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. 2018 Feb 7;22(12):3795–3806. doi: 10.1007/s10461-018-2041-5

Table 1.

Concepts in the HIV stigma framework and corresponding measures used in the present study

Concept in the HIV stigma framework Measure used in the present study (n items) Brief description of measure used in the present study Sample item Cronbach’s alpha
Enacted stigma Personalized stigmaa (16) Perceived consequences of other people knowing about one’s HIV [25] People have physically backed away from me when they learn I have HIV 0.957
Anticipated stigma Disclosure concernsa (8) Concerns about disclosing one’s HIV status to others [25] I worry that people may judge me when they learn I have HIV 0.876
Concerns with public attitudesa (7) Concerns about other people’s opinion about HIV [25] Since learning I have HIV, I worry about people discriminating against me 0.875
Internalized stigma Negative self-imagea (8) Feeling of being unclean, not as good as others because of HIV [25] Having HIV in my body is disgusting to me 0.884
Physical health and wellbeing Physical functioningb (7) To what extent one’s health interferes with ability to perform physical activities [26] Is your health today good enough that you can do the following activities?
Strenuous activities, e.g., heavy manual work, strenuous sports
0.904
Behavioral health and wellbeing Antiretroviral adherence Non-adherence as defined by one VL > 150 copies/ml or two or more consecutive VL > 50 copies/ml within the last 2 years of the condition with treatment ongoing at least 6 months prior to the evaluation period
Affective health and wellbeing Emotional wellbeing: negative effectb (6) Negative feelings during the last week [26] I have felt sad 0.896
Emotional wellbeing: positive effectb (6) Positive feelings during the last week [26] I have felt liked 0.844

aSubscales of the HIV stigma scale [25]

bSubscales of the SwedQual [26]