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. Author manuscript; available in PMC: 2010 Apr 22.
Published in final edited form as: AIDS Behav. 2008 Apr 4;12(5):748–758. doi: 10.1007/s10461-008-9375-3

Table I.

Four-Factors Pattern Matrix (Standardized Regression Coefficients) for 28 Final Internalized Stigma Scale Items

Itemsa Mean
Score
(SD)
Factor
1 2 3 4
Factor 1 = Stereotypes

1. HIV is different than other diseases like cancer because people with
HIV are judged
66 (29) 0.79 0.04 0.17 0.01
2. People assume I have done something bad to get HIV 53 (32) 0.70 0.05 0.05 0.22
3. Society looks down on people who have HIV 59 (28) 0.68 0.12 0.20 0.20
4. 4. People think that if you have HIV then you got what you
deserve
43 (30) 0.68 0.03 0.01 0.18
5. People blame me for having HIV 43 (35) 0.66 0.05 0.12 0.15
6. People assume I slept around because I have HIV 54 (33) 0.62 0.08 0.01 0.22
7. People think that if you have HIV you do not deserve to have
children
50 (34) 0.59 0.12 0.00 0.18
8. People are afraid to let someone withH IV adopt a child 57 (29) 0.56 0.06 0.04 0.20
9. People think I am a bad person because I have HIV 34 (32) 0.54 0.03 0.22 0.18
10. Medical providers assume people with HIV sleep around 38 (31) 0.53 0.02 0.16 0.13
11. People lose their jobs because they have HIV 46 (26) 0.53 0.24 0.08 0.22
12. People think you can’t be a good parent if you have HIV 42 (31) 0.50 0.02 0.11 0.09

Factor 2 = Disclosure Concerns

13. I am concerned if I go to the HIV clinic someone I know might
see me
28 (33) 0.06 0.71 0.03 0.20
14. I am concerned if I have physical changes from the HIV
medicines people will know I have HIV
33 (33) 0.06 0.71 0.13 0.03
15. I am concerned if I go to an AIDSorganization someone I know
might see me
30 (34) 0.04 0.70 0.06 0.25
16. I am concerned people will find out I have HIV by looking at my
medical paperwork
32 (35) 0.08 0.61 0.15 0.11
17. I am concerned that if I am sick people I know will find out
about my HIV
38 (35) 0.01 0.60 0.03 0.21

Factor 3 =Social Relationships

18. Nurses and doctors treat people who have HIV as if they are
contagious
30 (30) 0.04 0.08 0.73 0.00
19. Nurses and doctors dislike caring for patients with HIV 28 (28) 0.25 0.24 0.69 0.06
20. I feel abandoned by family members because I have HIV 24 (33) 0.06 0.11 0.62 0.13
21. People treat me as less than human now that I have HIV 29 (31) 0.01 0.08 0.61 0.25
22. People avoid me because I have HIV 24 (30) 0.03 0.13 0.60 0.16
23. People I am close to are afraid they will catch HIV from me 26 (32) 0.24 0.05 0.53 0.10
24. I feel like I am an outsider because I have HIV 41 (35) 0.07 0.10 0.46 0.36

Factor 4 = Self-Acceptance

25. I feel ashamed to tell other people that I have HIV 45 (36) 0.06 0.04 0.18 0.72
26. I am comfortable telling everyone I know that I have HIVb 61 (35) 0.03 0.01 0.14 0.60
27. My family is comfortable talking about my HIVb 55 (33) 0.23 0.03 0.14 0.40
28. It is important for a person to keep HIV a secret from co-
workers
56 (33) 0.18 0.09 0.11 0.37
a

Responses to each item are on a 5-point categorical response scale (none of the time, a little of the time, some of the time, most of the time, or all of the time)

b

Response scale values reversed for scoring