Evidence map›Paper›PMID 35421967›Full record

ArticleBMC public health2022

Validity and reliability of the Neilands sexual stigma scale among Kenyan gay, bisexual, and other men who have sex with men.

Christine J Korhonen, Brian P Flaherty, Elizabeth Wahome, Pascal Macharia, Helgar Musyoki, Parinita Battacharjee, Joshua Kimani, Monika Doshi, John Mathenge, Robert R Lorway and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 5 countries.

Christine J KorhonenDepartment of Epidemiology, University of Washington, Box 357236, Seattle, USA. ckorhon@uw.edu.
Brian P FlahertyDepartment of Psychology, University of Washington, Box 351525, Seattle, WA, 98195, USA.
Elizabeth WahomeKenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi, Kenya.
Pascal MachariaHealth Options for Young Men on HIV/AIDS and STIs, Nairobi, Kenya.
Helgar MusyokiNational AIDS and STI Control Programme, Ministry of Health, Nairobi, Kenya.
Parinita BattacharjeePartners for Health and Development in Africa, Nairobi, Kenya.
Joshua KimaniPartners for Health and Development in Africa, Nairobi, Kenya.
Monika DoshiUniversity of Manitoba, Winnipeg, Canada.
John MathengeHealth Options for Young Men on HIV/AIDS and STIs, Nairobi, Kenya.
Robert R LorwayUniversity of Manitoba, Winnipeg, Canada.
Eduard J SandersKenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi, Kenya.
Susan M GrahamDepartment of Epidemiology, University of Washington, Box 357236, Seattle, USA.
Kenya Medical Research Institute · KEUniversity of Manitoba · CAFamily Health Options Kenya · KEUniversity of Washington · USMinistry of Health · KESolidarity and Action Against the HIV Infection in India · IN

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)P30MH123248 · NIMH · UNIVERSITY OF WASHINGTON · PI RAO, DEEPA · 2021 to 2024
$5.8M
NIAID NIH HHS P30 AI027757NIMH NIH HHS P30 MH123248Wellcome Trust
6 · The paper itself

Abstract

backgroundWe evaluated the validity and reliability of the Neilands sexual stigma scale administered to 871 gay, bisexual, and other men who have sex with men (GBMSM) at two research locations in Kenya.

methodsUsing cross-validation, exploratory factor analysis (EFA) was performed on a randomly selected subset of participants and validated using confirmatory factor analysis (CFA) on the remaining participants. Associations of the initial and final stigma scale factors with depressive symptoms, alcohol use, and other substance use were examined for the entire dataset.

resultsEFA produced a two-factor scale of perceived and enacted stigma. The CFA model fit to the two-factor scale was improved after removing three cross-loaded items and adding correlated errors (chi-squared = 26.5, df 17, p = 0.07). Perceived stigma was associated with depressive symptoms (beta = 0.34, 95% CI 0.24, 0.45), alcohol use (beta = 0.14, 95% CI 0.03, 0.25) and other substance use (beta = 0.19, 95% CI 0.07, 0.31), while enacted stigma was associated with alcohol use (beta = 0.17, 95% CI 0.06, 0.27).

conclusionsOur findings suggest enacted and perceived sexual stigma are distinct yet closely related constructs among GBMSM in Kenya and are associated with poor mental health and substance use.

Indexed as

HIV InfectionsSexual and Gender MinoritiesSubstance-Related DisordersHomosexuality, MaleHumansKenyaMaleReproducibility of ResultsSocial StigmaFactor analysisHomophobiaSexual and gender minoritiesSocial stigmaSurveys and questionnaires

Identifiers

PMID35421967
PMCPMC9009048
OpenAlexW4223935452

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.