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Cross-cultural validation of the Health Care Provider HIV/AIDS Stigma Scale (HPASS) in China

Xie, Hong; Yu, Huiting; Watson, Roger; Wen, Jing; Xiao, Lu; Yan, Mao; Chen, Yanhua


Hong Xie

Huiting Yu

Jing Wen

Lu Xiao

Mao Yan

Yanhua Chen


The study aimed to validate the Health Care Provider HIV/AIDS Stigma Scale among medical staff in China. The validation was conducted in four steps from March to December 2017: translation and back-translation; content validity test with six experts; test–retest reliability testing with 63 medical staff with 2 weeks interval; and structural validation with 349 medical staff from 52 hospitals with a convenience sample,using exploratory factor analysis,including principal component analysis and varimax rotation. The scale content validity index average was 0.88, while for test–retest reliability, the ICC was 0.87. Three factors of “discrimination”, “prejudice” and “stereotype” with 16 items were extracted and explained 59.61% variance. The Cronbach’s alpha value for the total scale was of 0.88, and for the three factors, the values were 0.89, 0.86 and 0.74, respectively. The discrimination factor showed identical means between Canadian medical students and Chinese medical staff, while the prejudice and stereotype factors had higher mean scores in the Chinese sample. The three-factor structure of Health Care Provider HIV/AIDS Stigma Scale was confirmed in Chinese medical staff with a simpler solution. This could provide a basis for trans-cultural application and comparison.

Journal Article Type Article
Publication Date 2019-04
Journal AIDS and Behavior
Print ISSN 1090-7165
Electronic ISSN 1573-3254
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 23
Issue 4
Pages 1048–1056
Institution Citation Xie, H., Yu, H., Watson, R., Wen, J., Xiao, L., Yan, M., & Chen, Y. (2019). Cross-cultural validation of the Health Care Provider HIV/AIDS Stigma Scale (HPASS) in China. AIDS and Behavior, 23(4), 1048–1056.
Keywords Medical staff; HIV/AIDS; Stigma; Cross-culture validation; Scale
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