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Psychometric Evaluation of the Personal Feelings Questionnaire–2 (PFQ-2) Shame Subscale Among Spanish-Speaking Female Sex Workers in Mexico
Assessment ( IF 4.282 ) Pub Date : 2020-12-28 , DOI: 10.1177/1073191120981768
Cristina Espinosa da Silva 1 , Heather A Pines 1 , Thomas L Patterson 1 , Shirley Semple 1 , Alicia Harvey-Vera 2 , Steffanie A Strathdee 1 , Gustavo Martinez 3 , Eileen Pitpitan 1 , Laramie R Smith 1
Affiliation  

Shame may increase HIV risk among stigmatized populations. The Personal Feelings Questionnaire–2 (PFQ-2) measures shame, but has not been validated in Spanish-speaking or nonclinical stigmatized populations disproportionately affected by HIV in resource-limited settings. We examined the psychometric properties of the Spanish-translated PFQ-2 shame subscale among female sex workers in two Mexico–U.S. border cities. From 2016 to 2017, 602 HIV-negative female sex workers in Tijuana and Ciudad Juarez participated in an efficacy trial evaluating a behavior change maintenance intervention. Interviewer-administered surveys collected information on shame (10-item PFQ-2 subscale), psychosocial factors, and sociodemographics. Item performance, confirmatory factor analysis, internal consistency, differential item functioning by city, and concurrent validity were assessed. Response options were collapsed to 3-point responses to improve item performance, and one misfit item was removed. The revised 9-item shame subscale supported a single construct and had good internal consistency (Cronbach’s α = .86). Notable differential item functioning was found but resulted in a negligible effect on overall scores. Correlations between the revised shame subscale and guilt (r = .79, p < .01), depression (r = .69, p < .01), and emotional support (r = −.28, p < .01) supported concurrent validity. The revised PFQ-2 shame subscale showed good reliability and concurrent validity in our sample, and should be explored in other stigmatized populations.



中文翻译:

墨西哥讲西班牙语的女性性工作者的个人感受问卷 2 (PFQ-2) 羞耻分量表的心理测量评估

羞耻感可能会增加被污名化人群的艾滋病毒风险。个人感受问卷 2 (PFQ-2) 衡量羞耻感,但尚未在资源有限的环境中受 HIV 不成比例影响的讲西班牙语或非临床污名化人群中得到验证。我们检查了墨西哥和美国两个边境城市的女性性工作者的西班牙语翻译的 PFQ-2 羞耻分量表的心理测量特性。从 2016 年到 2017 年,蒂华纳和华雷斯城的 602 名 HIV 阴性女性性工作者参加了一项评估行为改变维持干预的功效试验。采访者进行的调查收集了关于羞耻感(10 项 PFQ-2 分量表)、心理社会因素和社会人口学的信息。项目表现,验证性因素分析,内部一致性,城市差异项目功能,并评估了同时效度。响应选项被折叠为 3 点响应以提高项目性能,并删除了一个不合适的项目。修订后的 9 项羞耻分量表支持单一结构并具有良好的内部一致性(Cronbach's α = .86)。发现了显着的差异项目功能,但对总分的影响可以忽略不计。修订后的羞耻分量表与内疚之间的相关性(r = .79, p < .01)、抑郁症 ( r = .69, p < .01) 和情感支持 ( r = -.28, p < .01) 支持同时效度。修订后的 PFQ-2 羞耻分量表在我们的样本中显示出良好的信度和同时效度,应该在其他被污名化的人群中进行探索。

更新日期:2021-01-04
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