Reliability and validity evaluation of Chinese version of Brief HIV Knowledge Questionnaire for HIV-negative sexually transmitted diseases patients

doi:10.3969/j.issn.1674-8115.2021.10.013

Abstract

Abstract: Objective

·To introduce the Brief human immunodeficiency virus (HIV) Knowledge Questionnaire (HIV-KQ-18), evaluate the reliability and validity of the scale in the HIV-negative sexually transmitted diseases (STD) patients, and predict the population's sexual behavior based on its knowledge score.

Methods

·A total of 599 eligible patients who attended the outpatient clinic of Shanghai Skin Disease Hospital from January 2018 to December 2018 were evaluated by the Chinese version of HIV-KQ-18, and they were randomly allocated into two groups for exploratory factor analysis (n=300) and confirmatory factor analysis (n=299). Consistent condom use when having sex was judged as safe sexual behavior and used as a dependent variable, and HIV-KQ-18 scores were used as independent variables for receiver operating characteristic curve analysis to predict safe sexual behavior.

Results

·The exploratory factor analysis showed that three factors including the transmission of HIV (7 items), preventive measures (4 items) and consequences of being infected with HIV (3 items) could be extracted. Four items were removed from HIV-KQ-18 to form the Chinese version of HIV-KQ-14. Confirmatory factor analysis showed that the model revised by three factors fitted well (χ²/df=2.046, root mean square error of approximation=0.059, incremental fit index=0.926, Tucker-Lewis index=0.908, comparative fit index=0.925). The Cronbach′s α of the scale was 0.861, and the Spearman-Brown coefficient was 0.815; the area under the curve of safe sexual behavior was 0.708 (P=0.000).

Conclusion

·The Chinese version of the HIV-KQ-14 has good reliability and validity in HIV-negative STD patients, and has a good predictive ability for safe sexual behavior.

Key words: Brief HIV Knowledge Questionnaire, sexually transmitted diseases (STD) patient, reliability, validity, safe sexual behavior

CLC Number:

R512.91

Da-ke SHI, Su-ping WANG, Rui-jie GONG, Yang NI, Yong CAI. Reliability and validity evaluation of Chinese version of Brief HIV Knowledge Questionnaire for HIV-negative sexually transmitted diseases patients[J]. JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE), 2021, 41(10): 1351-1358.

Figures/Tables 10

TrendMD

References 16

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Item	Total
Gender/n（%）
Male	263 （43.9）
Female	336 （56.1）
Age/n（%）
≤25 year	81 （13.5）
26‒40 year	348 （58.1）
41‒60 year	148 （24.7）
≥61 year	22 （3.7）
Education/n（%）
College degree and above	341 （56.9）
High school （including secondary school and vocational school）	135 （22.5）
Junior high school	104 （17.4）
Elementary school and below	19 （3.2）
Marriage/n（%）
Unmarried	171 （28.5）
Married	390 （65.1）
Divorced	28 （4.7）
Widowed	10 （1.7）
Income level/n（%）
≤3 000 yuan	67 （11.2）
3001‒ 6 000 yuan	206 （34.4）
6001‒12 000 yuan	176 （29.4）
≥12 001 yuan	150 （25.0）
Sexual orientation/n（%）
Heterosexuality	553 （92.3）
Minority sexual orientation	46 （7.7）
Frequency of condom use/n（%）
Use condoms every time	190 （31.7）
Intermittent use of condoms or no condoms	409 （68.3）

Item	Total
Gender/n（%）
Male	263 （43.9）
Female	336 （56.1）
Age/n（%）
≤25 year	81 （13.5）
26‒40 year	348 （58.1）
41‒60 year	148 （24.7）
≥61 year	22 （3.7）
Education/n（%）
College degree and above	341 （56.9）
High school （including secondary school and vocational school）	135 （22.5）
Junior high school	104 （17.4）
Elementary school and below	19 （3.2）
Marriage/n（%）
Unmarried	171 （28.5）
Married	390 （65.1）
Divorced	28 （4.7）
Widowed	10 （1.7）
Income level/n（%）
≤3 000 yuan	67 （11.2）
3001‒ 6 000 yuan	206 （34.4）
6001‒12 000 yuan	176 （29.4）
≥12 001 yuan	150 （25.0）
Sexual orientation/n（%）
Heterosexuality	553 （92.3）
Minority sexual orientation	46 （7.7）
Frequency of condom use/n（%）
Use condoms every time	190 （31.7）
Intermittent use of condoms or no condoms	409 （68.3）

Item No.	Content	r value
1	咳嗽和打喷嚏不会传播艾滋病病毒（Coughing and sneezing do not spread HIV）	0.470
2	与艾滋病病毒感染者共饮一杯水会被感染艾滋病病毒（A person can get HIV by sharing a glass of water with someone who has HIV）	0.373
3	在射精前拔出性器官能避免伴侣感染艾滋病病毒（Pulling out the penis before a man climaxes/cums keeps a partner from getting HIV during sex）	0.516
4	与感染艾滋病病毒的男性发生肛门性交会感染艾滋病病毒（Someone can get HIV if he/she has anal sex with a man）	0.473
5	性交后清洗生殖器官能避免感染艾滋病病毒（Showering， or washing one's genital after sex keeps a person from getting HIV）	0.608
6	艾滋病病毒阳性的孕妇必定会产下有艾滋病的婴儿（All pregnant women infected with HIV will have babies born with AIDS）	0.492
7	感染了艾滋病病毒的人很快就会出现严重的感染症状（People who have been infected with HIV quickly show serious signs of being infected）	0.638
8	现在有预防艾滋病病毒感染的疫苗（There is a vaccine that can stop adults from getting HIV）	0.571
9	与感染艾滋病病毒的伴侣深接吻、舌吻可能会感染艾滋病（People are likely to get HIV by deep kissing， and putting their tongue in their partner’s mouth， if their partner has HIV）	0.383
10	女性在月经期性交不会感染艾滋病病毒（A woman cannot get HIV if she has sex during her period）	0.623
11	现在有女性避孕套可以降低女性感染艾滋病的机会（There is a female condom that can help decrease a woman's chance of getting HIV）	0.333
12	正确和一贯使用安全套能降低艾滋病感染风险（Correct and consistent use of condoms can reduce the risk of HIV infection）	0.514
13	正在服用抗生素的人能够避免感染艾滋病病毒（A person will not get HIV if she or he is taking antibiotics）	0.691
14	与多人发生性关系会增加感染艾滋病的机会（Having sex with more than one partner can increase a person’s chance of being infected with HIV）	0.431
15	性交后1周后进行检测能确认是否感染艾滋病病毒（Taking a test for HIV one week after having sex will tell a person if she or he has HIV）	0.583
16	与艾滋病病毒感染者共浴或共享泳池会感染艾滋病病毒（A person can get HIV by sitting in a hot tub or a swimming pool with a person who has HIV）	0.559
17	艾滋病病毒可以通过口腔性交传播（A person can get HIV from oral sex）	0.216
18	在安全套上涂凡士林或婴儿油能降低感染艾滋病病毒风险（Using Vaseline or baby oil with condoms lowers the chance of getting HIV）	0.554

Item No.	Content	r value
1	咳嗽和打喷嚏不会传播艾滋病病毒（Coughing and sneezing do not spread HIV）	0.470
2	与艾滋病病毒感染者共饮一杯水会被感染艾滋病病毒（A person can get HIV by sharing a glass of water with someone who has HIV）	0.373
3	在射精前拔出性器官能避免伴侣感染艾滋病病毒（Pulling out the penis before a man climaxes/cums keeps a partner from getting HIV during sex）	0.516
4	与感染艾滋病病毒的男性发生肛门性交会感染艾滋病病毒（Someone can get HIV if he/she has anal sex with a man）	0.473
5	性交后清洗生殖器官能避免感染艾滋病病毒（Showering， or washing one's genital after sex keeps a person from getting HIV）	0.608
6	艾滋病病毒阳性的孕妇必定会产下有艾滋病的婴儿（All pregnant women infected with HIV will have babies born with AIDS）	0.492
7	感染了艾滋病病毒的人很快就会出现严重的感染症状（People who have been infected with HIV quickly show serious signs of being infected）	0.638
8	现在有预防艾滋病病毒感染的疫苗（There is a vaccine that can stop adults from getting HIV）	0.571
9	与感染艾滋病病毒的伴侣深接吻、舌吻可能会感染艾滋病（People are likely to get HIV by deep kissing， and putting their tongue in their partner’s mouth， if their partner has HIV）	0.383
10	女性在月经期性交不会感染艾滋病病毒（A woman cannot get HIV if she has sex during her period）	0.623
11	现在有女性避孕套可以降低女性感染艾滋病的机会（There is a female condom that can help decrease a woman's chance of getting HIV）	0.333
12	正确和一贯使用安全套能降低艾滋病感染风险（Correct and consistent use of condoms can reduce the risk of HIV infection）	0.514
13	正在服用抗生素的人能够避免感染艾滋病病毒（A person will not get HIV if she or he is taking antibiotics）	0.691
14	与多人发生性关系会增加感染艾滋病的机会（Having sex with more than one partner can increase a person’s chance of being infected with HIV）	0.431
15	性交后1周后进行检测能确认是否感染艾滋病病毒（Taking a test for HIV one week after having sex will tell a person if she or he has HIV）	0.583
16	与艾滋病病毒感染者共浴或共享泳池会感染艾滋病病毒（A person can get HIV by sitting in a hot tub or a swimming pool with a person who has HIV）	0.559
17	艾滋病病毒可以通过口腔性交传播（A person can get HIV from oral sex）	0.216
18	在安全套上涂凡士林或婴儿油能降低感染艾滋病病毒风险（Using Vaseline or baby oil with condoms lowers the chance of getting HIV）	0.554

Item	Factor 1	Factor 2	Factor 3	Item	Factor 1	Factor 2	Factor 3
Item 13	0.735	-0.016	-0.097	Item 2	0.239	0.194	0.163
Item 5	0.719	-0.123	-0.172	Item 17	0.217	-0.136	-0.171
Item 10	0.699	-0.124	-0.208	Item 7	0.068	0.653	-0.136
Item 3	0.635	0.003	-0.110	Item 8	0.096	0.550	-0.240
Item 18	0.578	-0.100	-0.317	Item 15	0.320	0.487	-0.345
Item 14	0.576	-0.405	0.279	Item 6	0.311	0.415	-0.158
Item 4	0.561	-0.238	0.087	Item 12	0.489	-0.196	0.609
Item 11	0.396	-0.325	0.336	Item 1	0.315	0.117	0.501
Item 9	0.314	0.269	0.119	Item 16	0.169	0.357	0.490