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stigmatization

HIV Stigma Scale (BHSS) Test

Take the online HIV Stigma Scale (BHSS) Test - AI psychologist FreudlyYou can take HIV Stigma Scale (BHSS) Test here. Online version of a simple and accurate psychological test with interpretation.en
With 12 questions completed in about 3 minutes, the HIV Stigma Scale (BHSS) Test shows a profile of reported stigma-related perceptions, feelings, and concerns. The result can help you notice how strongly these experiences are represented across the displayed dimensions and support focused self-reflection.
Questions: 123 minutes
HIV Stigma Scale (BHSS) Test: agreement scale card
October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published
23,355 views
1,912 completions
1,670 likes
Daniel HallPsychologist · Test reviewer
1,670 likes
Scale Explorer

How the Scales are Structured

Negative Self-ImageNSI
Assesses the degree of guilt, shame, and self-blame a person associates with living with HIV.
example score9/12
9/12Highexample score
3 – 3.8Low
3.9 – 8.6Moderate
8.7 – 12High
A score of 9 falls in the High range, suggesting relatively strong feelings of guilt/shame and internalized self-blame related to HIV.
Public AttitudesPA
Assesses how strongly a person perceives that most people hold stigmatizing attitudes toward HIV.
example score8/12
8/12Moderate perceived stigmaexample score
3 – 5Low perceived stigma
6 – 10Moderate perceived stigma
11 – 12High perceived stigma
A score of 8 falls in the moderate range, suggesting a noticeable perception that public attitudes toward HIV are biased or rejecting.
Disclosure ConcernsDC
Measures the extent to which a person wants to keep their HIV status hidden from others due to anticipated negative reactions.
example score10/12
10/12Moderate concealmentexample score
3 – 5Low concealment
6 – 10Moderate concealment
11 – 12High concealment
A score of 10 falls in the Moderate concealment range, suggesting a notable tendency to limit disclosure of HIV status in some situations.
Personalized StigmaPS
Measures anticipated negative consequences and fear of judgment or discrimination when disclosing an HIV diagnosis.
example score8/12
8/12Moderateexample score
3 – 4Low
5 – 9Moderate
10 – 12High
A score of 8 falls in the Moderate range, suggesting a noticeable but not extreme concern about negative reactions or discrimination if the HIV status is disclosed.
Overall HIV StigmaOHS
Measures the overall intensity of perceived HIV-related stigma, integrating experiences of rejection, bias, and internalized stigma across domains.
example score27/48
27/48Moderateexample score
12 – 23Low
24 – 35Moderate
36 – 48High
A score of 27 falls in the Moderate range, suggesting a noticeable but not extreme level of perceived HIV-related stigma and its potential impact on social comfort and self-perception.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

People living with HIV
46%OF USERS
They take it to understand how much stigma, rejection, or pressure they feel and how it may be affecting their mood, relationships, and willingness to seek help.
HIV clinic psychologists
34%OF USERS
They use it to quickly identify clients at risk of isolation or depression and to plan targeted psychological support over time.
NGO support program staff
20%OF USERS
They administer it to monitor stigma levels in participants and evaluate whether outreach and peer-support interventions are reducing barriers to care.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
Benchmarking

See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Shaded area — where most people score
Dot — the average
You — your score lands on each curve after the test— your score, after the test
Negative Self-EsteemNS
You?
Average7.4
Typical rangeTypical6.2 – 8.5
Possible3 – 12
Public OpinionPO
You?
Average5.3
Typical rangeTypical3.9 – 6.6
Possible3 – 12
DisclosureD
You?
Average8.8
Typical rangeTypical7.4 – 10.2
Possible3 – 12
Personalized stigmaPs
You?
Average6.6
Typical rangeTypical5 – 8.2
Possible3 – 12
Overall HIV Stigma IndexOHSI
You?
Average33.2
Typical rangeTypical27.7 – 38.8
Possible12 – 48
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SAMPLE QUESTIONS

Example Questions From the Test

Many of the items in the next section assume that you have told other people that you have HIV, or that others are aware of it. This may not be the case for you. If an item refers to something that has not actually happened to you, imagine yourself in that situation. Then provide your response based on how you think you would feel or how you think others would respond to you. Please rate each of the statements below.
    • Strongly disagree
    • Disagree
    • Agree
    • Strongly agree
    • Strongly disagree
    • Disagree
    • Agree
    • Strongly agree
    • Strongly disagree
    • Disagree
    • Agree
    • Strongly agree
WHAT THE TEST MEASURES

HIV Stigma Scale (BHSS) Test - Description and methodology of the test

stigmatization

For people living with HIV who want to reflect on stigma-related experiences, the HIV Stigma Scale (BHSS) Test organizes responses for structured personal reflection. Interpreting results from this HIV stigma assessment can help a respondent recognize patterns in their answers, prepare questions for further reflection, and place individual ratings in the context of current circumstances.

What This Assessment Explores

Rather than assessing medical markers, it maps emotional and social experiences around HIV stigma. Responses to this HIV stigma questionnaire show which dimension is most prominent.

The result separates these dimensions:

  • Negative Self-Image (3-12) measures guilt and shame; Low 3-3.8, Moderate 3.9-8.6, and High 8.7-12 indicate increasing self-rejection or self-blame.
  • Public Attitudes (3-12) measures perceived social prejudice; Low perceived stigma 3-5, Moderate perceived stigma 6-10, and High perceived stigma 11-12 indicate increasing perceived stigma.
  • Disclosure Concerns (3-12) measures status concealment; Low concealment 3-5, Moderate concealment 6-10, and High concealment 11-12 indicate increasing concern about negative reactions.
  • Personalized Stigma (3-12) measures anticipated judgment or discrimination; Low 3-4, Moderate 5-9, and High 10-12 indicate increasing fear of consequences.
  • Overall HIV Stigma (12-48) combines these dimensions; Low 12-23, Moderate 24-35, and High 36-48 indicate greater overall perceived stigma.

Methodology and Scientific Basis

The closest methodological reference is HIV Stigma Scale-12 (Reinius et al., 2017), a published short form developed from the Berger HIV Stigma Scale. This questionnaire is conceptually consistent with that work, but its online presentation does not necessarily reproduce the research instrument's administration, norms, or validation conditions.

Each statement uses four ordered responses: Strongly disagree, Disagree, Agree, or Strongly agree. Twelve statements cover four three-item areas. It displays dimension results and an overall index; higher values may indicate stronger endorsement. Displayed bands provide descriptive categories for reading the profile.

Because this HIV stigma test relies on self-report, interpretation depends on honest reporting and current context. Current stress, fear of disclosure, social context, and limited self-awareness can influence responses. Berger, Ferrans, and Lashley (2001) introduced the original scale and evaluated its measurement properties, while Wanjala et al. (2021) summarize psychometric evidence for Berger-based versions. Together, these sources clarify the questionnaire's construct coverage, but they do not validate every online score for every population. Results are best considered alongside wider circumstances and any broader assessment relevant to the person's needs.

Author: Bruce G. Link, Gregory M. Herek
Literature:
  • Reinius, Maria, Lena Wettergren, Maria Wiklander, Veronica Svedhem, Anna Mia Ekström, and Lars E. Eriksson. Development of a 12-item short version of the HIV stigma scale. Health and Quality of Life Outcomes, 15, 115 (2017). 10.1186/s12955-017-0691-z
  • Berger, Barbara E., Carol E. Ferrans, and Felissa R. Lashley. Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Research in Nursing & Health, 24(6), 518-529 (2001). 10.1002/nur.10011
  • Wanjala, Stanley W., Ezra K. Too, Stanley Lüchters, and Amina Abubakar. Psychometric Properties of the Berger HIV Stigma Scale: A Systematic Review. International Journal of Environmental Research and Public Health, 18(24), 13074 (2021). 10.3390/ijerph182413074

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