Development & validation of scales to assess stigma related to COVID-19 in India

被引:10
作者
Nair, Saritha [1 ]
Joshi, Aparna [4 ]
Aggarwal, Sumit [2 ]
Adhikari, Tulsi [1 ]
Mahajan, Nupur [2 ]
Diwan, Vishal [7 ]
Stephen, A. [9 ]
Devi, K. Rekha [16 ]
Mishra, Bijaya Kumar [18 ]
Yadav, Girijesh Kumar [22 ]
Kohli, Rewa [6 ]
Sahu, Damodar [1 ]
Gulati, Bal Kishan [1 ]
Sharma, Saurabh [1 ]
Yadav, Jeetendra [1 ]
Ovung, Senthanro [1 ]
Duggal, Chetna [4 ]
Sharma, Moina [8 ]
Bangar, Sampada Dipak [5 ]
Andhalkar, Rushikesh [5 ]
Rebecca, Pricilla B. [9 ]
Rani, S. [9 ]
Selvaraj, Pradeep [12 ]
Xavier, Gladston G. [13 ]
Peter, Vanessa [14 ]
Watson, Basilea [10 ]
Kannan, T. [11 ]
Asmathulla, K. S. M. D. [15 ]
Bhattacharya, Debdutta [19 ]
Turuk, Jyotirmayee [19 ]
Palo, Subrata Kumar [20 ]
Kanungo, Srikanta [20 ]
Behera, Ajit Kumar [21 ]
Pandey, Ashok Kumar [22 ]
Zaman, Kamran [22 ]
Misra, Brij Ranjan [22 ]
Kumar, Niraj [22 ]
Behera, Sthita Pragnya [22 ]
Singh, Rajeev [22 ]
Sarkar, Abu Hasan [16 ]
Narain, Kanwar [17 ]
Kant, Rajni [3 ,22 ]
Sahay, Seema [6 ]
Tiwari, Rajnarayan Ramshankar [17 ]
Thomas, Beena Elizabeth [9 ]
Panda, Samiran [2 ]
Rao, M. Vishnu Vardhana [1 ,23 ]
机构
[1] Indian Council Med Res, ICMR Natl Inst Med Stat, New Delhi, India
[2] Indian Council Med Res, Div Epidemiol & Communicable Dis, New Delhi, India
[3] Indian Council Med Res, Res Management Policy Planning & Coordinat Cell, New Delhi, India
[4] Tata Inst Social Sci, Sch Human Ecol, Mumbai, India
[5] ICMR Natl AIDS Res Inst, Div Epidemiol & Stat, Pune, Maharashtra, India
[6] ICMR Natl AIDS Res Inst, Div Social & Behav Res, Pune, Maharashtra, India
[7] Div Environm Monitoring & Exposure Assessment Wate, Bhopal, Madhya Pradesh, India
[8] Dept Environm Hlth & Epidemiol, Bhopal, Madhya Pradesh, India
[9] ICMR Natl Inst Res TB, Dept Social & Behav Res, Chennai, India
[10] ICMR Natl Inst Res TB, Elect Data Proc Unit, Chennai, India
[11] ICMR Natl Inst Res TB, Epidemiol & Stat Unit, Chennai, India
[12] Directorate Publ Hlth & Prevent Med, Off Dist Noncommunicable Dis, Chennai, India
[13] Loyala Coll, Dept Social Work, Chennai, India
[14] Informat & Resource Ctr Deprived Urban Communities, Chennai, India
[15] Integrated People Dev Project Trust, Krishnagiri, Tamil Nadu, India
[16] Div Enter Dis, Dibrugarh, Assam, India
[17] ICMR Reg Med Res Ctr, Dibrugarh, Assam, India
[18] ICMR Reg Med Res Ctr, Dept Med, Bhubaneswar, Odisha, India
[19] ICMR Reg Med Res Ctr, Dept Microbiol, Bhubaneswar, Odisha, India
[20] ICMR Reg Med Res Ctr, Dept Epidemiol, Bhubaneswar, Odisha, India
[21] ICMR Reg Med Res Ctr, Dept Clin, Bhubaneswar, Odisha, India
[22] ICMR Reg Med Res Ctr, Gorakhpur, Uttar Pradesh, India
[23] ICMR Natl Inst Med Stat, New Delhi 110029, India
关键词
COVID-19; India; reliability; scale development; stigma scale; validation; FEAR; HIV;
D O I
10.4103/ijmr.ijmr_2455_21
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background & objectives: COVID-19 pandemic has triggered social stigma towards individuals affected and their families. This study describes the process undertaken for the development and validation of scales to assess stigmatizing attitudes and experiences among COVID-19 and non-COVID-19 participants from the community. Methods: COVID-19 Stigma Scale and Community COVID-19 Stigma Scale constituting 13 and six items, respectively, were developed based on review of literature and news reports, expert committee evaluation and participants' interviews through telephone for a multicentric study in India. For content validity, 61 (30 COVID-19-recovered and 31 non-COVID-19 participants from the community) were recruited. Test-retest reliability of the scales was assessed among 99 participants (41 COVID-19 recovered and 58 non-COVID-19). Participants were administered the scale at two-time points after a gap of 7-12 days. Cronbach's alpha, overall percentage agreement and kappa statistics were used to assess internal consistency and test-retest reliability. Results: Items in the scales were relevant and comprehensible. Both the scales had Cronbach's alpha above 0.6 indicating moderate-to-good internal consistency. Test-retest reliability assessed using kappa statistics indicated that for the COVID-19 Stigma Scale, seven items had a moderate agreement (0.4-0.6). For the Community COVID-19 Stigma Scale, four items had a moderate agreement. Interpretation & conclusions: Validity and reliability of the two stigma scales indicated that the scales were comprehensible and had moderate internal consistency. These scales could be used to assess COVID-19 stigma and help in the development of appropriate stigma reduction interventions for COVID-19 infected, and mitigation of stigmatizing attitudes in the community.
引用
收藏
页码:156 / 164
页数:9
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