{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T15:57:08Z","timestamp":1786636628877,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Human papillomavirus (HPV) infection is a global public health issue, and HPV\u2010related stigma can affect cervical cancer prevention. But no validated tools exist to assess HPV stigma in Chinese adult women infected with HPV. This study aimed to adapt and validate the HPVsStigma scale (HPV\u2010SS) in the Chinese context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted from December 2024 to February 2025 among 501 HPV\u2010infected women in Shenzhen, China. The HPV\u2010SS was adapted from a 12\u2010item HIV stigma scale. Demographic characteristics, HPV\u2010related variables, and data on mental health were collected. Factor analyses (FA) were used to assess the scale's factorial structure, reliability, and validity. The bi\u2010factor model was used to determine the score\u2010reporting method of the scale. Item response theory (IRT) was employed to assess the relationship between participants\u2019 stigma levels and scale scores. Latent profile analysis (LPA) was conducted to classify the participants with different HPV stigma characteristics and determine the optimal cut\u2010off value for HPV\u2010SS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>FA showed that the 3\u2010factor model (personalized stigma, public\u2010disclosure concerns, and negative self\u2010image) had the best fit among the nested models, with good reliability and validity. The bi\u2010factor model analysis indicated that the total scale score was more meaningful than dimension scores. IRT analysis confirmed that higher HPV\u2010SS scores represented higher stigma levels. LPA identified a 2\u2010class model as optimal, and the optimal cut\u2010off value of the scale for high HPV stigma was 35.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study validated the 12\u2010item HPV\u2010SS for Chinese women infected with HPV, with good reliability and validity. The scale can be used to evaluate HPV stigma levels, facilitating targeted interventions to improve cervical cancer prevention and the psychological well\u2010being of affected women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.71044","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T06:30:17Z","timestamp":1762929017000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation of the Chinese Version of the HPV Stigma Scale: A Multidimensional Analysis in Women With HPV"],"prefix":"10.1002","volume":"15","author":[{"given":"Zhenwei","family":"Dai","sequence":"first","affiliation":[{"name":"Peking University Sixth Hospital Peking University Institute of Mental Health NHC Key Laboratory of Mental Health (Peking University) National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)  Beijing 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