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智利背景下青少年和成年人避孕套使用态度量表的编制与效度验证

Development and Evidence of the Validity of the Condom Use Attitudes Scale for Youth and Adults in a Chilean Context.

作者信息

Ferrer-Urbina Rodrigo, Mena-Chamorro Patricio, Sepúlveda-Páez Geraldy, Carmona-Halty Marcos

机构信息

Escuela de Psicología y Filosofía, Universidad de Tarapacá, Arica, Chile.

出版信息

Front Psychol. 2021 Dec 1;12:727499. doi: 10.3389/fpsyg.2021.727499. eCollection 2021.

DOI:10.3389/fpsyg.2021.727499
PMID:34925136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8671144/
Abstract

Condom use is the most effective preventive behavior against HIV transmission, and its inadequate use is a public health problem that occurs mostly among youth and young adults. Although there are scales that measure condom use, those that exist correspond to English-speaking developments or do not have psychometric evidence to support them, so it is possible that the available adaptations of instruments do not adequately reflect the phenomenon in the Chilean population. Thus, the study aims to develop a scale to assess attitudes toward condom use in Chilean youth and young adults. Initially, a sample of students between 18 and 39 years ( = 520) was used for debugging the instrument. Then, a second sample was taken from the general population aged 18 to 40 ( = 992) to confirm the factor structure of the proposed model. The final scale has 10 items and 3 attitudinal dimensions (affective, cognitive, and behavioral). The results show that the identified structure provides adequate levels (ω > 0.7) or at least sufficient of reliability (ω > 0.6) and presents evidence of validity, based on the internal structure of the test, through ESEM (CFI = 0.993; TLI = 0.984; RMSEA = 0.056). In addition, evidence of validity was obtained based on the relationship with other variables and strong invariance between the scores of men and women. It is concluded that the scale developed has adequate psychometric properties to assess, in brief form, condom use attitudes in equal samples for research and screening purposes.

摘要

使用避孕套是预防艾滋病毒传播最有效的预防行为,而避孕套使用不足是一个主要发生在青年和年轻成年人中的公共卫生问题。尽管有测量避孕套使用情况的量表,但现有的量表要么是基于英语国家的研究开发的,要么没有心理测量学证据支持,因此现有的工具改编版可能无法充分反映智利人群中的这一现象。因此,本研究旨在开发一个量表,以评估智利青年和年轻成年人对避孕套使用的态度。最初,使用了18至39岁的学生样本(n = 520)来调试该工具。然后,从18至40岁的普通人群中抽取了第二个样本(n = 992),以确认所提出模型的因子结构。最终量表有10个项目和3个态度维度(情感、认知和行为)。结果表明,所确定的结构提供了足够的水平(ω > 0.7)或至少足够的信度(ω > 0.6),并通过ESEM(CFI = 0.993;TLI = 0.984;RMSEA = 0.056)基于测试的内部结构呈现了效度证据。此外,基于与其他变量的关系以及男性和女性得分之间的强不变性获得了效度证据。结论是,所开发的量表具有足够的心理测量学特性,能够以简短形式评估研究和平等样本筛查目的下的避孕套使用态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e6/8671144/5e4386825ad1/fpsyg-12-727499-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e6/8671144/5e4386825ad1/fpsyg-12-727499-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e6/8671144/5e4386825ad1/fpsyg-12-727499-g001.jpg

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Validation of Brief Condom Use Attitudes Scales for Spanish-Speaking People Who Use Crack Cocaine in El Salvador.验证用于萨尔瓦多使用可卡因的西班牙语人群的简短避孕套使用态度量表。
Arch Sex Behav. 2022 Jul;51(5):2679-2688. doi: 10.1007/s10508-021-02193-4. Epub 2022 May 4.
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Facilitators and barriers to condom use among Filipinos: A systematic review of literature.菲律宾人使用避孕套的促进因素和障碍:文献系统综述
Health Promot Perspect. 2020 Nov 7;10(4):306-315. doi: 10.34172/hpp.2020.49. eCollection 2020.
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Knowledge, attitudes and practices of young adults towards HIV prevention: an analysis of baseline data from a community-based HIV prevention intervention study in two high HIV burden districts, South Africa.
Int J Environ Res Public Health. 2022 Jul 29;19(15):9293. doi: 10.3390/ijerph19159293.
年轻人对艾滋病预防的知识、态度和实践:南非两个艾滋病高负担地区社区为基础的艾滋病预防干预研究的基线数据分析。
BMC Public Health. 2020 Aug 17;20(1):1249. doi: 10.1186/s12889-020-09356-3.
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Effects of Alcohol, Condom Request Style, and State Anger on Men's Condom Use Resistance.酒精、避孕套索取方式和愤怒状态对男性使用避孕套的抵制作用的影响。
J Stud Alcohol Drugs. 2020 Jul;81(4):454-461. doi: 10.15288/jsad.2020.81.454.
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Spanish Translation, Adaptation, and Validation of the Multidimensional Condom Attitudes Scale with Young Colombian Men and Women.西班牙语翻译、适应和验证多维 condom 态度量表在年轻哥伦比亚男女中的应用。
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Exploring Determinants of Condom Use among University Students in Sudan.探究苏丹大学生使用避孕套的决定因素。
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BMC Womens Health. 2019 Oct 28;19(1):128. doi: 10.1186/s12905-019-0825-z.
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