ArticlePloS one2020
Validation of a modified Berger HIV stigma scale for use among patients with hepatitis C virus (HCV) infection.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Factors influencing antiretroviral therapy adherence among youth living with HIV: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Examining the Psychometric Properties of a Revised 40-Item Berger HIV Stigma Scale.AIDS and behavior · 2026Article
- Using psychometric and focus groups methods to assess patients' attitudes regarding the role of dental providers and vaccinations for COVID-19 and HPV.Frontiers in oral health · 2026Article
- Development and Validation of a Brief Age-Normed Screening Tool for Subthreshold Psychosis Symptoms in Youth.Schizophrenia bulletin · 2025Article
- Perceptions of Stigma Among Patients With Hepatitis B in Germany: Cross-Sectional Survey.JMIR formative research · 2025Article
- Mental health challenges among adolescents and young adults with perinatally acquired HIV: Key findings from the I'mPossible program in India.PLOS mental health · 2025Article
- Acceptance of Social Media Recruitment for Clinical Studies Among Patients With Hepatitis B: Mixed Methods Study.Journal of medical Internet research · 2024Article
- Measuring stigma associated with hepatitis B virus infection in Sierra Leone: Validation of an abridged Berger HIV stigma scale.Journal of viral hepatitis · 2023Article
- Article
- Social challenges experienced by Hepatitis B patients: A mixed method study.Journal of family medicine and primary care · 2023Article
- Measuring Stigma Associated with Hepatitis B Virus Infection in Sierra Leone: Validation of an Abridged Berger HIV Stigma Scale.medRxiv : the preprint server for health sciences · 2023Article
- Construction of a computerized adaptive test (CAT-CCNB) for efficient neurocognitive and clinical psychopathology assessment.Journal of neuroscience methods · 2023Article
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- Article
- Telling the story of intersectional stigma in HIV-associated Kaposi's sarcoma in western Kenya: a convergent mixed-methods approach.Journal of the International AIDS Society · 2022Article
- Development & validation of scales to assess stigma related to COVID-19 in India.The Indian journal of medical research · 2022Article
- Stigma and Endometriosis: A Brief Overview and Recommendations to Improve Psychosocial Well-Being and Diagnostic Delay.International journal of environmental research and public health · 2021Review
- The impact of disease-related knowledge on perceptions of stigma among patients with Hepatitis C Virus (HCV) infection.PloS one · 2021Article
- When CAT is not an option: complementary methods of test abbreviation for neurocognitive batteries.Cognitive neuropsychiatry · 2021Article
- Determinants of stigma among patients with hepatitis C virus infection.Journal of viral hepatitis · 2020Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundStigma around hepatitis C virus (HCV) infection is an important and understudied barrier to HCV prevention, treatment, and elimination. To date, no validated instrument exists to measure patients' experiences of HCV stigma. This study aimed to revise the Berger (2001) HIV stigma scale and evaluate its psychometric properties among patients with HCV infection.
methodsThe Berger HIV stigma scale was revised to ask about HCV and administered to patients with HCV (n = 270) in Philadelphia, Pennsylvania. Scale reliability was evaluated as internal consistency by calculating Cronbach's alpha. Exploratory factor analysis was performed to evaluate construct validity by comparing item clustering to the Berger HIV stigma scale subscales. Item response theory was employed to further evaluate individual items and to calibrate items for simulated computer adaptive testing sessions in order to identify potential shortened instruments.
resultsThe revised HCV Stigma Scale was found to have good reliability (α = 0.957). After excluding items for low loadings, the exploratory factor analysis indicated good construct validity with 85% of items loading on pre-defined factors. Analyses strongly suggested the predominance of an underlying unidimensional factor solution, which yielded a 33-item scale after items were removed for low loading and differential item functioning. Adaptive simulations indicated that the scale could be substantially shortened without detectable information loss.
conclusionsThe 33-item HCV Stigma Scale showed sufficient reliability and construct validity. We also conducted computer adaptive testing simulations and identified shortened six- and three-item scale alternatives that performed comparably to the original 40-item scale.
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