Development and Validation of the Community PrEP-Related Stigma Scale (Community-PSS)

Author:

Algarin Angel B.1,Hee Shrader Cho2,Hackworth Benjamin T.3,Varas-Diaz Nelson4,Fennie Kristopher P.5,Sheehan Diana M.6,Ibañez Gladys E.7

Affiliation:

1. Division of Infectious Diseases and Global Public Health, University of California San Diego, La Jolla, California.

2. Department of Public Health Sciences, University of Miami, Miami, Florida.

3. Private Practice, San Diego, California.

4. Department of Global & Sociocultural Studies, Florida International University, Miami, Florida.

5. Division of Natural Sciences, New College of Florida, Sarasota, Florida.

6. Department of Epidemiology, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), and the FIU Research Center in Minority Institutions (FIU-RCMI), Florida International University, Miami, Florida.

7. Department of Epidemiology, Florida International University, Miami, Florida.

Abstract

Despite increasing availability of pre-exposure prophylaxis (PrEP), HIV prevention efforts have stalled. It is important to study potential barriers to HIV prevention methods, such as pre-exposure prophylaxis stigma. This study aims to develop and validate the Community PrEP-related Stigma Scale (Community-PSS) to address gaps in the literature. Participants were 108 sexual and gender minority men recruited through virtual and community-posted advertisements in Florida. The authors assessed reliability using Cronbach's alpha analysis, determined scale components using principal component analysis, and assessed construct validity based on five a priori hypotheses. The scale had high internal consistency (α = 0.86) and four components (stigma of actions outside of sex, stigma of sexual actions, extreme stigma perceptions, and positive community perception). The Community-PSS was valid, supporting four out of five hypotheses and in the expected directions. The Community-PSS was a valid and reliable tool in the sample and correlates with a previously validated PrEP stigma scale, HIV knowledge, PrEP knowledge, and likelihood of condom use with a partner on PrEP.

Publisher

Guilford Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,Health (social science)

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