Psychometric properties of the Spanish version of the Type 2 Diabetes Stigma Assessment Scale (DSAS 2) in a Colombian population
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2022
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Profesor/a Guía
Facultad/escuela
Idioma
es
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Instituto Nacional de Salud
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Licencia CC
Attribution 4.0 International (CC BY 4.0)
Licencia CC
Resumen
Introduction: The perception of stigma has been negatively associated with the metabolic control and quality of life in patients with type 2 diabetes. The Diabetes Stigma Assessment Scale 2 (DSAS 2) was designed to specifically measure the stigma associated with this type of diabetes. However, the psychometric properties of its Spanish version have not yet been addressed. Objective: To analyze the validity and reliability of the Spanish version of DSAS 2 in a Colombian population. Materials and methods: In total, 501 patients with type 2 diabetes from Barranquilla answered the Spanish version of DSAS 2, a questionnaire with sociodemographic and clinical indicators, as well as instruments to measure depression, self-efficacy, and stress. We performed a factor analysis (exploratory and confirmatory) to determine the internal structure of the DSAS 2 in Spanish and used the alpha coefficient (α) to evaluate its reliability. Additionally, we analyzed the relationship between the DSAS 2 scores and the other variables under study. Results: The three-factor structure (different treatment / judgment, guilt and shame) showed good fit to the data (RMSEA = 0.081, CFI = 0.959, TLI = 0.95) and good reliability (α = 0.76). Significant correlations of the scores of the DSAS 2 Spanish version were observed with self-efficacy (rs =-0.37, p<0.001), stress (rs =0.24, p<0.001), and depression (rs =0.1, p=0.021). Besides, the scores showed variations associated with sociodemographic and clinical variables. Conclusions: The Spanish version showed certain differences compared with the original version of the DSAS2 but there was adequate evidence of its validity and reliability to be used in Colombia.
Notas
Indexación: Scopus.
Palabras clave
Diabetes mellitus, Reproducibility of results, Social stigma
Citación
Biomedica, Volume 42, Pages 41 - 54, 2022
DOI
10.7705/biomedica.6128