Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood

<p>Abstract</p> <p>Background</p> <p>As stigma is a socially constructed concept, it would follow that stigma related to sexual behaviours and sexually transmitted infections would carry with it many of the gender-based morals that are entrenched in social constructs of...

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Main Authors: Patrick David M, Stancer Karen, Burgess Susan, Shoveller Jean A, Rusch Melanie LA, Tyndall Mark W
Format: Article
Language:English
Published: BMC 2008-11-01
Series:BMC Women's Health
Online Access:http://www.biomedcentral.com/1472-6874/8/21
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author Patrick David M
Stancer Karen
Burgess Susan
Shoveller Jean A
Rusch Melanie LA
Tyndall Mark W
author_facet Patrick David M
Stancer Karen
Burgess Susan
Shoveller Jean A
Rusch Melanie LA
Tyndall Mark W
author_sort Patrick David M
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>As stigma is a socially constructed concept, it would follow that stigma related to sexual behaviours and sexually transmitted infections would carry with it many of the gender-based morals that are entrenched in social constructs of sexuality. In many societies, women tend to be judged more harshly with respect to sexual morals, and would therefore have a different experience of stigma related to sexual behaviours as compared to men. While a variety of stigma scales exist for sexually transmitted infections (STIs) in general; none incorporate these female-specific aspects. The objective of this study was to develop a scale to measure the unique experience of STI-related stigma among women.</p> <p>Methods</p> <p>A pool of items was identified from qualitative and quantitative literature on sexual behaviour and STIs among women. Women attending a social evening program at a local community health clinic in a low-income neighbourhood with high prevalence of substance use were passively recruited to take part in a cross-sectional structured interview, including questions on sexual behaviour, sexual health and STI-related stigma. Exploratory factor analysis was used to identify stigma scales, and descriptive statistics were used to assess the associations of demographics, sexual and drug-related risk behaviours with the emerging scales.</p> <p>Results</p> <p>Three scales emerged from exploratory factor analysis – female-specific moral stigma, social stigma (judgement by others) and internal stigma (self-judgement) – with alpha co-efficients of 0.737, 0.705 and 0.729, respectively. In this population of women, internal stigma and social stigma carried higher scores than female-specific moral stigma. Aboriginal ethnicity was associated with higher internal and female-specific moral stigma scores, while older age (>30 years) was associated with higher female-specific moral stigma scores.</p> <p>Conclusion</p> <p>Descriptive statistics indicated an important influence of culture and age on specific types of stigma. Quantitative researchers examining STI-stigma should consider incorporating these female-specific factors in order to tailor scales for women.</p>
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spelling doaj.art-33b553ebd32742ec90907e5dbf50e3832022-12-21T21:18:58ZengBMCBMC Women's Health1472-68742008-11-01812110.1186/1472-6874-8-21Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhoodPatrick David MStancer KarenBurgess SusanShoveller Jean ARusch Melanie LATyndall Mark W<p>Abstract</p> <p>Background</p> <p>As stigma is a socially constructed concept, it would follow that stigma related to sexual behaviours and sexually transmitted infections would carry with it many of the gender-based morals that are entrenched in social constructs of sexuality. In many societies, women tend to be judged more harshly with respect to sexual morals, and would therefore have a different experience of stigma related to sexual behaviours as compared to men. While a variety of stigma scales exist for sexually transmitted infections (STIs) in general; none incorporate these female-specific aspects. The objective of this study was to develop a scale to measure the unique experience of STI-related stigma among women.</p> <p>Methods</p> <p>A pool of items was identified from qualitative and quantitative literature on sexual behaviour and STIs among women. Women attending a social evening program at a local community health clinic in a low-income neighbourhood with high prevalence of substance use were passively recruited to take part in a cross-sectional structured interview, including questions on sexual behaviour, sexual health and STI-related stigma. Exploratory factor analysis was used to identify stigma scales, and descriptive statistics were used to assess the associations of demographics, sexual and drug-related risk behaviours with the emerging scales.</p> <p>Results</p> <p>Three scales emerged from exploratory factor analysis – female-specific moral stigma, social stigma (judgement by others) and internal stigma (self-judgement) – with alpha co-efficients of 0.737, 0.705 and 0.729, respectively. In this population of women, internal stigma and social stigma carried higher scores than female-specific moral stigma. Aboriginal ethnicity was associated with higher internal and female-specific moral stigma scores, while older age (>30 years) was associated with higher female-specific moral stigma scores.</p> <p>Conclusion</p> <p>Descriptive statistics indicated an important influence of culture and age on specific types of stigma. Quantitative researchers examining STI-stigma should consider incorporating these female-specific factors in order to tailor scales for women.</p>http://www.biomedcentral.com/1472-6874/8/21
spellingShingle Patrick David M
Stancer Karen
Burgess Susan
Shoveller Jean A
Rusch Melanie LA
Tyndall Mark W
Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood
BMC Women's Health
title Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood
title_full Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood
title_fullStr Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood
title_full_unstemmed Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood
title_short Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood
title_sort preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood
url http://www.biomedcentral.com/1472-6874/8/21
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