Hostname: page-component-77c89778f8-cnmwb Total loading time: 0 Render date: 2024-07-20T08:27:20.892Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychometric Properties of the Condom Use Barriers Scale for Adolescents

Published online by Cambridge University Press:  04 December 2017

Silvia Escribano ,
José P. Espada ,
Alexandra Morales  and
Mireia Orgilés
Silvia Escribano
Affiliation:
Universidad Miguel Hernández (Spain)
José P. Espada*
Affiliation:
Universidad Miguel Hernández (Spain)
Alexandra Morales
Affiliation:
Universidad Miguel Hernández (Spain)
Mireia Orgilés
Affiliation:
Universidad Miguel Hernández (Spain)
*
*Correspondence concerning this article should be addressed to José P. Espada. Departamento de Psicología de la Salud de la Universidad Miguel Hernández. Avenida de la Universidad, s/n. 03202 Elche (Spain). Phone: +34–966658344. E-mail: jpespada@umh.es
Get access Rights & Permissions [Opens in a new window]

Abstract

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.

Keywords

adolescentsbarriers to condom usescale developmentSTIpsychometric properties
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 20 , 2017 , E73
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

How to cite this article:

Escribano, S., Espada, J. P., Morales, A., & Orgilés, M. (2017). Psychometric properties of the Condom Use Barriers Scale for adolescents. The Spanish Journal of Psychology, 20. e73. Doi:10.1017/sjp.2017.64

References

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 Google Scholar
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 Google Scholar
Bentler, P. M. (1989). EQS Structural Equations Program Manual. Los Angeles, CA: BMDP Statistical Software.Google Scholar
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 Google Scholar
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 Google Scholar
Bollen, K. A. (1989). Structural equations with latent variables. New York, NY: Wiley.Google Scholar
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 Google Scholar
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.Google Scholar
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 Google Scholar
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 CrossRefGoogle ScholarPubMed
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 surveillance-United States, 2013. Surveillance Summaries, 63(4), 1–162.Google Scholar
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/s10461-015-1163-2 Google Scholar
Espada, J. P., Ballester, R., Huedo-Medina, T. B, Secades-Villa, 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 Google Scholar
Espada, J. P., Morales, A., Orgilés, M., Jemmott, J. B., & Jemmott, L. S. (2015). Short-term evaluation of a skill-development 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 CrossRefGoogle ScholarPubMed
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 CrossRefGoogle ScholarPubMed
Guiella, G., & Madise, N. J. (2007). HIV/AIDS and sexual-risk 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 Google Scholar
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 Google Scholar
Kaiser, H. F. (1970). A second generation little jiffy. Psychometrika, 35, 401–415. https://doi.org/10.1007/BF02291817 Google Scholar
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.Google Scholar
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 CrossRefGoogle ScholarPubMed
Loewenthal, K. M. (1996). An introduction to psychological tests and scales. London, UK: UCL Press.Google Scholar
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 [The lifestyles and health of Spanish adolescents throughout the first decade of the millennium. The Health Behavior Study in School-aged Children (HBSC) 2002–2006–2010]. Madrid, Spain: Ministerio de Sanidad, Servicios Sociales e Igualdad. Retrieved from Ministerio de Sanidad, Servicios Sociales e Igualdad website https://www.msssi.gob.es/profesionales/saludPublica/prevPromocion/promocion/saludJovenes/estudioHBSC/docs/Comparativo2002a2010/Indice.pdf Google Scholar
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 Google Scholar
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 Google Scholar
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 Google Scholar
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.Google Scholar
O´Brien, R. F. (2013). Condom use by adolescents. Pediatrics, 132(5), 973–981. https://doi.org/10.1542/peds.2013–2821 Google Scholar
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 Google Scholar
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 Google Scholar
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) [Perception of advantages and disadvantages of condom use among university students: differences by gender (Jaume I University- Bancaixa Foundation -P11B2006–19)]. In Universitat Jaume, I (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 Google Scholar
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/ff808181380927d8013831ebbd4b0041 Google Scholar
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 Google Scholar
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 CrossRefGoogle ScholarPubMed
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.Google Scholar
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 CrossRefGoogle Scholar
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 Google Scholar
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.Google Scholar
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 Google Scholar