Psychometric Properties and Validity of a Multi-dimensional Risk Perception Scale Developed in the Context of a Microbicide Acceptability Study

Arch Sex Behav. 2016 Feb;45(2):415-28. doi: 10.1007/s10508-015-0619-9. Epub 2015 Nov 30.

Abstract

Currently available risk perception scales tend to focus on risk behaviors and overall risk (vs partner-specific risk). While these types of assessments may be useful in clinical contexts, they may be inadequate for understanding the relationship between sexual risk and motivations to engage in safer sex or one's willingness to use prevention products during a specific sexual encounter. We present the psychometric evaluation and validation of a scale that includes both general and specific dimensions of sexual risk perception. A one-time, audio computer-assisted self-interview was administered to 531 women aged 18-55 years. Items assessing sexual risk perceptions, both in general and in regards to a specific partner, were examined in the context of a larger study of willingness to use HIV/STD prevention products and preferences for specific product characteristics. Exploratory and confirmatory factor analyses yielded two subscales: general perceived risk and partner-specific perceived risk. Validity analyses demonstrated that the two subscales were related to many sociodemographic and relationship factors. We suggest that this risk perception scale may be useful in research settings where the outcomes of interest are related to motivations to use HIV and STD prevention products and/or product acceptability. Further, we provide specific guidance on how this risk perception scale might be utilized to understand such motivations with one or more specific partners.

Keywords: HIV/STD prevention; Microbicides; Risk perception; Sexual risk.

Publication types

  • Research Support, N.I.H., Extramural
  • Validation Study

MeSH terms

  • Acquired Immunodeficiency Syndrome / prevention & control
  • Acquired Immunodeficiency Syndrome / psychology*
  • Adult
  • Anti-Infective Agents, Local / therapeutic use
  • Attitude to Health*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Middle Aged
  • Psychometrics
  • Regression Analysis
  • Reproducibility of Results
  • Risk-Taking
  • Sexual Behavior / psychology*
  • Sexual Partners / psychology*
  • Vaginal Creams, Foams, and Jellies / therapeutic use*
  • Young Adult

Substances

  • Anti-Infective Agents, Local
  • Vaginal Creams, Foams, and Jellies