{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:05:07Z","timestamp":1784613907421,"version":"3.55.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stigmatization of patients with sexually transmitted infections remains prominent, whereas previous measurement tools have mostly focused on single-disease populations and lack a systematic assessment of the broader population of individuals with sexually transmitted infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To translate the Stigma Scale for Caring for Individuals with Sexually Transmitted Infections (STISS) \u2013 Student Version and evaluate its reliability and validity among nursing students in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study recruited 413 nursing students through convenience sampling based on Kendall\u2019s sample size estimation method. The original version of the scale was translated according to the Brislin guidelines, and content validity and the feasibility of the translation were validated through expert consultation. Structural validity was assessed using exploratory factor analysis and confirmatory factor analysis. Reliability was tested using internal consistency reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The Chinese version of the STISS scale demonstrated good psychometric properties. The Cronbach\u2019s alpha coefficient was 0.921. The four-factor exploratory factor model explained 58.947% of the total variance, indicating a robust factor structure. Confirmatory factor analysis showed the following fit indices:\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \/df\u202f=\u202f1.078; RMSEA\u202f=\u202f0.019; CFI\u202f=\u202f0.994; TLI\u202f=\u202f0.993; GFI\u202f=\u202f0.927; AGFI\u202f=\u202f0.907. All indices were within acceptable ranges, and both convergent validity and discriminant validity were adequately confirmed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study strictly followed the Brislin translation model and successfully introduced the STISS scale, which demonstrated strong reliability and validity within the Chinese cultural context. It is highly suitable for measuring the level of stigmatization of individuals with sexually transmitted infections among nursing students in China.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1858646","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T05:35:38Z","timestamp":1784612138000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The cross-cultural adaptation and psychometric evaluation of the Chinese version of the stigma scale for caring for individuals with sexually transmitted infections (STISS)\u2014student version: a translation and validation study"],"prefix":"10.3389","volume":"17","author":[{"given":"Jiahao","family":"Shi","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital of Jinzhou Medical University","place":["Jinzhou, China"]},{"name":"Jinzhou Medical University","place":["Jinzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youbei","family":"Lin","sequence":"additional","affiliation":[{"name":"Jinzhou Medical University","place":["Jinzhou, China"]},{"name":"Department of Social Psychology, Nankai University","place":["Tianjin, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuang","family":"Li","sequence":"additional","affiliation":[{"name":"Jinzhou Medical University","place":["Jinzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinghui","family":"Gong","sequence":"additional","affiliation":[{"name":"Jinzhou Medical University","place":["Jinzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyu","family":"Li","sequence":"additional","affiliation":[{"name":"Jinzhou Medical University","place":["Jinzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Pan","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Jinzhou Medical University","place":["Jinzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-026-12963-x","article-title":"Development and psychometric evaluation of the stigma scale for caring for individuals with sexually transmitted infections (STISS)-student version","volume":"26","author":"A\u00e7\u0131l","year":"2026","journal-title":"BMC Infect. Dis."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1630","DOI":"10.2174\/1386207324666210301093001","article-title":"Sexually transmitted infections (STIs) and its changing scenario: a scoping review","volume":"25","author":"Aggarwal","year":"2022","journal-title":"Comb. Chem. High Throughput Screen."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/1471-2458-10-19","article-title":"Partner notification for sexually transmitted infections in developing countries: a systematic review","volume":"10","author":"Alam","year":"2010","journal-title":"BMC Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1097\/COH.0000000000000195","article-title":"Geographical targeting to improve progression through the sexually transmitted infection\/HIV treatment continua in different populations","volume":"10","author":"Aral","year":"2015","journal-title":"Curr. Opin. HIV AIDS"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1891\/JNM-2021-0095","article-title":"Development and psychometric evaluation of the clinical nursing cultural competence scale","volume":"31","author":"Asadizaker","year":"2023","journal-title":"J. Nurs. Meas."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1320","DOI":"10.1016\/S0140-6736(11)61709-1","article-title":"Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial","volume":"379","author":"Baird","year":"2012","journal-title":"Lancet"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"3186","DOI":"10.1097\/00007632-200012150-00014","article-title":"Guidelines for the process of cross-cultural adaptation of self-report measures","volume":"25","author":"Beaton","year":"2000","journal-title":"Spine"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1037\/0003-066X.59.7.614","article-title":"How stigma interferes with mental health care","volume":"59","author":"Corrigan","year":"2004","journal-title":"Am. Psychol."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/j.appsy.2005.07.001","article-title":"The stigma of mental illness: explanatory models and methods for change","volume":"11","author":"Corrigan","year":"2005","journal-title":"Appl. Prev. Psychol."},{"key":"ref9001","unstructured":"Social stigma\n          \n          504\n          553\n          \n            \n              Crocker\n              J.\n            \n            \n              Major\n              B.\n            \n            \n              Steele\n              C.\n            \n          \n          \n            \n              Gilbert\n              D. T.\n            \n            \n              Fiske\n              S. T.\n            \n            \n              Lindzey\n              G.\n            \n          \n          McGraw-Hill\n          The handbook of social psychology\n          \n          1998"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e38199","DOI":"10.1097\/MD.0000000000038199","article-title":"Global perspectives on the burden of sexually transmitted diseases: a narrative review","volume":"103","author":"Elendu","year":"2024","journal-title":"Medicine"},{"key":"ref11","volume-title":"A Study on the Measurement and Psychological Formation Mechanism of Contemporary Chinese Doctors' Occupational Stigma","author":"Fan","year":"2023"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1037\/cbs0000069","article-title":"The purpose and practice of exploratory and confirmatory factor analysis in psychological research: decisions for scale development and validation","volume":"49","author":"Flora","year":"2017","journal-title":"Can. J. Behav. Sci."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1088","DOI":"10.1186\/s12913-022-08470-9","article-title":"Validity and reliability study of clinician attitude towards rural health extension program in Ethiopia: exploratory and confirmatory factor analysis","volume":"22","author":"Gebremedhin","year":"2022","journal-title":"BMC Health Serv. Res."},{"key":"ref9002","unstructured":"1998\n          \n            \n              Goffman\n              E.\n            \n          \n          Crocker\n          Aldine\n          Interaction ritual: essays on face-to-face interaction\n          \n          1967"},{"key":"ref14","first-page":"81","article-title":"Stigma: research status and the static-dynamic model concept","volume":"4","author":"Guan","year":"2007","journal-title":"J. Educ. Sci. Hunan Norm. Univ."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"585","DOI":"10.4314\/ahs.v21i2.13","article-title":"Prevalence of sexually transmitted infections among pregnant women attending antenatal clinics in west coast region of the Gambia","volume":"21","author":"Isara","year":"2021","journal-title":"Afr. Health Sci."},{"key":"ref16","volume-title":"Social stigma: the Psychology of Marked Relationships","author":"Jones","year":"1984"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-025-11432-1","article-title":"Sexually transmitted infections in Ghana: a systematic review and meta-analysis","volume":"26","author":"Kungu","year":"2026","journal-title":"BMC Infect. Dis."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1532709","DOI":"10.3389\/fpubh.2025.1532709","article-title":"Psychometric evaluation of the Chinese version of the BENEFITS-CCCSAT based on CTT and IRT: a cross-sectional design translation and validation study","volume":"13","author":"Li","year":"2025","journal-title":"Front. Public Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1349514","DOI":"10.3389\/fpubh.2024.1349514","article-title":"Psychometric properties of the Chinese version of the oncology nurses health behaviors determinants scale: a cross-sectional study","volume":"12","author":"Liu","year":"2024","journal-title":"Front. Public Health"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1016\/S2352-4642(20)30335-7","article-title":"Uptake of and factors associated with testing for sexually transmitted infections in community-based settings among youth in Zimbabwe: a mixed-methods study","volume":"5","author":"Martin","year":"2021","journal-title":"Lancet Child Adolesc. Health"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"291","DOI":"10.4236\/ojs.2022.122020","article-title":"On sample size determination when comparing two independent spearman or Kendall coefficients","volume":"12","author":"May","year":"2022","journal-title":"Open J. Stat."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e112065","DOI":"10.1136\/bmjopen-2025-112065","article-title":"Sticky black stain that steals everything from you: the lived experiences of women living with human papillomavirus in Tehran, Iran","volume":"16","author":"Mohammadi","year":"2026","journal-title":"BMJ Open"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1177\/2150137813494766","article-title":"Factor analysis in counseling research and practice","volume":"4","author":"Mvududu","year":"2013","journal-title":"Couns Outcome Res Evaluation."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1186\/s12916-019-1256-2","article-title":"Stigma in health facilities: why it matters and how we can change it","volume":"17","author":"Nyblade","year":"2019","journal-title":"BMC Med."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"256","DOI":"10.3390\/nursrep15070256","article-title":"Translation, cultural adaptation, and content validity of a modified Italian version of the Jackson\/Cubbin pressure injury risk assessment scale for ICU patients","volume":"15","author":"Rollo","year":"2025","journal-title":"Nurs. Rep."},{"key":"ref26","volume-title":"The Impact of Occupational Stigmatization on Tour Guides' Turnover Intentions","author":"Ruan","year":"2025"},{"key":"ref27","volume-title":"The Dilemma of Difference: A Multidisciplinary View of Stigma","author":"Stafford","year":"1986"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"6834","DOI":"10.3390\/ijerph18136834","article-title":"A Chinese version of the caring dimensions inventory: reliability and validity assessment","volume":"18","author":"Tong","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"863","DOI":"10.2105\/AJPH.2017.303744","article-title":"Framing mechanisms linking HIV-related stigma, adherence to treatment, and health outcomes","volume":"107","author":"Turan","year":"2017","journal-title":"Am. J. Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1038\/s41564-022-01177-x","article-title":"Sexually transmitted infections and female reproductive health","volume":"7","author":"Van Gerwen","year":"2022","journal-title":"Nat. Microbiol."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1016\/j.genhosppsych.2014.05.021","article-title":"Reliability and validity of the Chinese version of the patient health questionnaire (PHQ-9) in the general population","volume":"36","author":"Wang","year":"2014","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref32","volume-title":"The Stigmatization Attitudes of College Students towards Methamphetamine Addicts and Their Plasticity","author":"Zhang","year":"2021"},{"key":"ref33","volume-title":"A Study on the Stigmatization of Non-Suicidal Self-Injury among College Students","author":"Zhang","year":"2024"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1858646\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T05:35:40Z","timestamp":1784612140000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1858646\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,21]]},"references-count":35,"alternative-id":["10.3389\/fpsyg.2026.1858646"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1858646","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,21]]},"article-number":"1858646"}}