Cross-cultural adaptation and validation of the Condom Self-Efficacy Scale: application to Brazilian adolescents and young adults

Abstract

Objective:translate and adapt the Condom Self-Efficacy Scale to Portuguese in the Brazilian context. The scale originated in the United States and measures self-efficacy in condom use. Method:methodological study in two phases: translation, cross-cultural adaptation and verification of psychometric properties. The translation and adaptation process involved four translators, one mediator of the synthesis and five health professionals. The content validity was verified using the Content Validation Index, based on 22 experts’ judgments. Forty subjects participated in the pretest, who contributed to the understanding of the scale items. The scale was applied to 209 students between 13 and 26 years of age from a school affiliated with the state-owned educational network. The reliability was analyzed by means of Cronbach’s alpha. Results:the Portuguese version of the scale obtained a Cronbach’s alpha coefficient of 0.85 and the total mean score was 68.1 points. A statistically significant relation was found between the total scale and the variables not having children (p= 0.038), condom use (p= 0.008) and condom use with fixed partner (p=0.036). Conclusion:the Brazilian version of the Condom Self-Efficacy Scale is a valid and reliable tool to verify the self-efficacy in condom use among adolescents and young adults.

How Self-Efficacy and Agency Influence Risky Sexual Behavior among Adolescents in Northern Uganda

“…However, the results from this study also confirm findings from other studies, which state that having comprehensive knowledge, for example, on male condom use, does not facilitate translating expressed self-efficacy into action in relation to risky sexual behavior [27,28]. For example, many young people who had expressed self-efficacy and failed to use condoms cited emotional impulsivity or being in the "heat of a moment" and partner refusal or failure to communicate to the partner as reasons why they failed to use condoms.…”

“…Some of the literature has suggested that early sexual debut is largely a result of poor self-efficacy to negotiate refusal sex [21], which can be in the form of delayed sex [22] or sexual abstinence [23,24]. Low self-efficacy may lead to low or non-condom use [25][26][27][28] or non-use of contraception [29,30]. In Ethiopia, a study conducted among preparatory school students in Sodo Town, Southern Ethiopia, indicates that good selfefficacy was associated with condom use [19].…”

Seroprevalence of Chlamydia trachomatis and Associated Factors among Vulnerable Riverine in the Brazilian Amazon

“…Access to condom use is one of the strategies to eliminate STIs [ 2 ]. However, in addition to using the family health strategy, teams should assess the effectiveness of condom use in order to work on collective and individual interventions aimed at the population’s needs [ 29 , 30 ]. It is important that health professionals also advise people on the actions to be taken in case of condom breakage during sexual intercourse to minimize the damage related to a possible infection [ 31 , 32 ].…”