Psychometric properties of the condom use barriers scale for adolescents

  1. Silvia Escribano 1
  2. José P. Espada 1
  3. Alexandra Morales 1
  4. Mireia Orgilés 1
  1. 1 Universidad Miguel Hernández de Elche
    info

    Universidad Miguel Hernández de Elche

    Elche, España

    ROR https://ror.org/01azzms13

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2017

Volumen: 20

Tipo: Artículo

DOI: 10.1017/SJP.2017.64 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Objetivos de desarrollo sostenible

Resumen

Inconsistent condom use in young people is related to the perceived barriers to their use. The psychometric properties and factor structure of the new Condom Use Barriers Scale for Adolescents (CUBS-A) are analyzed. Concurrent validity was assessed by the Attitude towards condom use subscale of the validated HIV-AS test and the percentage of condom use variable. A total of 629 Spanish adolescents whose mean age was 15.17 (SD = 1.09; 51.5% boys) participated. Exploratory factor analysis supported a 15–item instrument with four factors: negotiation skills, perceived feelings, negative aspects of condoms, and disruption of the sexual experience, which explained 41.89% of the total variance (KMO = .84; χ2 = 1071.93; p < .001). The results show high internal consistency (α = .86) and a good fit of the data to the model (NNFI = .93; CFI = .95; IFI = .95; RMSEA = .04). Its total score and most of its factors show acceptable correlation with the percentage of condom use, values that support the criterial validity (p ≤ .05). Gender differences were found in most subscales (p ≤ .001). The CUBS-A is a valid and reliable new instrument for assessing perceived barriers in adolescents for using condoms to protect themselves during sexual intercourse.

Referencias bibliográficas

  • Ajzen I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
  • Bartlett M. S. (1950). Tests of significance in factor analysis. British Journal of Mathematical and Statistical Psychology, 3(2), 77–85. https://doi.org/10.1111/j.2044-8317.1950. tb00285.x
  • Bentler P. M. (1989). EQS Structural Equations Program Manual. Los Angeles, CA: BMDP Statistical Software.
  • Bentler P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. https://doi. org/10.1037/0033-2909.107.2.238
  • Bentler P. M., & Bonett D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606. https://doi.org/ 10.1037/0033-2909.88.3.588
  • Bollen K. A. (1989). Structural equations with latent variables. New York, NY: Wiley.
  • Centers for Disease Control and Prevention (2003). Fact sheet for public health personnel: Male latex condoms and sexually transmitted diseases. Retrieved from Centers for Disease Control and Prevention website https://www. cdc.gov/condomeffectiveness/docs/condoms_and_ stds.pdf
  • Centro Nacional de Epidemiología (2015). Vigilancia epidemiológica de las infecciones de transmisión sexual, 1995–2013. Madrid, Spain: Centro Nacional de Epidemiología/Subdirección General de Promoción de la Salud y Epidemiología Plan Nacional sobre el Sida.
  • Crosby R. A., Charnigo R., & Shrier L. A. (2014). Prospective associations between perceived barriers to condom: use and “perfect use.” American Journal of Preventive Medicine, 47(1), 70–72. https://doi.org/ 10.1016/j.amepre.2014.01.026
  • Doyle S. R., Calsyn D. A., & Ball S. A. (2008). Factor structure of the Condoms Barriers Scale with a sample of men at high risk for HIV. Assessment, 16, 3–15. https://doi. org/10.1177/1073191108322259
  • Frieden T. R., Jaffe H. W., Cono J., Richards C. L., & Iademarco M. F. (2014). Centers for Disease Control and Prevention (CDC). Youth risk behavior surveillanceUnited States, 2013. Surveillance Summaries, 63(4), 1–162.
  • Escribano S., Espada J. P., Morales A., & Orgilés M. (2015). Mediation analysis of an effective sexual health promotion intervention for Spanish adolescents. AIDS and Behavior, 19(10), 1850–1859. https://doi.org/10.1007/s10461-0151163-2
  • Espada J. P., Ballester R., Huedo-Medina T. B, SecadesVilla R., Orgilés M., & Martínez-Lorca M. (2013). Development of a new instrument to assess AIDS-related attitudes among Spanish Youngsters. Anales de Psicología, 29, 83–89. https://doi.org/10.6018/analesps.29.1.132301
  • Espada J. P., Morales A., Orgilés M., Jemmott J. B., & Jemmott L. S. (2015). Short-term evaluation of a skilldevelopment sexual education program for Spanish adolescents compared with a well-established program. Journal of Adolescent Health, 56(1), 30–37. https://doi. org/10.1016/j.jadohealth.2014.08.018
  • Gmel G. (2001). Imputation of missing values in the case of a multiple item instrument measuring alcohol consumption. Statistics in Medicine, 20(15), 2369–2381. https://doi.org/ 10.1002/sim.837
  • Guiella G., & Madise N. J. (2007). HIV/AIDS and sexualrisk behaviors among adolescents: Factors influencing the use of condoms in Burkina Faso. African Journal of Reproductive Health, 11(3), 182–196. https://doi.org/ 10.2307/25549739
  • Hu L., & Bentler P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/ 10.1080/10705519909540118
  • Kaiser H. F. (1970). A second generation little jiffy. Psychometrika, 35, 401–415. https://doi.org/10.1007/ BF02291817
  • Lameiras M., Rodríguez Y., Calado M., & González M. (2003). Creencias vinculadas al uso del preservativo masculino en adolescentes españoles sexualmente activos [Beliefs linked to condom use among sexually active Spanish adolescents]. Universitas Psychologica, 3(1), 27–34.
  • Lazarus J. V., Moghaddassi M., Godeau E., Ross J., Vignes C., Östergren P. -O., & Liljestrand J. (2009). A multilevel analysis of condom use among adolescents in the European Union. Public Health, 123, 138–144. https:// doi.org/10.1016/j.puhe.2008.10.014
  • Loewenthal K. M. (1996). An introduction to psychological tests and scales. London, UK: UCL Press.
  • Moreno C., Ramos P., Rivera F., Sánchez-Queija I., Jiménez-Iglesias A., García-Moya I., & Fuchs N. (2013). Los estilos de vida y la salud de los adolescentes españoles a lo largo de la primera década del milenio. El Estudio Health Behavior in School-aged Children (HBSC) 2002–2006–2010. Madrid, Spain: Ministerio de Sanidad, Servicios Sociales e Igualdad. Retrieved from https://www.msssi.gob.es/profesionales/saludPublica/ prevPromocion/promocion/saludJovenes/estudioHBSC/ docs/Comparativo2002a2010/Indice.pdf
  • Moreno A., & Rodríguez E. (2013). Informe de la juventud en España 2012. [National youth report, 2012]. Madrid, Spain: Instituto de la Juventud. Retrieved from Instituto de la Juventud website http://www.injuve.es/sites/default/ files/2013/26/publicaciones/IJE2012_0.pdf
  • Muñoz-Silva A., Sánchez-García M., Nunes C., & Martins A. (2007). AIDS prevention in late adolescent college students from Spain and Portugal. Public Health, 121, 673–681. https://doi.org/10.1016/j.puhe.2007.01.010
  • Muñoz-Silva A., Sánchez-García M., Martins A., & Nunes C. (2009). Gender Differences in HIV-Related Sexual Behavior among College Students from Spain and Portugal. The Spanish Journal of Psychology, 12(2), 485–495. https://doi.org/10.1017/S1138741600001864
  • Organización Mundial de la Salud (OMS) (2016). Estrategia mundial del sector de la salud contra las infecciones de transmisión sexual 2016–2021. Hacia el fin de las ITS [Global health sector strategy on sexually transmitted infections 2016-2021. Towards ending STIs] Geneve, Switzerland: WWO Document Production Services.
  • O´Brien R. F. (2013). Condom use by adolescents. Pediatrics, 132(5), 973–981. https://doi.org/10.1542/peds.2013–2821
  • Ramiro L., Windlin B., Reis M., Gabhainn S. N., Jovic S., Matos M. G., … Godeau E. (2015). Gendered trends in early and very early sex and condom use in 20 European countries from 2002 to 2010. European Journal of Public Health, 25(2), 65–68. https://doi.org/10.1093/eurpub/ ckv030
  • Romero-Estudillo E., González-Jiménez E., Mesa-Franco M. C., & García-García I. (2014). Gender-based differences in the high-risk sexual behaviors of young people aged 15–29 in Melilla (Spain): A cross-sectional study. BMC Public Health, 14, 745. https://doi.org/10.1186/1471–2458– 14–745
  • Ruiz E., Giménez C., & Ballester R. (2008). Percepción de ventajas e inconvenientes sobre el uso del preservativo en estudiantes universitarios: Diferencias en función del sexo (Universitat Jaume I-Fundació Bancaixa-P11B2006–19). In I Universitat Jaume (Ed.), Jornades de Foment de la Investigació (135-142). Castelló: Universitat Jaume I, Servicio de publicaciones. Retrieved from http:// repositori.uji.es/xmlui/bitstream/handle/10234/78447/ forum_2007_12.pdf?sequence=1
  • Ruiz E., Giménez C., Ballester R., Roig E., & Calvo C. (2012, June). Uso del preservativo en adolescentes españoles: Motivaciones y barreras. [Condom use among Spanish adolescents: Motivations and barriers]. Poster presented at XV National AIDS Congress 2016, Madrid, Spain. Retrieved from http://www.sidastudi.org/es/registro/ff8 08181380927d8013831ebbd4b0041
  • Sánchez D. T., Phelan J. E., Moss-Racusin C. A., & Good J. J. (2012). The gender role motivation model of women’s sexually submissive behavior and satisfaction in heterosexual couples. Personality & Social Psychology Bulletin, 38, 528–539. https://doi.org/10.1177/ 0146167211430088
  • Sarkar N. N. (2008). Barriers to condom use. The European Journal of Contraception & Reproductive Health Care, 13(2), 114–122. https://doi.org/10.1080/13625180802011302
  • Sierra J., Espinosa M. A., Roldán F. J., Martínez J. A., García A., Antanaityte E., & Kizina S. (2010). Juventud y salud. Hábitos saludables, percepción de los servicios sanitarios y vida sexual de la población joven. Región de Murcia 2010 [Youth and health. Healthy habits, perception of health services and sexual life of the young population. Region of Murcia 2010]. Murcia, Spain: Instituto de la Juventud.
  • St. Lawrence J. S., Chapdelaine A. P., Devieux J. G., O´Bannon R. E., Brasfield T. L., & Eldridge G. D. (1999). Measuring perceived barriers to condom use: Psychometric evaluation of the Condom Barriers Scale. Assessment, 6(4), 391–404. https://doi.org/10.1177/ 107319119900600409
  • Ŝtulhofer A., Graham C., Boziĉević I., Kufrin K., & Ajdukovic D. (2007). HIV/AIDS-related knowledge, attitudes and sexual behaviors as predictors of condom use among young adults in Croatia. International Family Planning Perspectives, 33, 58–65. https://doi.org/10.1363/ ifpp.33.058.07
  • Teva I., Bermúdez M. P., & Ramiro M. T. (2014). Satisfacción sexual y actitudes hacia el uso del preservativo en adolescentes: evaluación y análisis de su relación con el uso del preservativo [Sexual satisfaction and attitudes towards the use of condoms in adolescents: Evaluation and analysis on their relationship with condom use]. Revista Latinoamericana de Psicología, 46(2), 127–136.
  • Tschann J. M., Flores E., de Groat C. L., Deardorff J., & Wibbelsman C. J. (2010). Condom negotiation strategies and actual condom use among Latino youth. Journal of Adolescent Health, 47(3), 254–262. https://doi.org/10.1016/ j.jadohealth.2010.01.018
Fuente de los datos: Dialnet