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Measure of Internalized Sexual Stigma for Lesbians and Gay Men (MISS-LG) in Taiwan: Psychometric Evidence from Rasch and Confirmatory Factor Analysis

Author

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  • Cheng-Fang Yen

    (Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 802, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 802, Taiwan
    College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan)

  • Yu-Te Huang

    (Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong RM543, China)

  • Marc N. Potenza

    (Departments of Psychiatry and Neuroscience and the Child Study Center, School of Medicine, Yale University, New Haven, CT 06511, USA
    Connecticut Council on Problem Gambling, Wethersfield, CT 06109, USA
    Connecticut Mental Health Center, New Haven, CT 06519, USA
    Wu Tsai Institute, Yale University, New Haven, CT 06510, USA)

  • Tzu-Tung Tsai

    (Department of Neurology, E-Da Hospital, I-Shou University, Kaohsiung City 82445, Taiwan)

  • Chung-Ying Lin

    (Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan
    Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan
    Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan
    Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan)

  • Hector W. H. Tsang

    (Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong 999077, China)

Abstract

Internalized sexual stigma may hamper the development of self-identity, social interaction, and intimate relationship in lesbian, gay, and bisexual (LGB) individuals. The Measure of Internalized Sexual Stigma for Lesbians and Gay Men (MISS-LG) is an important instrument assessing internalized sexual stigma for LGB individuals. However, its psychometric properties have not been examined in LGB populations outside the Italian community. The present study used advanced psychometric testing to evaluate the traditional Chinese version (the MISS-LG) among LGB individuals in Taiwan. LGB individuals (500 male, 500 female) participated in this study and completed the MISS-LG, HIV and Homosexuality Related Stigma (HHRS), and Acceptance and Action Questionnaire-II (AAQ). Confirmatory factor analysis results confirmed the three-factor structure of the MISS-LG; however, two items for males and one item for females had somewhat low factor loadings on the sexuality factor. Each MISS-LG factor was found to be unidimensional in Rasch results, except for the slight misfit in Item 3 and concurrent validity of the MISS-LG was supported by the positive correlations with HHRS and the AAQ. The Chinese MISS-LG has relatively satisfactory psychometric properties. However, further research is needed to investigate the reasons for problematic fitting of several items.

Suggested Citation

  • Cheng-Fang Yen & Yu-Te Huang & Marc N. Potenza & Tzu-Tung Tsai & Chung-Ying Lin & Hector W. H. Tsang, 2021. "Measure of Internalized Sexual Stigma for Lesbians and Gay Men (MISS-LG) in Taiwan: Psychometric Evidence from Rasch and Confirmatory Factor Analysis," IJERPH, MDPI, vol. 18(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13352-:d:705808
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    References listed on IDEAS

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    1. Nai-Ying Ko & I-Hsuan Lin & Yu-Te Huang & Mu-Hong Chen & Wei-Hsin Lu & Cheng-Fang Yen, 2020. "Associations of Perceived Socially Unfavorable Attitudes toward Homosexuality and Same-Sex Marriage with Suicidal Ideation in Taiwanese People before and after Same-Sex Marriage Referendums," IJERPH, MDPI, vol. 17(3), pages 1-15, February.
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    Cited by:

    1. Chung-Ying Lin & Yu-Te Huang & Chiu-Hsiang Lee & Chia-Wei Fan & Cheng-Fang Yen, 2022. "Gay Community Stress Scale with Its Cultural Translation and Adaptions in Taiwan," IJERPH, MDPI, vol. 19(18), pages 1-12, September.
    2. Mei-Feng Huang & Yu-Ping Chang & Chung-Ying Lin & Cheng-Fang Yen, 2022. "A Newly Developed Scale for Assessing Experienced and Anticipated Sexual Stigma in Health-Care Services for Gay and Bisexual Men," IJERPH, MDPI, vol. 19(21), pages 1-10, October.
    3. Jia-In Lee & Yu-Ping Chang & Ching-Shu Tsai & Cheng-Fang Yen, 2022. "Internalized Sexual Stigma among Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    4. Huang-Chi Lin & Chih-Cheng Chang & Yu-Ping Chang & Yi-Lung Chen & Cheng-Fang Yen, 2022. "Associations among Perceived Sexual Stigma from Family and Peers, Internalized Homonegativity, Loneliness, Depression, and Anxiety among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    5. Chung-Ying Lin & Yu-Ping Chang & Wen-Jiun Chou & Cheng-Fang Yen, 2023. "Assessing Enacted Sexual Stigma toward Gay and Bisexual Men in the Military: The Enacted Sexual Stigma Experiences Scale in Military Service," IJERPH, MDPI, vol. 20(2), pages 1-10, January.
    6. Mei-Feng Huang & Yu-Ping Chang & Wei-Hsin Lu & Cheng-Fang Yen, 2022. "Problematic Smartphone Use and Its Associations with Sexual Minority Stressors, Gender Nonconformity, and Mental Health Problems among Young Adult Lesbian, Gay, and Bisexual Individuals in Taiwan," IJERPH, MDPI, vol. 19(9), pages 1-12, May.

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