AIDS and Behavior

, Volume 22, Issue 5, pp 1606–1613 | Cite as

Disclosure and Stigma of a Positive HIV-Serostatus: A Two-Step Cluster Analysis of the HIV Disclosure Scale

  • Arryn A. Guy
  • Kristin Niel
  • R. E. Franco Durán
Original Paper


Despite national efforts to improve the public’s education about an HIV diagnosis, stigma still plays a significant role in how persons living with HIV (PLH) decide to disclose their serostatus to friends, family, or healthcare workers. Disclosure can be related to both positive and negative psychological health outcomes, including rates of depression and perceived social support. Researchers often assess disclosure patterns in PLH due to its association with important health implications; however, to date, there are no empirically validated measures of HIV-serostatus disclosure. The HIV Disclosure Scale (HDS) was created to assess various aspects of the disclosure process and has been utilized in several studies as an adequate measurement of HIV-serostatus disclosure despite no available psychometric data. This study aims to uncover constructs measured by the HDS using exploratory two-step cluster analysis to provide an initial analysis of the psychometric properties of this scale.


HIV/AIDS Disclosure Stigma Psychometrics 



This study was funded by Lewis College of Human Sciences, Illinois Institute of Technology, student research scholarship awarded to Arryn A. Guy.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  • Arryn A. Guy
    • 1
  • Kristin Niel
    • 2
  • R. E. Franco Durán
    • 3
  1. 1.Clinical Psychology, Department of PsychologyIllinois Institute of TechnologyChicagoUSA
  2. 2.St. Jude Children’s Research HospitalMemphisUSA
  3. 3.California School of Professional PsychologyAlliant International UniversityAlhambraUSA

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