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首页> 外文期刊>Patient Preference and Adherence >Psychometric testing of the consequences of an HIV disclosure instrument in Mandarin: a cross-sectional study of persons living with HIV in Hunan, China
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Psychometric testing of the consequences of an HIV disclosure instrument in Mandarin: a cross-sectional study of persons living with HIV in Hunan, China

机译：对普通话中的艾滋病毒披露工具的后果进行心理计量学测试：中国湖南省艾滋病毒携带者的横断面研究

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Purpose: This study aimed to examine the psychometric properties of a Mandarin-language version of an instrument that assesses the Consequences of HIV Disclosure (CoHD). Patients and methods: The original CoHD instrument developed by Serovich was translated into Mandarin and administered to a random sample of 184 persons living with HIV (PLWH) using face-to-face and structured interviews. The CoHD instrument required respondents to rate the importance of eight costs (eg, might lose the relationship) and ten rewards (eg, would bring us closer) in their decision about whether to self-disclose their HIV status. The participants were directed to respond with respect to a current (or hypothetical) sexual partner. Results: Internal consistency was acceptable (Cronbach’s α for the overall scale 0.82, costs 0.71, and rewards 0.86), as was stability (test–retest reliability overall 0.74, cost 0.63, and rewards 0.82). The CVI for the scale was 0.83, with items rated by subject experts ranging from 0.80 to 1.0. To determine structural validity, exploratory factor analysis extracted two subscales consistent with the original CoHD subscales. The Mandarin CoHD scores were significantly correlated with disclosure self-efficacy (indicating convergent validity), but they were unrelated to safer sex efficacy (indicating divergent validity). This criterion was tested by comparing the scores of PLWH who disclosed their HIV status (mean±SD 53.57±9.06) with those who did not disclose it (mean±SD 49.63±7.45); however, the difference was not statistically significant. Conclusion: The Mandarin version of the CoHD instrument demonstrates promising psychometric properties when assessing costs and rewards with respect to sexual partner disclosure. This suggests that it might be useful in research on partner notification strategies. In further studies, larger and more diverse samples and an analysis of responses for different disclosure targets are warranted. Moreover, whether the CoHD score is related to the decision of disclosure should be determined.
机译：目的：本研究旨在检查评估HIV披露后果（CoHD）的工具的普通话版本的心理计量特性。患者和方法：由Serovich开发的原始CoHD仪器被翻译成普通话，并通过面对面和结构化访谈的方式随机抽取了184名艾滋病病毒感染者（PLWH）。 CoHD工具要求受访者在决定是否自我披露自己的HIV状况时，对八项费用（例如，可能失去关系）和十项奖励（例如，使我们更接近）的重要性进行评估。指示参与者对当前（或假设的）性伴侣做出回应。结果：内部一致性是可以接受的（Cronbach'sα的总体规模为0.82，成本为0.71，奖励为0.86），稳定性也是如此（稳定性（重测信度为0.74，成本为0.63，奖励为0.82））。量表的CVI为0.83，主题专家对项目的评分在0.80至1.0之间。为了确定结构有效性，探索性因素分析提取了两个与原始CoHD子量表一致的子量表。普通话CoHD评分与公开自我效能感（表明收敛效度）显着相关，但与更安全的性别效能（表明效度不同）无关。通过比较披露HIV感染状况的PLWH得分（平均值±SD 53.57±9.06）和未披露HIV感染状况的PLWH得分（平均值±SD 49.63±7.45）进行测试。但是，差异在统计上并不显着。结论：CoHD仪器的普通话版本在评估与性伴侣披露有关的成本和报酬时展示出有希望的心理测量特性。这表明它可能在研究合作伙伴通知策略中很有用。在进一步的研究中，有必要提供更大，更多样化的样本，并对不同披露目标的回应进行分析。此外，应确定CoHD分数是否与披露决定有关。

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