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. 2024 Mar;30(3):519–529. doi: 10.3201/eid3003.230934

Table 4. Transferability of scales determined by a systematic review of scales for measuring infectious disease–related stigma.

Scale name
     Transferability
Cross-national
Cross-outbreak
Participant profile†
Stigmatization related to EVD and COVID-19 scale
Used; IE
Used; IE
Not used; A
Ebola-related Stigma Scale
Not used; U
Not used; A
Not used; A
COVID-19­–related Stigma Survey
Used; IE
Not used; A
Not used; A
COVID-19 Stigma Scale
Not used; U
Not used; U
Not used; A
Community COVID-19 Stigma Scale
Not used; U
Not used; U
Not used; A
7-item EVD-related Stigma Index
Used; IE
Not used; A
Used; IE
Eight-item Stigma Scale
Not used; U
Not used; A
Not used; A
Arabic Explanatory Model Interview Catalogue (EMIC)
Not used; U
Not used; U
Not used; A
COVID-19 Stigma Instrument-Patients (CSI-P2)
Not used; A
Not used; A
Not used; A
The Perceived Courtesy Stigma Sub-scale
Not used; U
Not used; A
Not used; U
The Affiliate Stigma Sub-scale
Not used; A
Not used; U
Not used; A
Modified 12-item HIV Stigma Scale
Not used; U
Not used; A
Not used; A
Ebola-related Stigma Instrument
Not used; A
Not used; U
Not used; A
Stigma Discrimination Scale (SDS-11)
Not used; U
Not used; A
Used; IE
Self-stigma Scale (SSS-15)
Not used; A
Not used; A
Not used; A
COVID-19 Bullying Scale
Not used; U
Not used; U
Used; IE
COVID-19 Experienced DISCrimination Scale (CEDISC)
Not used; U
Not used; U
Not used; A
Covid-19 Internalised Stigma Scale (COINS)
Not used; U
Not used; U
Not used; A
COVID-19 Responsibility Attribution Scale
Not used; A
Not used; A
Not used; A
COVID-19 Attitudes Scale
Not used; A
Not used; A
Not used; A
SARS Social Life and Services Stigma Self-report Questionnaire
Not used; A
Not used; A
Used; IE
SARS Discrimination in the Workplace Self-report Questionnaire
Not used; A
Not used; A
Used; IE
Stigma toward EVD Survivors Scale
Not used; U
Not used; U
Not used; U
EVD Stigma Index
Not used; U
Not used; U
Not used; A
COVID-19-related Enacted Stigma Questionnaire
Not used; A
Not used; A
Not used; A
Discrimination in Medical Settings Scale
Not used; U
Not used; U
Not used; A
30-item Bullying during the COVID-19 Pandemic Questionnaire
Not used; A
Not used; U
Not used; U
Stigmatising Attitudes Scale
Not used; A
Not used; A
Not used; A
COVID-19 Stigma Scale (COVID19SS)
Not used; A
Not used; U
Not used; U
COVID-19 Perceived Stigma Scale-22 (CPSS-22)
Not used; U
Not used; U
Not used; A
Public Attitudes toward Stigma Questionnaire
Not used; A
Not used; A
Not used; A
Perceived Stigmatization of COVID-19 Scale
Not used; A
Not used; A
Not used; A
Modified Version of the KAP Survey Tool on Zika Virus Disease
Not used; U
Not used; U
Not used; U
Public COVID-19-related Stigma toward Patients Measure
Not used; U
Not used; U
Not used; U
Public COVID-19-related Stigma toward Wuhan People Measure
Not used; A
Not used; A
Not used; U
EVD-related Stigma Scale
Not used; A
Not used; U
Used; IE
COVID-19 Public Stigma Scale
Not used; U
Not used; A
Not used; A
Social Stigma and Discriminatory Attitudes Scale
Not used; U
Not used; U
Not used; A
Long COVID Stigma Scale (LCSS)
Not used; U
Not used; A
Not used; A
Modified Measure of Disease-Related Stigma (MDRS) Scale
Not used; A
Not used; A
Not used; A
Lassa Fever-associated Stigmatization Scale
Not used; U
Not used; A
Not used; U
The Social Stigma Scale
Not used; A
Not used; A
Not used; A
COVID-19 related Social Stigma Scale Not used; A Not used; A Not used; A

*Insufficient evidence (IE) indicates insufficient evidence of cross-cultural equivalence and transferability as assessed using cross-cultural equivalence framework devised by S.A.M. Stevelink and W.H. Van Brakel (23) (Appendix Table 1, https://wwwnc.cdc.gov/EID/article/30/3/23-0934-App1.pdf). A, substantial adaptations anticipated for cross-cultural use; U, appears readily usable. †Usability for persons with and without a personal history of the disease.