Perceived stigma deters engagement in HIV care and is powerfully shaped by culture. Yet few stigma measures consider how cultural capabilities that signify "full personhood" could be engaged to resist stigma. By applying a theory conceptualizing how culturally-salient mechanisms can worsen or mitigate HIV stigma in relation to "what matters most" (WMM), we developed the WMM Cultural Stigma Scale for Women Living with HIV in Botswana (WMM-WLHIV-BW) and psychometrically evaluated it among 201 respondents with known and unknown HIV status. The two subscales, Cultural Factors Shape Stigma (CFSS) and Cultural Capabilities Protect against Stigma (CCPS) were reliable (both [Formula: see text]). Among WLHIV, the CFSS Subscale showed initial construct validity with depressive symptoms (r = .39, p = .005), similar to an established HIV stigma scale, whereas the CCPS Subscale showed initial construct validity with self-esteem (r = .32, p = .026) and social support number (r = .29, p = .047), suggesting that achieving local cultural capabilities mitigates stigma and is linked with positive psychosocial outcomes. This culturally-derived scale could help WLHIV in Botswana experience improved stigma-related outcomes.

中文翻译：

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博茨瓦纳艾滋病毒感染妇女中艾滋病毒耻辱文化显着方面评估量表的心理测量验证：利用“最重要的事情”抵制耻辱。

感知到的耻辱阻碍了艾滋病毒护理的参与，并且受到文化的强烈影响。然而，很少有耻辱措施考虑如何利用象征“完整人格”的文化能力来抵制耻辱。通过应用概念化文化显着机制如何恶化或减轻与“最重要的事情”(WMM) 相关的艾滋病毒耻辱的理论，我们开发了博茨瓦纳艾滋病毒感染者妇女的 WMM 文化耻辱量表 (WMM-WLHIV-BW) 和对 201 名已知和未知 HIV 状况的受访者进行了心理测量评估。文化因素塑造耻辱（CFSS）和文化能力防止耻辱（CCPS）这两个分量表都是可靠的（两者[公式：见文本]）。在 WLHIV 中，CFSS 子量表显示了抑郁症状的初始构建效度 (r = .39，p = .005)，类似于已建立的 HIV 耻辱量表，而 CCPS 子量表显示了自尊的初始构建效度 (r = .32 ，p = .026）和社会支持数（r = .29，p = .047），表明实现当地文化能力可以减轻耻辱感，并与积极的心理社会结果相关。这种源自文化的量表可以帮助博茨瓦纳的 WLHIV 患者体验到与耻辱相关的改善结果。