Validation and Reliability of Sexually Transmitted Infections (STIs) Health Care-Seeking Behaviour Questionnaire based on the Theory of Planned Behaviour, and Stigma-Shame Scales among Men who have Sex with Man (MSM) in Malaysian
Introduction: The rising numbers of men who have sex with men (MSM) population showed a significant health issue in recent years. However, the utilisation of sexually transmitted infections (STI)-related health care services among MSM was found to be very low. Understanding the factors is essenti...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine Universiti Kebangsaan Malaysia
2021
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/36545/1/validation1.pdf http://ir.unimas.my/id/eprint/36545/ https://medicineandhealthukm.com/toc/16/2%20%28suppl%29 https://doi.org/10.17576/MH.2021.s1602 |
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| Summary: | Introduction: The rising numbers of men who have sex with men (MSM) population
showed a significant health issue in recent years. However, the utilisation of
sexually transmitted infections (STI)-related health care services among MSM was
found to be very low. Understanding the factors is essential in improving the STIs
healthcare-seeking behaviour among MSM.
Objective: This pilot study aimed to evaluate the instrument’s feasibility for a fullscale
study and assess the respondents’ experience answering the questionnaires.
Methods: Sexually transmitted infections healthcare-seeking behaviour was
measured based on the frequency of the visit to STIs services in 12 months using
the theory of planned behaviour (TPB) variables (i.e. attitudes, subjective norms,
and perceived behavioural control). Besides, the STIs knowledge and STIs-related
stigma-shame scales were also evaluated for content validity and internal reliability.
Result: Within 12 months, 54.3% of respondents had frequent visits (>1 time),
17.1% had infrequent visits and 28.6% never visit the services. About 85.7% of
participants had ever had an STI test. The item-level content validity index (I-CVI)
for 47 items scale ranged between 0.67 to 1.00. The scale-level index per average
(S-CVI/Ave) for subscales ranged between 0.94 to 1.00. The Cronbach’s alpha
coefficient for each subscale ranged from 0.844 to 0.929 with an overall scale was
0.892.
Conclusion: The scales were valid and reliable measures for assessing possible
contributing factors of STIs healthcare-seeking behaviour among MSM in Malaysian
Borneo. The scales could be used for a full-scale study. |
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