Cultural adaptation of the Condom Use Self Efficacy Scale (CUSES) in Ghana

BMC Public Health

Research Article

Kwaku O Asante¹  Paul N Doku² 

[1] Department of Human Development and Psychology, Regent University College of Science and Technology, City Campus, Dansoman, Ghana;Department of Human Development and Psychology, Regent University College of Science and Technology, City Campus, Dansoman, Ghana;Community Based Sciences, Section of Psychological Medicine, University of Glasgow, UK;

关键词: Cronbach Alpha;    Sexual Encounter;    Cultural Adaptation;    Consistent Condom;    Designation Criterion;   

DOI  :  10.1186/1471-2458-10-227

 received in 2009-12-17, accepted in 2010-04-30,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundAccurate assessment of self-reports of sexual behaviours is vital to the evaluation of HIV prevention and family planning interventions. This investigation was to determine the cross-cultural suitability of the Condom Use Self Efficacy Scale (CUSES) originally developed for American adolescents and young adults by examining the structure and psychometric properties.MethodA self-administered cross-sectional survey of a convenient sample of 511 participants from a private university in Ghana with mean age 21.59 years.ResultA Principal Component Analysis with varimax rotation identified a 14 item scale with four reliable factors labelled Appropriation (Cronbach alpha = .85), Assertive (Cronbach alpha = .90), Pleasure and Intoxicant (Cronbach alpha = .83), and STDs (Cronbach alpha = .81) that altogether explained 73.72% of the total variance. The scale correlated well with a measure of condom use at past sexual encounter (r = .73), indicating evidence of construct and discriminatory validity. The factor loadings were similar to the original CUSES scale but not identical suggesting relevant cultural variations.ConclusionThe 14 item scale (CUSES-G) is a reliable and valid instrument for assessing condom use self efficacy. It is culturally appropriate for use among Ghanaian youth to gauge actual condom use and to evaluate interventions meant to increase condom use. Finally, the study cautioned researchers against the use of the original CUSES without validation in African settings and contexts.

【 授权许可】

CC BY   
© Asante and Doku; licensee BioMed Central Ltd. 2010