Perceived alcohol stigma: factor structure and construct validation.
- Authors
- Glass, Joseph E; Kristjansson, Sean D; Bucholz, Kathleen K
- Year
- 2013
- Journal
- Alcoholism, clinical and experimental research
- PMID
- 22758603
- DOI
- 10.1111/j.1530-0277.2012.01887.x
- PMCID
- PMC3893041
INTRODUCTION: There has been an increasing interest in studying the stigma of alcohol use disorders (AUDs) yet scant research has evaluated the conceptualization and measurement of alcohol stigma. This study examined the measurement properties (i.e., factor structure) and validity of the alcohol-adapted Perceived Devaluation-Discrimination scale (PDD), which assesses the construct of perceived alcohol stigma (PAS). METHODS: Our sample included 34,386 respondents from the Wave 2 assessment in the National Epidemiologic Survey on Alcohol and Related Conditions, a population-representative survey of noninstitutionalized U.S. adults. Analytic procedures included confirmatory factor analysis and structural equation modeling. RESULTS: One-factor (perceived devaluation-discrimination) and 2-factor (perceived devaluation, perceived discrimination) confirmatory factor analytic models fit the data well (Comparative Fit Index = 0.958, Tucker-Lewis Index = 0.942, Root Mean Square Error of Approximation = 0.056; Comparative Fit Index = 0.962, Tucker-Lewis Index = 0.946, Root Mean Square Error of Approximation = 0.054; respectively) when adjusting for item wording effects with a latent method factor. Despite having a better fit to the data, χ(2) (1) = 542, p < 0.0001, the 2 factors were highly correlated (r = 0.90), which led us to favor a 1-factor model. Structural equation models found that the inverse relationship between PAS and perceived interpersonal social support was strongest for persons with a stigmatized labeling status. The same was not true in analyses predicting social network involvement. CONCLUSIONS: A 1-factor solution of PAS had superior parsimony. The alcohol-adapted PDD appears to be a psychometrically sound measure and exhibits relationships that are consistent with modified labeling theory.
Five confirmatory factor analytic models of perceived alcohol stigma measured by the alcohol-adapted Perceived Devaluation-Discrimination scale. Model 1- One substantive factor (perceived devaluation-discrimination). Model 2- Two substantive factors (perceived devaluation and perceived discrimination). Model 3- Two substantive factors representing positive and negatively worded items (perceived devaluation/discrimination and perceived non-negative evaluation/acceptance). Model 4- One substantive factor (perceived devaluation-discrimination) and a latent method factor (LMF) to adjust for positively worded items. Model 5- Two substantive factors (perceived devaluation and perceived discrimination) and an LMF to adjust for positively worded items.
LLM interpretation
This figure consists of five path diagrams representing different confirmatory factor analytic models of perceived alcohol stigma. Each model illustrates the hypothesized relationships between latent factors (ovals) and observed indicators (rectangles labeled De1-De5 and Di1-Di7). The models vary in complexity, ranging from a single substantive factor (Model 1) to combinations of devaluation, discrimination, and latent method factors (Models 2-5).
No entities extracted from this document yet.
No uploaded files.
In this knowledge base
External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Intersectional Stigma and Health of People Living with HIV on ART Who Use Alcohol in Southwestern Uganda. | Gutin SA et al. | — | 2026 | → |
| Comparing the Use Experiences, Contextual Factors, and Recovery Strategies Associated with Different Substances: An Analysis of Social Media Narratives. | Chen AT et al. | — | 2025 | → |
| Improving diagnosis-based quality measures: an application of machine learning to the prediction of substance use disorder among outpatients. | Hoggatt KJ et al. | — | 2025 | → |
| Protocol for a randomized controlled trial of a combined motivational interviewing and behavioral couples therapy intervention to reduce intimate partner violence and alcohol use in south India. | Achar M et al. | — | 2025 | → |
| Exploring perceptions of self-stigma of substance use and current alcohol and marijuana use patterns among college students. | Chentsova VO et al. | — | 2024 | → |
| Substance use stigma: A systematic review of measures and their psychometric properties. | Spata A et al. | — | 2024 | → |
| Efficacy of alcohol reduction interventions among people with HIV as evaluated by self-report and a phosphatidylethanol (PEth) outcome: protocol for a systematic review and individual participant data meta-analysis. | Kane JC et al. | — | 2023 | → |
| Mental health stigma among college students: misperceptions of perceived and personal stigmas. | Pompeo-Fargnoli A | — | 2022 | → |
| Utility of Family Reports in Predicting Emergency Department Patient Alcohol Use in Tanzania. | Kozhumam AS et al. | — | 2022 | → |
| Alcohol-Related Risky Behavior Patterns and Their Association With Alcohol Use and Perceived Alcohol Stigma in Moshi, Tanzania. | Zhao D et al. | — | 2020 | → |
| Alcohol stigma as it relates to drinking behaviors and perceptions of drink drivers: A mixed method study in Moshi, Tanzania. | El-Gabri D et al. | — | 2020 | → |
| A Mixed-Methods Study: Sex Differences in Experiences of Stigma Associated With Alcoholism and Alcohol Use Disorders Among Injury Patients in Tanzania. | Griffin SM et al. | — | 2020 | → |
| Mental health stigma and mental health knowledge in Chinese population: a cross-sectional study. | Yin H et al. | — | 2020 | → |
| Stigma towards alcohol use disorder: Comparing healthcare workers with the general population. | Soh KC et al. | — | 2019 | → |
| What do elderly problem drinkers aim for? Choice of goal for treatment among elderly treatment-seeking alcohol-dependent patients. | Emiliussen J et al. | — | 2019 | → |
| Assessment of perceived mental health-related stigma: The Stigma-9 Questionnaire (STIG-9). | Gierk B et al. | — | 2018 | → |
| Conceptualizing and Measuring Mental Illness Stigma: The Mental Illness Stigma Framework and Critical Review of Measures. | Fox AB et al. | — | 2018 | → |
| Perceived barriers by health care providers for screening and management of excessive alcohol use in an emergency department of a low-income country. | Staton CA et al. | — | 2018 | → |
| Evaluation of a Pilot Implementation to Integrate Alcohol-Related Care within Primary Care. | Bobb JF et al. | — | 2017 | → |
| Psychosocial stressors and alcohol use, severity, and treatment receipt across human immunodeficiency virus (HIV) status in a nationally representative sample of US residents. | Williams EC et al. | — | 2017 | → |
| Racial Disparities in the Association between Alcohol Use Disorders and Health in Black and White Women. | Ransome Y et al. | — | 2017 | → |
| Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA). | Glass JE et al. | — | 2017 | → |
| Socio-psychological mediators of the relationship between behavioral health stigma and psychiatric symptoms. | Hunter BA et al. | — | 2017 | → |
| Alcohol Screening and Intervention Among United States Adults who Attend Ambulatory Healthcare. | Glass JE et al. | — | 2016 | → |
| Alcohol problem recognition and help seeking in adolescents and young adults at varying genetic and environmental risk. | Glass JE et al. | — | 2015 | → |
| Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials. | Glass JE et al. | — | 2015 | → |
| The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings. | Hasin DS et al. | — | 2015 | → |
| Psychiatric comorbidity and perceived alcohol stigma in a nationally representative sample of individuals with DSM-5 alcohol use disorder. | Glass JE et al. | — | 2014 | → |
| Alcohol stigma and persistence of alcohol and other psychiatric disorders: a modified labeling theory approach. | Glass JE et al. | — | 2013 | → |
| Why not add consumption measures to current definitions of substance use disorders? Commentary on Rehm et al.: 'Defining substance use disorders: do we really need more than heavy use?'. | Bradley KA et al. | — | 2013 | → |