Harran University Faculty of Medicine Department of Public Health, Turkiye.
Harran University Faculty of Health Sciences, Turkiye.
Eur J Obstet Gynecol Reprod Biol. 2024 Jul;298:42-48. doi: 10.1016/j.ejogrb.2024.04.036. Epub 2024 Apr 28.
Determination of the attitudes of individuals toward sexually transmitted infections (STIs) can also help identify barriers to health service-seeking behavior. Hence, this study aimed to develop a scale for determining the attitudes of individuals toward sexually transmitted diseases.
This was a methodological study. The Health Belief Model (HBM) framework was used to elucidate the perceptions and interpretations of illnesses among individuals. After reviewing the relevant literature, an item pool was created to include 4 dimensions (perceived susceptibility (A), perceived severity (B), perceived benefit (C), and perceived barriers and self-efficacy (D)) about sexually transmitted diseases from the perspective of HBM. Exploratory factor analysis was conducted to evaluate the construct validity of the scale. Moreover, confirmatory factor analysis was used to examine the suitability of the items in terms of factor structures.
The final version of the scale comprised 19 items and 4 subdimensions. The first subdimension of the scale accounted for 20.11% of the total variance, whereas the second, third, and fourth subdimensions accounted for 17.83%, 12.50%, and 8.75% of the total variance, respectively. Collectively, these four subdimensions accounted for 59.19% of the total variance. The Cronbach's alpha reliability coefficient of the scale was found to be 0.74.
Briefly, the present study led to the development of a novel assessment tool, Attitude Toward Sexually Transmitted Infections Scale. Higher scores on the scale indicated higher likelihood of taking action for a possible STI treatment according to the HBM approach.
了解个体对性传播感染（STIs）的态度也有助于识别寻求卫生服务行为的障碍。因此，本研究旨在开发一种用于确定个体对性传播疾病态度的量表。
这是一项方法学研究。健康信念模型（HBM）框架用于阐明个体对疾病的看法和解释。在回顾相关文献后，从 HBM 的角度创建了一个项目池，其中包括 4 个维度（感知易感性（A）、感知严重性（B）、感知益处（C）和感知障碍和自我效能（D））关于性传播疾病。进行探索性因子分析以评估量表的构念效度。此外，还使用验证性因子分析来检查项目在因子结构方面的适宜性。
量表的最终版本包括 19 个项目和 4 个亚维度。量表的第一个亚维度占总方差的 20.11%，而第二个、第三个和第四个亚维度分别占总方差的 17.83%、12.50%和 8.75%。这四个亚维度总共占总方差的 59.19%。该量表的克朗巴赫α可靠性系数为 0.74。
总之，本研究开发了一种新的评估工具，即性传播感染态度量表。根据 HBM 方法，该量表的得分越高，对可能的 STI 治疗采取行动的可能性就越大。
