Psychometric assessment of the Runyankole-translated Marlowe-Crowne Social Desirability Scale among persons with HIV in Uganda.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
19 Jun 2024
Historique:
received: 10 11 2023
accepted: 17 05 2024
medline: 20 6 2024
pubmed: 20 6 2024
entrez: 19 6 2024
Statut: epublish

Résumé

Social desirability can negatively affect the validity of self-reported measures, including underreporting of stigmatized behaviors like alcohol consumption. The Marlowe-Crowne Social Desirability Scale (SDS) is widely implemented and comprised of Denial and Attribution Domains (i.e., tendencies to deny undesirable traits or attribute socially desirable traits to oneself, respectively). Yet, limited psychometric research has been conducted in sub-Saharan Africa, where the prevalence of unhealthy alcohol consumption is high as well as religiosity and hierarchical social norms. To address this gap, we (a) conducted an exploratory study assessing certain psychometric properties of the 28-item SDS (Runyankole-translated) among persons with HIV (PWH) in Uganda, and (b) examined the relationship between social desirability and self-reported alcohol use. We pooled baseline data (N = 1153) from three studies of PWH engaged in alcohol use from 2017 to 2021. We assessed the translated scale's construct validity (via confirmatory factor analysis), internal consistency, item performance, differential item functioning by gender, concurrent validity with the DUREL religiosity index domains, and the association between social desirability and self-reported alcohol use. Participants had a mean age of 40.42 years, 63% were men, and 91% had an undetectable HIV viral load. The 28-item SDS had satisfactory construct validity (Model fit indices: RMSEA = 0.07, CFI = 0.84, TLI = 0.82) and internal consistency (Denial Domain Ω We detected and mitigated measurement error in the 28-item Runyankole-translated SDS, and found that the modified 27-item scale had satisfactory construct validity and internal consistency in our sample. Future studies should continue to evaluate the psychometric properties of the Runyankole-translated SDS, including retranslating Item 14 and reevaluating its performance.

Sections du résumé

BACKGROUND BACKGROUND
Social desirability can negatively affect the validity of self-reported measures, including underreporting of stigmatized behaviors like alcohol consumption. The Marlowe-Crowne Social Desirability Scale (SDS) is widely implemented and comprised of Denial and Attribution Domains (i.e., tendencies to deny undesirable traits or attribute socially desirable traits to oneself, respectively). Yet, limited psychometric research has been conducted in sub-Saharan Africa, where the prevalence of unhealthy alcohol consumption is high as well as religiosity and hierarchical social norms. To address this gap, we (a) conducted an exploratory study assessing certain psychometric properties of the 28-item SDS (Runyankole-translated) among persons with HIV (PWH) in Uganda, and (b) examined the relationship between social desirability and self-reported alcohol use.
METHODS METHODS
We pooled baseline data (N = 1153) from three studies of PWH engaged in alcohol use from 2017 to 2021. We assessed the translated scale's construct validity (via confirmatory factor analysis), internal consistency, item performance, differential item functioning by gender, concurrent validity with the DUREL religiosity index domains, and the association between social desirability and self-reported alcohol use.
RESULTS RESULTS
Participants had a mean age of 40.42 years, 63% were men, and 91% had an undetectable HIV viral load. The 28-item SDS had satisfactory construct validity (Model fit indices: RMSEA = 0.07, CFI = 0.84, TLI = 0.82) and internal consistency (Denial Domain Ω
CONCLUSIONS CONCLUSIONS
We detected and mitigated measurement error in the 28-item Runyankole-translated SDS, and found that the modified 27-item scale had satisfactory construct validity and internal consistency in our sample. Future studies should continue to evaluate the psychometric properties of the Runyankole-translated SDS, including retranslating Item 14 and reevaluating its performance.

Identifiants

pubmed: 38898463
doi: 10.1186/s12889-024-18886-z
pii: 10.1186/s12889-024-18886-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1628

Subventions

Organisme : NIAAA NIH HHS
ID : R01AA029962
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01AA029962
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01AA029962
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01AA024990
Pays : United States
Organisme : NIAAA NIH HHS
ID : U01AA026223
Pays : United States
Organisme : NIAAA NIH HHS
ID : U01AA026223
Pays : United States
Organisme : NIAAA NIH HHS
ID : U01AA020776
Pays : United States
Organisme : NIAAA NIH HHS
ID : U01AA026223
Pays : United States
Organisme : NIAAA NIH HHS
ID : U01AA026223
Pays : United States
Organisme : NIAAA NIH HHS
ID : U01AA026223
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01AA024990
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01AA024990
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01AA029962
Pays : United States

Informations de copyright

© 2024. The Author(s).

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Auteurs

Cristina Espinosa da Silva (C)

Department of Medicine, University of California, San Francisco, CA, USA. Cristina.EspinosadaSilva@ucsf.edu.

Robin Fatch (R)

Department of Medicine, University of California, San Francisco, CA, USA.

Nneka Emenyonu (N)

Department of Medicine, University of California, San Francisco, CA, USA.

Winnie Muyindike (W)

Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Julian Adong (J)

School of Public Health, Makerere University, Kampala, Uganda.

Sowmya R Rao (SR)

School of Public Health, Boston University, Boston, MA, USA.

Gabriel Chamie (G)

Department of Medicine, University of California, San Francisco, CA, USA.

Christine Ngabirano (C)

Global Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.

Adah Tumwegamire (A)

Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Allen Kekibiina (A)

Global Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.

Kara Marson (K)

Department of Medicine, University of California, San Francisco, CA, USA.

Brian Beesiga (B)

Infectious Diseases Research Collaboration (IDRC), Kampala, Uganda.

Naomi Sanyu (N)

Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Anita Katusiime (A)

Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Judith A Hahn (JA)

Department of Medicine, University of California, San Francisco, CA, USA.

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