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Condom-Related Stigma Scale among Men Who Have Sex with Men in China: Development and Psychometric Tests

Author

Listed:
  • Yan Shen

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Ci Zhang

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Lloyd A. Goldsamt

    (Rory Meyers College of Nursing, New York University, New York, NY 10010, USA)

  • Wenwen Peng

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Run Wang

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Xianhong Li

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

Abstract

Condom-related stigma is a frequently mentioned barrier to consistent condom use among men who have sex with men (MSM). Based on the concept and operational definition of condom-related stigma recently defined by our team, we developed the 20-item condom-related stigma scale (CRSS) and examined its psychometric properties among 433 MSM in China, following DeVellis’s scale development guidelines. The content validity, convergent validity, empirical validity, factorial validity, scale score reliability, split-half reliability, and test–retest reliability for the CRSS were all assessed. The scale consists of four domains: perceived distrust, perceived potential HIV/STI risk, perceived embarrassment, and perceived violation of the traditional understanding of sexual intercourse. The CRSS has good validity (the scale-level content validity index was 0.99; the empirical validity was greater than 0.70) and high reliability (the Cronbach’s alpha coefficient overall was 0.926; the split-half reliability overall was 0.795; the test–retest reliability overall was 0.950). This scale is recommended for assessing the level of condom-related stigma among Chinese MSM, which can serve as an evaluating indicator for safer-sex interventions to prevent HIV infection among the MSM population in a Chinese cultural context.

Suggested Citation

  • Yan Shen & Ci Zhang & Lloyd A. Goldsamt & Wenwen Peng & Run Wang & Xianhong Li, 2023. "Condom-Related Stigma Scale among Men Who Have Sex with Men in China: Development and Psychometric Tests," IJERPH, MDPI, vol. 20(6), pages 1-20, March.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:4779-:d:1091438
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    References listed on IDEAS

    as
    1. Jia Chen & Xianhong Li & Yang Xiong & Kristopher P. Fennie & Honghong Wang & Ann Bartley Williams, 2016. "Reducing the risk of HIV transmission among men who have sex with men: A feasibility study of the motivational interviewing counseling method," Nursing & Health Sciences, John Wiley & Sons, vol. 18(3), pages 400-407, September.
    2. Stephen Neville & Jeffery Adams & Calvin Moorley & Debra Jackson, 2016. "The condom imperative in anal sex – one size may not fit all: a qualitative descriptive study of men who have sex with men," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3589-3596, December.
    3. Jing Wu & Yifei Hu & Yujiang Jia & Yingying Su & Huixia Cui & Huixin Liu & Ning Wang, 2014. "Prevalence of Unprotected Anal Intercourse among Men Who Have Sex with Men in China: An Updated Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-1, May.
    4. Adam O Hill & Benjamin R Bavinton & Gregory Armstrong, 2018. "Prevalence and Factors Associated with Inconsistent Condom Use among Men Who Have Sex with Men (MSM) Who Use Mobile Geo-Social Networking Applications in Greater Tokyo," IJERPH, MDPI, vol. 15(12), pages 1-15, December.
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