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首页> 外文期刊>AIDS care. >Development of a treatment optimism scale for HIV-positive gay and bisexual men.
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Development of a treatment optimism scale for HIV-positive gay and bisexual men.

机译：为艾滋病毒阳性的同性恋者和双性恋者制定治疗乐观量表。

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Potential items to be included in an HIV Treatment Optimism scale were reviewed by 17 HIV-positive gay and bisexual men (GBM), resulting in a 21-item test instrument. After pilot testing, data were collected from a multi-city sample of high-risk HIV-positive GBM (n=346), who were currently on treatment and were recruited to attend a two-day sexual health seminar. The scale items were analyzed utilizing Principal Components Analysis and reliability testing. The factor analysis resulted in the development of three separate scales. The Susceptibility scale contained 10 items associated with a belief that HIV is less transmissible while on HIV treatment. The Condom Motivation scale contained five items addressing a decreased motivation to use condoms while on treatment and the Severity scale contained four items associated with a decreased sense of the severity of an HIV diagnosis. Reliability coefficients (alpha) and mean inter-item correlations (M) for the three scales were acceptable (Susceptibility, alpha = 0.86, M=0.39; Condom Motivation, alpha = 0.84, M = 0.50; Severity, alpha = 0.71, M=0.37). Combined as one scale,the reliability coefficient was respectable (alpha = 0.76), but the mean inter-item correlation was 0.14. Based on this analysis, use of a single measure was not supported and three separate scales were developed. The scales were equivalent across racial groups except White men were more like to report a decreased motivation to use condoms compared to Black or Latino men. Three separate scales addressing beliefs about the transmissibility of HIV while on treatment (Susceptibility), the quality of life while on HIV treatment (Severity) and the motivation to use condoms consistently while on treatment (Condom Motivation) may be better markers for assessing optimistic beliefs about HIV treatment among HIV-positive GBM.
机译：17名艾滋病毒阳性的男同性恋和双性恋男性（GBM）审查了可能包含在“艾滋病毒治疗乐观主义”量表中的项目，从而得出了21项测试工具。经过试点测试后，从多市艾滋病毒阳性GBM（n = 346）的多城市样本中收集了数据，他们目前正在接受治疗，并被招募参加为期两天的性健康研讨会。使用主成分分析和可靠性测试分析了秤项目。因子分析导致了三个独立量表的发展。易感性量表包含10个项目，与以下信念有关：在接受HIV治疗时，HIV的传播性较低。安全套动机量表包含五个项目，以解决在治疗中使用安全套的动机降低的情况;严重程度量表包含四个项目，与降低艾滋病毒诊断的严重程度有关。三种量表的可靠性系数（alpha）和平均项目间相关性（M）是可以接受的（敏感性，alpha = 0.86，M = 0.39;安全套动机，alpha = 0.84，M = 0.50;严重程度，alpha = 0.71，M = 0.37）。结合为一个量表，可靠性系数是可观的（alpha = 0.76），但平均项目间相关性是0.14。基于此分析，不支持使用单个度量，并且开发了三个单独的量表。除白人男子比黑人或拉丁裔男子更愿意报告使用安全套的动机减少外，其他种族的比例相同。三种单独的量表可以解决关于艾滋病毒在治疗中的传播性（易感性），在接受艾滋病毒治疗时的生活质量（严重性）和在治疗中持续使用安全套的动机（避孕套动机）的信念，这可能是评估乐观信念的更好的标志关于艾滋病毒阳性GBM中的艾滋病毒治疗。

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