Department of Health Management, Faculty of Health Sciences, European University of Lefke, Northern Cyprus, Mersin, TR-10, Turkey.
Department of Psychiatric Nursing, School of Nursing, European University of Lefke, Northern Cyprus, Mersin, TR-10, Turkey.
BMC Public Health. 2024 Feb 3;24(1):359. doi: 10.1186/s12889-024-17867-6.
Young adults are a diverse group with diverse cares, choices and preferences in accessing and using Sexual and Reproductive Health (SRH) services, they should be at the center of the development of new managed models and solutions for the delivery of SRH services. The purpose of the study is to develop a valid and reliable measurement tool that can be used to determine the knowledge and attitudes of young adults about SRH and the barriers for accessing services, and to evaluate the attitudes and needs of young adults to receive SRH services.
In this study, the questions of the scale were developed through literature review, focus group interview with 8 people and expert evaluation were made, and a pre-test application was also carried out. Exploratory factor analysis and reliability testing were performed with a sample of 458 young adults. The re-test reliability was performed with 220 participants who were reached one month after the first measurement. Principal component analysis was used to establish the construct validity. The reliability of the scale was assessed using the Cronbach's alpha value.
A 23-item scale has been developed to identify and evaluate young adults' thoughts, attitudes, and perceived barriers for accessing services regarding SRH. In the exploratory factor analysis conducted to examine the construct validity of SRHSSS, a four-factor structure was obtained that explained 89.45% of the total variance. The factor loadings of the scale items were found to vary between 0.78-0.97. At the same time, the Cronbach's alpha value of the scale is 0.90, indicates a good internal consistency.
SRHSSS is a scale with sufficient validity and reliability to determine young adults' SRH Service Seeking.
年轻人是一个多样化的群体，他们在获取和使用性与生殖健康（SRH）服务方面有不同的关注点、选择和偏好，因此他们应该成为开发新的管理模式和解决方案以提供 SRH 服务的核心。本研究的目的是开发一种有效的、可靠的测量工具，用于确定年轻人对 SRH 的知识和态度以及获取服务的障碍，并评估年轻人对接受 SRH 服务的态度和需求。
在这项研究中，通过文献回顾、8 人焦点小组访谈和专家评估制定了量表的问题，并进行了预测试应用。使用 458 名年轻人的样本进行探索性因素分析和信度测试。使用 220 名在第一次测量一个月后联系到的参与者进行重测信度测试。采用主成分分析建立结构效度。使用 Cronbach's alpha 值评估量表的信度。
开发了一个 23 项的量表，用于识别和评估年轻人对 SRH 的想法、态度和获取服务的感知障碍。在对 SRHSSS 的结构效度进行的探索性因素分析中，得到了一个可以解释总方差 89.45%的四因素结构。量表项目的因子负荷在 0.78-0.97 之间。同时，量表的 Cronbach's alpha 值为 0.90，表明内部一致性良好。
SRHSSS 是一种具有足够有效性和可靠性的量表，可以确定年轻人的 SRH 服务寻求。
