Abstract summary 

Globally, cisgender men who have sex with men experience sexual stigma, but limited investigation of cross-population scale performance hinder comparisons. As measurement invariance is a necessary but seldom-established criterion of valid cross-cultural comparisons, we assessed invariance in scales of stigma related to sexual behavior across 9 countries.This secondary analysis used data collected from adult (mean age=29.6, standard deviation=12.5) cisgender men who have sex with men (n=8,669) in studies from 6 West African, 2 Southern African, and 1 North American country from 2012-2016. A common item set assessed 2 sexual behavior stigma domains. A sequential process was used to test the factor structure and measurement invariance, which included multigroup confirmatory factor analyses (CFA). Individual countries, items, living with HIV, and disclosure were explored as possible sources of noninvariance.Goodness-of-fit statistics indicated adequate fit of the same 2-factor model in 7 of the 9 countries. The chi difference test comparing a constrained and unconstrained 7-country model in which loadings and thresholds were freely estimated was significant (<0.001), indicating metric and scalar noninvariance, but removing the US provided evidence of invariance and freeing certain items led to a finding of partial invariance. Sexuality disclosure exhibited a direct relationship with select stigma items in several countries.Our findings point to the utility of the two stigma scale dimensions in making cross-country comparisons, but also to the necessity of assessing invariance with explicit attention to several factors including differential disclosure of sexuality across contexts to ensure valid comparisons.

Authors & Co-authors:  Murray Sarah M SM Wiginton John Mark JM Xue Qian Li QL Dibble Kate K Sanchez Travis T Kane Jeremy C JC Augustinavicius Jura J Nowak Rebecca G RG Crowell Trevor A TA Njindam Iliassou Mfochive IM Tamoufe Ubald U Charurat Man M Turpin Gnilane G Sithole Bheki B Mothopeng Tampose T Nemande Steave S Simplice Anato A Kouanda Seni S Diouf Daouda D Lyons Carrie C Baral Stefan S

Study Outcome 

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