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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Sex+Res
2018 ; 55
(1
): 60-72
Nephropedia Template TP
gab.com Text
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English Wikipedia
Development and Validation of a Scale to Measure Adolescent Sexual and
Reproductive Health Stigma: Results From Young Women in Ghana
#MMPMID28266874
Hall KS
; Manu A
; Morhe E
; Harris LH
; Loll D
; Ela E
; Kolenic G
; Dozier JL
; Challa S
; Zochowski MK
; Boakye A
; Adanu R
; Dalton VK
J Sex Res
2018[Jan]; 55
(1
): 60-72
PMID28266874
show ga
Young women's experiences with sexual and reproductive health (SRH) stigma may
contribute to unintended pregnancy. Thus, stigma interventions and rigorous
measures to assess their impact are needed. Based on formative work, we generated
a pool of 51 items on perceived stigma around different dimensions of adolescent
SRH and family planning (sex, contraception, pregnancy, childbearing, abortion).
We tested items in a survey study of 1,080 women ages 15 to 24 recruited from
schools, health facilities, and universities in Ghana. Confirmatory factor
analysis (CFA) identified the most conceptually and statistically relevant scale,
and multivariable regression established construct validity via associations
between stigma and contraceptive use. CFA provided strong support for our
hypothesized Adolescent SRH Stigma Scale (chi-square p value < 0.001; root mean
square error of approximation [RMSEA] = 0.07; standardized root mean square
residual [SRMR] = 0.06). The final 20-item scale included three subscales:
internalized stigma (six items), enacted stigma (seven items), and stigmatizing
lay attitudes (seven items). The scale demonstrated good internal consistency (?
= 0.74) and strong subscale correlations (? = 0.82 to 0.93). Higher SRH stigma
scores were inversely associated with ever having used modern contraception
(adjusted odds ratio [AOR] = 0.96, confidence interval [CI] = 0.94 to 0.99, p
value = 0.006). A valid, reliable instrument for assessing SRH stigma and its
impact on family planning, the Adolescent SRH Stigma Scale can inform and
evaluate interventions to reduce/manage stigma and foster resilience among young
women in Africa and beyond.