Levy Einav, Gidron Yori, Olley Benjamin O
a MPH, is a PhD Candidate at Faculty of Medicine and Pharmacy , The Free University of Brussels (VUB) , Brussels , Belgium.
b PhD, is a Professor at Faculty of Medicine and Pharmacy , The Free University of Brussels (VUB) , Brussels , Belgium.
SAHARA J. 2017 Dec;14(1):24-30. doi: 10.1080/17290376.2017.1375970.
One of the challenges facing researchers in the domain of human immunodeficiency virus prevention is the assessment of condom use in an unbiased self-reported manner. The current study presents the development and preliminary validation of an indirect condom use test (I-CUTE), designed to assess condom use tendencies and to overcome self-report biases. Two samples were included using correlational designs. In sample 1, 88 students from European university completed the I-CUTE with questionnaires of condom use barriers, social desirability, and condom use negotiation self-efficacy. In sample 2, 212 students from sub-Saharan universities completed the I-CUTE with questionnaires of condom use barriers and knowledge. The I-CUTE included 17 pictures of human figures in relation to condom use, where participants had to choose one of the four a-priori given sentences reflecting the figures' thoughts. This represented a semi-projective, yet standardized test. In sample 1, I-CUTE scores were inversely related to barriers, positively correlated with condom use negotiation self-efficacy and unrelated to social desirability. In sample 2, I-CUTE scores were inversely related to barriers and unrelated to knowledge scores. In a multiple regression, condom use barriers had a unique contribution to explaining variance in I-CUTE scores, beyond the contribution of background variables and knowledge. These results support the preliminary reliability and validity of the I-CUTE tool in a variety of cultures, and reveal its lack of bias by social desirability and the importance of condom use barriers in condom use tendencies.
人类免疫缺陷病毒预防领域的研究人员面临的挑战之一是以无偏差的自我报告方式评估避孕套的使用情况。当前的研究介绍了一种间接避孕套使用测试（I-CUTE）的开发和初步验证，该测试旨在评估避孕套使用倾向并克服自我报告偏差。研究采用相关设计纳入了两个样本。在样本1中，来自欧洲大学的88名学生完成了I-CUTE测试以及关于避孕套使用障碍、社会期望和避孕套使用协商自我效能感的问卷调查。在样本2中，来自撒哈拉以南大学的212名学生完成了I-CUTE测试以及关于避孕套使用障碍和知识的问卷调查。I-CUTE包括17张与避孕套使用相关的人物图片，参与者必须从预先给出的反映人物想法的四个句子中选择一个。这是一个半投射性但标准化的测试。在样本1中，I-CUTE得分与障碍呈负相关，与避孕套使用协商自我效能感呈正相关，与社会期望无关。在样本2中，I-CUTE得分与障碍呈负相关，与知识得分无关。在多元回归中，除了背景变量和知识的贡献外，避孕套使用障碍对解释I-CUTE得分的方差有独特贡献。这些结果支持了I-CUTE工具在多种文化中的初步可靠性和有效性，并揭示了其不受社会期望偏差的影响以及避孕套使用障碍在避孕套使用倾向中的重要性。
