la evaluación de la evidencia de validez basada en la estructura interna indicó un modelo explicativo sólido. El análisis paralelo indicó que la escala está compuesta por dos dimensiones: “Discriminación/Prejuicio” y “Estereotipo”. La versión brasileña de HPASS ha demostrado ser una medida simple, confiable y psicométricamente válida para cuantificar el estigma del VIH entre estudiantes de salud que hablan portugués brasileño.
ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-024-04350-x