142nd APHA Annual Meeting and Exposition

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“3D” barriers towards HIV prevention – Distancing, Discrimination, & Disclosure concerns – Pilot test a “3D” scale suite among people living with HIV/AIDS and young adults

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Su-I. Hou, DrPH, CPH, MCHES, RN , Health Promotion and Behavior, University of Georgia, Athens, GA
Purpose: This study developed and pilot tested a “3D” scale suite on HIV related distancing, discrimination, and disclosure concerns among people living with HIV/AIDS (PLWHA) and young adults.  METHODS: A 26-item HIV-3D scale with corresponding items measuring distancing (13-item), discrimination (5-item), and disclosure concerns (8-item) was developed.  A sample of PLWHA from a HIV primary care clinic (n=40) and a convenient young adult sample (n=52) in a small southern town participated in the study.  RESULTS: Results showed this scale had satisfactory internal consistencies in both groups.  Cronbach alphas for the HIV-3D scale suite were .930, .903, & .819 (CITC ranging .360~.847) among the young adults, and .933, .836, & .913 (CITC ranging .298~.898) among the PLWHA, respectively.  Although both groups showed similar level of disclosure concerns, PLWHA perceived significant higher levels of distancing and discrimination.  The scale means of PLWHA were 1.90 times of the young adult group on distancing (39.80 vs. 21.00) and 2.62 times on discrimination (14.53 vs. 5.54).  CONCLUSIONS: Results indicate all sub-scales were reliable in both groups.  Although PLWHA perceived higher distancing and discrimination, the corresponding perceptions towards PLWHA reported by the participating young adults were much lower.  Still, the young adult group reported similar high disclosure concerns if they had HIV.  This new and innovative corresponding scale suite allows HIV researchers to assess and directly compare these important HIV prevention barriers in both PLWHA and adult groups.  This tool provides new opportunity of evaluating the impact of HIV interventions addressing the “3-D” related barriers.

Learning Areas:

Assessment of individual and community needs for health education
Program planning
Public health or related research

Learning Objectives:
Describe sample corresponding scale items on HIV related distancing, discrimination, and disclosure concerns (“HIV-3D” scale). Describe levels of HIV-related distancing, discrimination, and disclosure concerns in the PLWHA and the young adult group. Discuss implications and application of the study findings, and opportunities of this new corresponding measurement suite to assess “HIV-3D” related barriers.

Keyword(s): HIV/AIDS, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I'm the PI of this study and have years of research and teaching experience in public health and HIV/AIDS prevention.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4280.0: People Living with HIV/AIDS