Abstract
Infection by HIV/AIDS or other STIs and unplanned pregnancies are sexual health problems of considerable impact around the world. Condoms are the only method that prevents all those risks, and attitudes toward the use of condoms are among the best predictors of their consistent use. The purpose of the present study was to translate, adapt, and validate a Spanish-language version of the Multidimensional Condom Attitudes Scale (MCAS) using a sample of young people from Colombia. A total of 1441 young people between the ages of 18 and 26 years responded to a web-based survey conducted between January 2018 and February 2018. The dimensionality of the scale was explored and confirmed to replicate the original five-factor structure (alphas ranged from .65 to .86). Criterion validity was adequate. Women had more positive attitudes toward identity stigma associated with condom use, while men had more positive attitudes toward reliability and effectiveness of condoms and were less embarrassed with condom negotiation and use. The Spanish-language MCAS is suitable for measuring condom-related attitudes among Colombian youth. Future research is needed to validate the Spanish version of the MCAS with other Spanish-speaking populations.
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References
AERA, APA, & NCME. (2014). Standards for educational and psychological testing. Washington, DC: American Educational Research Association.
Ajzen, I., & Fishbein, M. (2005). The inluence of attitudes on behavior. In D. Albarracín, B. T. Johnson, & M. P. Zanna (Eds.), The handbook of attitudes (pp. 173–221). Hillsdale, NJ: Lawrence Erlbaum Associates Publishers.
Albarracin, D., Johnson, B., Fishbein, M., & Muellerleile, P. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127, 142–161. https://doi.org/10.1037/0033-2909.127.1.142.
DeSouza, E., Madrigal, C., & Millan, A. (1999). A cross cultural validation of the Multidimensional Condom Attitudes Scale. Revista Interamericana de Psicología, 33, 191–204.
Diez, E., Juárez, O., Nebot, M., Cerda, N., & Villalbi, J. (2000). Effects on attitudes, knowledge, intentions and behaviour of an AIDS prevention programme targeting secondary school adolescents. Promotion & Education, 7, 17–22. https://doi.org/10.1177/102538230000700307.
Ferguson, C. (2011). Sexting behaviors among young Hispanic women: Incidence and association with other high-risk sexual behaviors. Psychiatric Quarterly, 82, 239–243. https://doi.org/10.1007/s11126-010-9165-8.
Fisher, W., White, L. A., Byrne, D., & Kelley, K. (1988). Erotophobia-erotophilia as a dimension of personality. Journal of Sex Research, 25, 123–151. https://doi.org/10.1080/00224498809551448.
Glasman, L., & Albarracín, D. (2006). Forming attitudes that predict future behavior: A meta-analysis of the attitude-behavior relation. Psychological Bulletin, 132, 778–822. https://doi.org/10.1037/0033-2909.132.5.778.
González-Hernández, A. M., Escobar-Estupinan, J. L., & Vallejo-Medina, P. (2020). Condom use errors and problems in a sample of young Colombian adults. Journal of Sex Research. https://doi.org/10.1080/00224499.2020.1728207.
Graham, C., Crosby, R., Sanders, S., Milhausen, R., & Yarber, W. (2016). Condom-associated erection problems: A study of high-risk young black males residing in the southern United States. American Journal of Men’s Health, 10, 141–145. https://doi.org/10.1177/1557988314561311.
Haladyna, T. M., & Downing, S. M. (Eds.). (2011). Handbook of test development. Abingdon, England: Routledge.
Helweg-Larson, M., & Collins, B. (1994). The UCLA Multidimensional Condom Attitudes Scale: Documenting the complex determinants of condom use in college students. Health Psychology, 13, 224–237.
Ihaka, R., & Gentleman, R. (1993). R language of programming with a focus on statistical analysis. Auckland, New Zealand: Auckland University.
Janssen, E., Sanders, S., Hill, B., Amick, E., Oversen, D., Kvam, P., & Ingelhart, K. (2014). Patterns of sexual arousal in young, heterosexual men who experience condom-associated erection problems (CAEP). Journal of Sexual Medicine, 11, 2285–2291. https://doi.org/10.1111/jsm.12548.
Kyes, K. (1990). The effect of a “safer sex” film as mediated by erotophobia and gender on attitudes toward condoms. Journal of Sex Research, 27, 297–303. https://doi.org/10.1080/00224499009551559.
Morales, A., Garcia-Montaño, E., Barrios-Ortega, C., Niebles-Charris, J., Garcia-Roncallo, P., Abello-Luque, D., … Lightfoot, M. (2019). Adaptation of an effective school-based sexual health promotion program for youth in Colombia. Social Science and Medicine, 222, 207–215. https://doi.org/10.1016/j.socscimed.2019.01.011.
Morokoff, P., Quina, K., Harlow, L., Grimley, D., Gibson, P., Whitmire, L., & Burkholder, G. (1997). Sexual Assertiveness Scale (SAS) for women: Development and validation. Journal of Personality and Social Psychology, 73, 790–804. https://doi.org/10.1037/0022-3514.73.4.790.
Muñiz, J., Elosua, P., & Hambleton, R. (2013). Directrices para la traducción y adaptación de los tests: Segunda edición. Psicothema, 25, 151–156.
Reeves, B., Ickes, M. J., & Mark, K. P. (2016). Gender differences and condom-associated embarrassment in the acquisition of purchased versus free condoms among college students. American Journal of Sexuality Education, 11, 61–75. https://doi.org/10.1080/15546128.2016.1146188.
Ross, M. (1992). Attitudes toward condoms and condom use: A review. International Journal of STD and AIDS, 3, 10–16. https://doi.org/10.1177/095646249200300103.
RStudio Team (2015). RStudio: Integrated Development for R. Boston, MA: RStudio, Inc. http://www.rstudio.com/.
Sakaluk, J., & Gillath, O. (2016). The causal effects of relational security and insecurity on condom use attitudes and acquisition behavior. Archives of Sexual Behavior, 45, 339–352. https://doi.org/10.1007/s10508-015-0618-x.
Sanchez-Mendoza, V., Soriano-Ayala, E., & Vallejo-Medina, P. (2020). Psychometric properties of the Condom Use Self-Efficacy Scale among young Colombians. International Journal of Environmental Research and Public Health, 17, 3762. https://doi.org/10.3390/ijerph17113762.
Sanders, S., Graham, C., Yarber, W., Crosby, R., Dodge, B., & Milhausen, R. (2006). Women who put condoms on male partners: Correlates of condom application. American Journal of Health Behavior, 30, 460–466. https://doi.org/10.5993/AJHB.30.5.2.
Sanders, S., Hill, B., Crosby, R., & Janssen, E. (2014). Correlates of condom-associated erection problems in young, heterosexual men: Condom fit, self-efficacy, perceptions, and motivations. AIDS and Behavior, 18, 128–134. https://doi.org/10.1007/s10461-013-0422-3.
Sanders, S., Hill, B., Janssen, E., Graham, C., Crosby, R., Milhausen, R., & Yarber, W. (2015). General erectile functioning among young, heterosexual men who do and do not report condom-associated erection problems (CAEP). The Journal of Sexual Medicine, 12, 1897–1904. https://doi.org/10.1111/jsm.12964.
Schmeiser, C., & Welch, C. (2006). Test development. In R. L. Brennan (Ed.), Educational measurement (Vol. 4, pp. 307–353). Westport, CT: Council on Education/Praeger.
Sheeran, P., Abraham, C., & Orbell, S. (1999). Psychosocial correlates of heterosexual condom use: A meta-analysis. Psychological Bulletin, 125, 90–132. https://doi.org/10.1037/0033-2909.125.1.90.
Starosta, A., Berghoff, C., & Earleywine, M. (2014). Factor structure and gender stability in the multidimensional condom attitudes scale. Assessment, 22, 374–384. https://doi.org/10.1177/1073191114547887.
UNAIDS. (2015). Documentos el Sida en Cifras. Retrieved from http://www.unaids.org/sites/default/files/media_asset/AIDS_by_the_numbers_2015_es.pdf.
Unger, J., Gregogy, B., & Molina, B. (1999). The UCLA Multidimensional Condom Attitudes Scale: Validity in a sample of low-acculturated hispanic women. Hispanic Journal of Behavioral Sciences, 21, 199–211. https://doi.org/10.1177/0739986399212006.
Uribe-Alvarado, J., Bahamón, M., Reyes-Ruíz, L., Trejos-Herrera, A., & Alarcón-Vásquez, Y. (2017). Perceived self-efficacy, sexual assertiveness and condom use among Colombiana young. Acta Colombiana de Psicología, 20, 212–220.
Vallejo-Medina, P., Gómez-Lugo, M., Marchal-Bertrand, L., Saavedra-Roa, A., Soler, F., & Morales, A. (2017). Desarrollo de guías para adaptar cuestionarios dentro de una misma lengua en otra cultura. Terapia Psicológica, 35, 159–172. https://doi.org/10.4067/s0718-48082017000200159.
Vallejo-Medina, P., Marchal-Bertrand, L., Gómez-Lugo, M., Espada, J. P., Sierra, J. C., Soler, F., & Morales, A. (2016). Adaptation and validation of the Brief Sexual Opinion Survey (SOS) in a Colombian sample and factorial equivalence with the Spanish version. PLoS ONE, 11, e0162531. https://doi.org/10.1371/journal.pone.0162531.
Ward, L., Seabrook, R., Grower, P., Giaccardi, S., & Lippman, J. (2018). Sexual object or sexual subject media use, self-sexualization, and sexual agency among undergraduate women. Psychology of Women Quarterly, 42, 29–43.
Widman, L., Noar, S., Choukas-Bradley, S., & Francis, D. (2014). Adolescent sexual health communication and condom use: A meta-analysis. Health Psychology, 33, 1113–1124. https://doi.org/10.1037/hea0000112.
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This project was supported by a grant from the Fundación Universitaria Konrad Lorenz (code: 2016-9INV8171) to the corresponding author.
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The investigation reported in this paper was conducted per the 1975 Helsinki Declaration, revised in 1983 by the Ethics Committee for Clinical Research. Participation was voluntary and anonymous: all participants agreed to participate. The research project associated with the present study was approved by an independent ethics committee from the Fundacion Universitaria Konrad Lorenz.
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Appendix
Appendix
Actitudes multidimensionales frente al condón UCLA
See Table 7.
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Plaza-Vidal, R., Ibagon-Parra, M. & Vallejo-Medina, P. Spanish Translation, Adaptation, and Validation of the Multidimensional Condom Attitudes Scale with Young Colombian Men and Women. Arch Sex Behav 50, 2729–2740 (2021). https://doi.org/10.1007/s10508-020-01759-y
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DOI: https://doi.org/10.1007/s10508-020-01759-y