Developing a Valid and Reliable Instrument to Predict the Protective Sexual Behaviors in Women at Risk of Human Immunodeficiency Virus

Lotfi, Razieh; Tehrani, Fahimeh Ramezani; Yaghmaei, Farideh; Hajizadeh, Ebrahim

doi:10.5812/ircmj.14682

Cited by 7 publications

(7 citation statements)

References 20 publications

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“…Tran DV created the International Physical Activity Questionnaire (IPAQ) [ 20 ], a standardized instrument for physical activity monitoring among older adults. Lotfi constructed an instrument to predict the protective sexual behaviors in women at risk of human immunodeficiency virus [ 21 ]. All of these instruments emphasized physical health, psychological health or a particular aspect of health, but had no focus on health protective behavior.…”

Section: Introductionmentioning

confidence: 99%

Health protective behavior scale: Development and psychometric evaluation

et al. 2018

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ObjectiveA healthy lifestyle includes health protective and health promoting behaviors. Health promoting lifestyle profiles have been developed, but measures of health protective behavior are still lacking. This study sought to develop a health protecting behavior scale.MethodsAn initial item pool for the Health Protective Behavior Scale (HPBS) was generated based on read and referred literature and a single-item open-ended survey. An expert group screened this initial item pool using an item-level content validity index. Pilot testing was conducted. The degree of variation, the response rate, the item-total correlation coefficient, and the factor loading in factor analysis and item analysis were used to screen items using data of pilot testing. 454 subjects were recruited evaluate the psychometric properties of the HPBS. Analyses included internal consistency, test-retest reliability, factor analysis, parallel analysis, correlation analysis and criterion validity analysis.ResultsThe final iteration of the HPBS was developed with 32 items and five dimensions: interpersonal support, general behavior, self-knowledge, nutrition behavior and health care. Cronbach’s alpha coefficient, and test-retest reliability were 0.89 and 0.89 respectively. Correlation coefficients of the five dimensions ranged from 0.28 to 0.55. The Spearman correlation coefficient between the total scores on the WHOQOL-BREF and on the HPBS was 0.34.ConclusionsHPBS has sufficient validity and reliability to measure health protective behaviors in adults.

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Section: Introductionmentioning

confidence: 99%

Health protective behavior scale: Development and psychometric evaluation

et al. 2018

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“…For example, in a study conducted by Eskandari et al, 46 the validity and reliability of an international AIDS questionnaire for Iranian students were examined, whereas a wide range of samples was studied in the present work. In another study conducted by Lotfi et al, 47 by the title of 'Developing a Valid and Reliable Instrument to Predict the Protective Sexual Behavior in Women at Risk of Human Immunodeficiency Virus,' the population under study included only women and its questionnaire measured only the sexual behavior, whereas the present study examined all AIDS-related risk behaviors. In an American study by Brener et al, 48 the validity and reliability of the youth risk behavior survey questionnaire were evaluated and all aspects of risk behaviors were measured and the statistical population consisted of high school students, whereas in the present study, controlling the AIDS-related risk behaviors was measured.…”

Section: Discussionmentioning

confidence: 97%

A More Understanding about AIDS: Design and Assessment of Validity and Reliability of Several New Scales

2018

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Introduction: Given the high cost of AIDS, research on high-risk behaviors associated with AIDS is an essential requirement today. Therefore, the present study aimed to construct and standardize tests associated with AIDS-related risky behaviors. Methods: To assess the validity of the questionnaires, the experts’ viewpoints from different domains were qualitatively and quantitatively included. Additionally, to assess the reliability of the questionnaires, a sample of 31 subjects was selected and then examined on two separate occasions in a fortnight's time. Then, the validity and reliability of the instruments were assessed in a sample of 475 subjects. Results: The results of exploratory factor analysis showed that for AIDS health literacy and AIDS risk perception questionnaires two factors are extractable; while for the questionnaires of selfefficacy in controlling risk behavior and controlling risk behavior associated with AIDS one factor is extractable. Finally, 14 items were approved for each of the AIDS health literacy and self-efficacy in controlling risk behavior questionnaires; while 13 items were approved for each of the controlling risk behavior associated with AIDS and AIDS risk perception questionnaires. Each of the four questionnaires had a good internal consistency (Cronbach's Alpha > 0.70). Interclass Correlation Coefficient (ICC) amounts related to the test-retest reliability were greater than 0.80, which indicates the reliability of the instruments. Conclusion: According to the results of the present study, it was concluded that all four AIDSrelated questionnaires enjoyed acceptable validity and reliability.

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“…Scores 0-4, 5-8, and 9-12 indicated poor, moderate, and good level of awareness, respectively. The reliability of the questionnaire was confirmed by a test-retest method with a correlation coefficient of 0.88 and Cronbach's alpha of 0.78 [16].…”

Section: Measurement Toolsmentioning

confidence: 92%

Investigating the sexual protective behaviour among HIV-positive women in Tehran, Iran

Talebi¹,

Lotfi²,

Kabir³

et al. 2019

HIV & AIDS Review

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Introduction:The third wave of human immunodeficiency virus (HIV) is rising due to high-risk sexual behaviours in Iran. In spite of launching programs to combat HIV in Iran, condom use frequency has not yet reached the optimal level, especially in high-risk groups. The aim of this study was to assess the sexual protection behaviours and awareness among HIV-positive women. Material and methods:This descriptive study was performed on 100 HIV-positive women who referred to the Voluntary and Counselling Centre (VCT) in Tehran and were recruited using a purposive sampling method. Data collection was carried out using HIV/acquired immunodeficiency syndrome (AIDS) awareness and sexual protection behaviour questionnaires. Results:Condom use was practiced only by 22.2% in all their vaginal and anal sexual intercourse during the three months, and 77.8% of the women never used condoms or failed to use them continuously. Their sexual partners were HIV-positive in 71% of cases. The mean ± SD of awareness score about HIV/AIDS was 7.60 ± 3.31, indicating average awareness of the subjects in the study. A total of 49.1% of the participants stated that their sexual partners' reluctance was the most important reason for non-use of condoms, while women were not willing to use condoms in 18.2% of cases. Conclusions:The results of the present study indicated poor sexual protection behaviours in HIV-positive women. As a result, gender-based harm reduction programs to promote safe sexual behaviour, awareness level, and negotiation power for condom use in HIV-positive women is more important than ever.

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Developing a Valid and Reliable Instrument to Predict the Protective Sexual Behaviors in Women at Risk of Human Immunodeficiency Virus

Cited by 7 publications

References 20 publications

Health protective behavior scale: Development and psychometric evaluation

Health protective behavior scale: Development and psychometric evaluation

A More Understanding about AIDS: Design and Assessment of Validity and Reliability of Several New Scales

Investigating the sexual protective behaviour among HIV-positive women in Tehran, Iran

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