2. Christin Stewart, RTI International
Measuring anticipated sex-work stigma: Scale validation and association with HIV and non-HIV service utilization
Christin Stewart, RTI International
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3. Methods 23 anticipated sex-work stigma items (types and sources)
Cross-sectional survey of 729 sex workers from four study sites (Nairobi, Kitui, Homa Bay, and Busia) in Kenya
Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) used to identify the best scale
Logisitic regression used to assess associations between anticipated stigma and utilization of health services in the past 12 months

4. Results 5-factor, 18-item anticipated sex-work stigma scale
Good construct validity
Root mean square error of approximation [RMSEA]=0.09; standardized root mean square residual [SRMR]=0.05; and comparative fit index [CFI]=0.90
Good internal consistency
Cronbach’s alpha=0.93
Higher scores on all subscales were associated with avoidance or delay of non-HIV health services. No association between anticipated stigma subscores and avoidance or delay of HIV services.

5. Mean Sex-Work Stigma Subscores By Avoidance or Delay of Non-HIV Health Services in the Last Year, n=729
Subscore

6. Acknowledgements
Coauthors: Emmanuel Oga, John Kraemer, David Kuria, Melissa Stockton, and Laura Nyblade
Respondents and interviewers
Community partner organizations
Health Options for Young Men on HIV, AIDS and STIs
Bar Hostess Empowerment and Support Program
Keeping Alive Society’s Hope
Survivors
Funding for this analysis was provided by RTI International. Original data collection was supported by the Health Policy Project (HPP) and funded by USAID and PEPFAR*
*The content of this publication is the sole responsibility of the authors and does not necessarily reflect the views or policies of USAID or PEPFAR.