Stigma Scale Adaptation and Validation for Measuring COVID-19 Stigma
The current coronavirus disease 2019 (COVID-19) pandemic has been found to be associated with increased psychosocial problems such as depression, anxiety, stress, and stigma. Many health-related stigma instruments that have been developed are condition-specific; these should be adapted and validated...
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Published in | Curēus (Palo Alto, CA) Vol. 15; no. 5; p. e38744 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Cureus Inc
08.05.2023
Cureus |
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Abstract | The current coronavirus disease 2019 (COVID-19) pandemic has been found to be associated with increased psychosocial problems such as depression, anxiety, stress, and stigma. Many health-related stigma instruments that have been developed are condition-specific; these should be adapted and validated for generic use, across different health conditions. This study was conducted to measure stigma, stress, anxiety, and depression using the COVID-19 Stigma Scale-Modified (CSS-M), a modified version of the HIV Stigma Scale, among the Indian population.
A weblink-based online survey was conducted using the adapted CSS-M, along with the Depression, Anxiety, and Stress Scale-21. Collected data were analyzed with correlation analysis, reliability analysis, exploratory factor analysis, and convergent and divergent validity.
With a sample size of 375, the modified scale for COVID-19 stigma showed internal consistency and a good inter-item correlation (Cronbach's alpha 0.821). Principal axis factoring with varimax rotation along with alternative parallel analysis established the two factorial structure and had valid composite reliability, discriminate validity, and partial convergent validity.
We found that COVID-19 Stigma Scale-Modified is a valid measure to assess COVID-19-related stigma. The scale was found to be internally consistent with a good inter-item correlation, composite reliability, valid discriminate validity, and partial convergent validity. Specific COVID-related validated scales for stigma should be developed in the future. |
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AbstractList | BACKGROUNDThe current coronavirus disease 2019 (COVID-19) pandemic has been found to be associated with increased psychosocial problems such as depression, anxiety, stress, and stigma. Many health-related stigma instruments that have been developed are condition-specific; these should be adapted and validated for generic use, across different health conditions. This study was conducted to measure stigma, stress, anxiety, and depression using the COVID-19 Stigma Scale-Modified (CSS-M), a modified version of the HIV Stigma Scale, among the Indian population. METHODSA weblink-based online survey was conducted using the adapted CSS-M, along with the Depression, Anxiety, and Stress Scale-21. Collected data were analyzed with correlation analysis, reliability analysis, exploratory factor analysis, and convergent and divergent validity. RESULTSWith a sample size of 375, the modified scale for COVID-19 stigma showed internal consistency and a good inter-item correlation (Cronbach's alpha 0.821). Principal axis factoring with varimax rotation along with alternative parallel analysis established the two factorial structure and had valid composite reliability, discriminate validity, and partial convergent validity. CONCLUSIONWe found that COVID-19 Stigma Scale-Modified is a valid measure to assess COVID-19-related stigma. The scale was found to be internally consistent with a good inter-item correlation, composite reliability, valid discriminate validity, and partial convergent validity. Specific COVID-related validated scales for stigma should be developed in the future. The current coronavirus disease 2019 (COVID-19) pandemic has been found to be associated with increased psychosocial problems such as depression, anxiety, stress, and stigma. Many health-related stigma instruments that have been developed are condition-specific; these should be adapted and validated for generic use, across different health conditions. This study was conducted to measure stigma, stress, anxiety, and depression using the COVID-19 Stigma Scale-Modified (CSS-M), a modified version of the HIV Stigma Scale, among the Indian population. A weblink-based online survey was conducted using the adapted CSS-M, along with the Depression, Anxiety, and Stress Scale-21. Collected data were analyzed with correlation analysis, reliability analysis, exploratory factor analysis, and convergent and divergent validity. With a sample size of 375, the modified scale for COVID-19 stigma showed internal consistency and a good inter-item correlation (Cronbach's alpha 0.821). Principal axis factoring with varimax rotation along with alternative parallel analysis established the two factorial structure and had valid composite reliability, discriminate validity, and partial convergent validity. We found that COVID-19 Stigma Scale-Modified is a valid measure to assess COVID-19-related stigma. The scale was found to be internally consistent with a good inter-item correlation, composite reliability, valid discriminate validity, and partial convergent validity. Specific COVID-related validated scales for stigma should be developed in the future. Background: The current coronavirus disease 2019 (COVID-19) pandemic has been found to be associated with increased psychosocial problems such as depression, anxiety, stress, and stigma. Many health-related stigma instruments that have been developed are condition-specific; these should be adapted and validated for generic use, across different health conditions. This study was conducted to measure stigma, stress, anxiety, and depression using the COVID-19 Stigma Scale-Modified (CSS-M), a modified version of the HIV Stigma Scale, among the Indian population.Methods: A weblink-based online survey was conducted using the adapted CSS-M, along with the Depression, Anxiety, and Stress Scale-21. Collected data were analyzed with correlation analysis, reliability analysis, exploratory factor analysis, and convergent and divergent validity.Results: With a sample size of 375, the modified scale for COVID-19 stigma showed internal consistency and a good inter-item correlation (Cronbach’s alpha 0.821). Principal axis factoring with varimax rotation along with alternative parallel analysis established the two factorial structure and had valid composite reliability, discriminate validity, and partial convergent validity.Conclusion: We found that COVID-19 Stigma Scale-Modified is a valid measure to assess COVID-19-related stigma. The scale was found to be internally consistent with a good inter-item correlation, composite reliability, valid discriminate validity, and partial convergent validity. Specific COVID-related validated scales for stigma should be developed in the future. Background: The current coronavirus disease 2019 (COVID-19) pandemic has been found to be associated with increased psychosocial problems such as depression, anxiety, stress, and stigma. Many health-related stigma instruments that have been developed are condition-specific; these should be adapted and validated for generic use, across different health conditions. This study was conducted to measure stigma, stress, anxiety, and depression using the COVID-19 Stigma Scale-Modified (CSS-M), a modified version of the HIV Stigma Scale, among the Indian population. Methods: A weblink-based online survey was conducted using the adapted CSS-M, along with the Depression, Anxiety, and Stress Scale-21. Collected data were analyzed with correlation analysis, reliability analysis, exploratory factor analysis, and convergent and divergent validity. Results: With a sample size of 375, the modified scale for COVID-19 stigma showed internal consistency and a good inter-item correlation (Cronbach’s alpha 0.821). Principal axis factoring with varimax rotation along with alternative parallel analysis established the two factorial structure and had valid composite reliability, discriminate validity, and partial convergent validity. Conclusion: We found that COVID-19 Stigma Scale-Modified is a valid measure to assess COVID-19-related stigma. The scale was found to be internally consistent with a good inter-item correlation, composite reliability, valid discriminate validity, and partial convergent validity. Specific COVID-related validated scales for stigma should be developed in the future. |
Author | Akhouri, Prawin K Kisku, Ravi R Pallavi, Puja Bakhla, Ajay K Bala, Rajni |
AuthorAffiliation | 3 Psychology, Rajendra Institute of Medical Sciences, Ranchi, IND 2 Medicine, Dr. Kiran C. Patel Medical College & Research Institute, Bharuch, IND 1 Psychiatry, Rajendra Institute of Medical Sciences, Ranchi, IND |
AuthorAffiliation_xml | – name: 2 Medicine, Dr. Kiran C. Patel Medical College & Research Institute, Bharuch, IND – name: 1 Psychiatry, Rajendra Institute of Medical Sciences, Ranchi, IND – name: 3 Psychology, Rajendra Institute of Medical Sciences, Ranchi, IND |
Author_xml | – sequence: 1 givenname: Puja surname: Pallavi fullname: Pallavi, Puja organization: Psychiatry, Rajendra Institute of Medical Sciences, Ranchi, IND – sequence: 2 givenname: Ajay K surname: Bakhla fullname: Bakhla, Ajay K organization: Psychiatry, Rajendra Institute of Medical Sciences, Ranchi, IND – sequence: 3 givenname: Prawin K surname: Akhouri fullname: Akhouri, Prawin K organization: Medicine, Dr. Kiran C. Patel Medical College & Research Institute, Bharuch, IND – sequence: 4 givenname: Ravi R surname: Kisku fullname: Kisku, Ravi R organization: Psychiatry, Rajendra Institute of Medical Sciences, Ranchi, IND – sequence: 5 givenname: Rajni surname: Bala fullname: Bala, Rajni organization: Psychology, Rajendra Institute of Medical Sciences, Ranchi, IND |
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Cites_doi | 10.1080/13548500600595160 10.1371/journal.pone.0206595 10.1080/17290376.2011.9724996 10.1016/j.jad.2020.06.022 10.1371/journal.pone.0114867 10.1016/j.socscimed.2006.04.016 10.2196/jmir.2042 10.1007/BF02291817 10.1007/BF02289447 10.1007/s00127-009-0171-9 10.1017/S1138741615000694 10.1186/s12955-017-0691-z 10.1136/bmjopen-2014-006355 10.1016/0005-7967(94)00075-u 10.1016/j.jana.2018.02.007 10.1007/s10461-011-0128-3 10.1521/aeap.2007.19.3.198 10.1207/s15327906mbr0102_10 10.1111/pcn.13120 10.1207/S15327906MBR3504_02 10.3109/09638237.2015.1021902 10.1146/annurev.soc.27.1.363 10.1177/0253717620935578 10.1371/journal.pone.0228471 10.1186/1477-7525-11-195 10.1186/s12889-020-09322-z 10.1111/pcn.12988 10.1016/j.jadohealth.2006.08.001 |
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Keywords | psychosocial problems adaptation covid-19 validity stigma scale |
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SubjectTerms | Acquired immune deficiency syndrome AIDS Anxiety Coronaviruses COVID-19 Data collection Family medical history Illnesses Likert scale Marital status Mental depression Population Prejudice Psychiatry Psychology Public Health Questionnaires Sociodemographics Stigma |
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Title | Stigma Scale Adaptation and Validation for Measuring COVID-19 Stigma |
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