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Design and Validation of a Scale to Measure Sexual Health Risks in Colombian Adolescents.

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Title: Design and Validation of a Scale to Measure Sexual Health Risks in Colombian Adolescents.
Alternate Title: Diseño y validación de una escala para medir los riesgos para la salud sexual en adolescentes colombianos.
Conceção e validação de uma escala para medir os riscos de saúde sexual em adolescentes colombianos.
Authors: Jaramillo Sánchez, Yaneth Esperanza1 yjaramillo88@cue.edu.co, López González, Mónica María2 mlopez409@areandina.edu.co, Arbeláez Caro, Joan Sebastián1 jarbelaez266@cue.edu.co, Cardona Muñoz, José Mauricio3 jmcardona@unicauca.edu.co
Source: Investigación & Educación en Enfermería. May-Jul2026, Vol. 44 Issue 2, p115-131. 17p.
Subjects: Risk assessment, Multitrait multimethod techniques, Reproductive health, Research methodology evaluation, Research evaluation, Experimental design, Research methodology, Psychometrics, Research, Mathematical models, Health behavior, Factor analysis, Theory, Sexual health, Adolescence
Geographic Terms: Colombia
Abstract (English): Objective. To design and validate psychometrically a scale to measure risk in sexual health in Colombian adolescents. Methods. An instrumental-type methodological study was conducted, aimed at validating a measurement instrument called "Comprehensive Management of Sexual and Reproductive Health Risks in Adolescents (GIRSSRA, by its Spanish acronym)". Content validity was evaluated by seven expert judges using Aiken’s V index. The scale was applied to a sample of 1517 Colombian adolescents, between 14 and 18 years of age, with prior informed consent and assent. Exploratory and confirmatory factor analyses were performed to determine construct validity. Reliability was assessed principally with the McDonald's Omega (ω) coefficient in parallel with Cronbach's alpha (α). Results. After eliminating items with factor loadings < 0.40, from an initial total of 62 items grouped into three factors, the final version of the scale consisted of 20 items distributed into two factors: Knowledge (n=13) and Psychosocial dimensions (n=7). The reliability coefficients were adequate: ω = 0.88 and α = 0.88 for the first factor, and ω = 0.78 and α = 0.78 for the second. Conclusion. The theoretical model proposed and validated from a large sample offers a psychometrically solid instrument. It is concluded that the scale is valid and reliable for application in diverse contexts within the Colombian territory. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Diseñar y validar psicométricamente una escala para medir los riesgos para la salud sexual entre los adolescentes colombianos. Métodos. Se llevó a cabo un estudio metodológico instrumental para validar un la escala «Gestión Integral del Riesgo para la Salud Sexual y Reproductiva en Adolescentes (GIRSSRA)». La validez de contenido fue evaluada por siete expertos. El instrumento se administró a una muestra de 1517 adolescentes entre 14 y 18 años en Colombia, con consentimiento informado previo y asentimiento. Se realizaron análisis factoriales exploratorios y confirmatorios para determinar la validez de constructo. La fiabilidad se evaluó utilizando el coeficiente Omega (ω) de McDonald y el alfa (α) de Cronbach. Resultados. De los 62 ítems de la escala inicial, se eliminaron aquellos con cargas factoriales < 0.40. La versión final quedó compuesta por 20 ítems distribuidos en dos factores: Conocimiento (n=13) y Dimensiones psicosociales (n=7). Los coeficientes de fiabilidad fueron adecuados: ω = 0.88 y α = 0.88 para el primer factor, y ω = 0.78 y α = 0.78 para el segundo. Conclusión. El modelo teórico propuesto y validado con una muestra amplia proporciona un instrumento abreviado psicométricamente sólido. Se concluye que la escala es válida y fiable para su uso en diversos contextos dentro de Colombia. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Objetivo. Conceber e validar psicometricamente uma escala para medir os riscos de saúde sexual em adolescentes colombianos. Métodos. Foi realizado um estudo metodológico de tipo instrumental, com o objetivo de validar um instrumento de medição denominado «Gestão Integral dos Riscos de Saúde Sexual e Reprodutiva em Adolescentes (GIRSSRA)». A validade de conteúdo foi avaliada por sete juízes especialistas utilizando o índice V de Aiken. A escala foi aplicada a uma amostra de 1517 adolescentes colombianos, com idades compreendidas entre os 14 e os 18 anos, com consentimento informado prévio e assentimento. Foram realizadas análises fatoriais exploratórias e confirmatórias para determinar a validade de construto. A fiabilidade foi avaliada principalmente com o coeficiente Omega (ω) de McDonald, em paralelo com o alfa de Cronbach (α). Resultados. Após a eliminação de itens com cargas fatoriais < 0.40, de um total inicial de 62 itens agrupados em três fatores, a versão final da escala consistiu em 20 itens distribuídos em dois fatores: Conhecimento (n=13) e Dimensões psicossociais (n=7). Os coeficientes de fiabilidade foram adequados: ω = 0.88 e α = 0.88 para o primeiro fator, e ω = 0.78 e α = 0.78 para o segundo. Conclusão. O modelo teórico proposto e validado a partir de uma amostra de grande dimensão oferece um instrumento psicometricamente sólido. Conclui-se que a escala é válida e fiável para a aplicação em diversos contextos no território colombiano. [ABSTRACT FROM AUTHOR]
Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Design and Validation of a Scale to Measure Sexual Health Risks in Colombian Adolescents.
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  Data: Dise&#241;o y validaci&#243;n de una escala para medir los riesgos para la salud sexual en adolescentes colombianos.&lt;br /&gt;Conce&#231;&#227;o e valida&#231;&#227;o de uma escala para medir os riscos de sa&#250;de sexual em adolescentes colombianos.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jaramillo+S&#225;nchez%2C+Yaneth+Esperanza%22&quot;&gt;Jaramillo S&#225;nchez, Yaneth Esperanza&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; yjaramillo88@cue.edu.co&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22L&#243;pez+Gonz&#225;lez%2C+M&#243;nica+Mar&#237;a%22&quot;&gt;L&#243;pez Gonz&#225;lez, M&#243;nica Mar&#237;a&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;i&gt; mlopez409@areandina.edu.co&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Arbel&#225;ez+Caro%2C+Joan+Sebasti&#225;n%22&quot;&gt;Arbel&#225;ez Caro, Joan Sebasti&#225;n&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; jarbelaez266@cue.edu.co&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cardona+Mu&#241;oz%2C+Jos&#233;+Mauricio%22&quot;&gt;Cardona Mu&#241;oz, Jos&#233; Mauricio&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;i&gt; jmcardona@unicauca.edu.co&lt;/i&gt;
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– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective. To design and validate psychometrically a scale to measure risk in sexual health in Colombian adolescents. Methods. An instrumental-type methodological study was conducted, aimed at validating a measurement instrument called &quot;Comprehensive Management of Sexual and Reproductive Health Risks in Adolescents (GIRSSRA, by its Spanish acronym)&quot;. Content validity was evaluated by seven expert judges using Aiken’s V index. The scale was applied to a sample of 1517 Colombian adolescents, between 14 and 18 years of age, with prior informed consent and assent. Exploratory and confirmatory factor analyses were performed to determine construct validity. Reliability was assessed principally with the McDonald&#39;s Omega (ω) coefficient in parallel with Cronbach&#39;s alpha (α). Results. After eliminating items with factor loadings &lt; 0.40, from an initial total of 62 items grouped into three factors, the final version of the scale consisted of 20 items distributed into two factors: Knowledge (n=13) and Psychosocial dimensions (n=7). The reliability coefficients were adequate: ω = 0.88 and α = 0.88 for the first factor, and ω = 0.78 and α = 0.78 for the second. Conclusion. The theoretical model proposed and validated from a large sample offers a psychometrically solid instrument. It is concluded that the scale is valid and reliable for application in diverse contexts within the Colombian territory. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Dise&#241;ar y validar psicom&#233;tricamente una escala para medir los riesgos para la salud sexual entre los adolescentes colombianos. M&#233;todos. Se llev&#243; a cabo un estudio metodol&#243;gico instrumental para validar un la escala &#171;Gesti&#243;n Integral del Riesgo para la Salud Sexual y Reproductiva en Adolescentes (GIRSSRA)&#187;. La validez de contenido fue evaluada por siete expertos. El instrumento se administr&#243; a una muestra de 1517 adolescentes entre 14 y 18 a&#241;os en Colombia, con consentimiento informado previo y asentimiento. Se realizaron an&#225;lisis factoriales exploratorios y confirmatorios para determinar la validez de constructo. La fiabilidad se evalu&#243; utilizando el coeficiente Omega (ω) de McDonald y el alfa (α) de Cronbach. Resultados. De los 62 &#237;tems de la escala inicial, se eliminaron aquellos con cargas factoriales &lt; 0.40. La versi&#243;n final qued&#243; compuesta por 20 &#237;tems distribuidos en dos factores: Conocimiento (n=13) y Dimensiones psicosociales (n=7). Los coeficientes de fiabilidad fueron adecuados: ω = 0.88 y α = 0.88 para el primer factor, y ω = 0.78 y α = 0.78 para el segundo. Conclusi&#243;n. El modelo te&#243;rico propuesto y validado con una muestra amplia proporciona un instrumento abreviado psicom&#233;tricamente s&#243;lido. Se concluye que la escala es v&#225;lida y fiable para su uso en diversos contextos dentro de Colombia. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Objetivo. Conceber e validar psicometricamente uma escala para medir os riscos de sa&#250;de sexual em adolescentes colombianos. M&#233;todos. Foi realizado um estudo metodol&#243;gico de tipo instrumental, com o objetivo de validar um instrumento de medi&#231;&#227;o denominado &#171;Gest&#227;o Integral dos Riscos de Sa&#250;de Sexual e Reprodutiva em Adolescentes (GIRSSRA)&#187;. A validade de conte&#250;do foi avaliada por sete ju&#237;zes especialistas utilizando o &#237;ndice V de Aiken. A escala foi aplicada a uma amostra de 1517 adolescentes colombianos, com idades compreendidas entre os 14 e os 18 anos, com consentimento informado pr&#233;vio e assentimento. Foram realizadas an&#225;lises fatoriais explorat&#243;rias e confirmat&#243;rias para determinar a validade de construto. A fiabilidade foi avaliada principalmente com o coeficiente Omega (ω) de McDonald, em paralelo com o alfa de Cronbach (α). Resultados. Ap&#243;s a elimina&#231;&#227;o de itens com cargas fatoriais &lt; 0.40, de um total inicial de 62 itens agrupados em tr&#234;s fatores, a vers&#227;o final da escala consistiu em 20 itens distribu&#237;dos em dois fatores: Conhecimento (n=13) e Dimens&#245;es psicossociais (n=7). Os coeficientes de fiabilidade foram adequados: ω = 0.88 e α = 0.88 para o primeiro fator, e ω = 0.78 e α = 0.78 para o segundo. Conclus&#227;o. O modelo te&#243;rico proposto e validado a partir de uma amostra de grande dimens&#227;o oferece um instrumento psicometricamente s&#243;lido. Conclui-se que a escala &#233; v&#225;lida e fi&#225;vel para a aplica&#231;&#227;o em diversos contextos no territ&#243;rio colombiano. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Investigaci&#243;n &amp; Educaci&#243;n en Enfermer&#237;a is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.17533/udea.iee.v44n2e09
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 17
        StartPage: 115
    Subjects:
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Multitrait multimethod techniques
        Type: general
      – SubjectFull: Reproductive health
        Type: general
      – SubjectFull: Research methodology evaluation
        Type: general
      – SubjectFull: Research evaluation
        Type: general
      – SubjectFull: Experimental design
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Psychometrics
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Mathematical models
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Theory
        Type: general
      – SubjectFull: Sexual health
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Colombia
        Type: general
    Titles:
      – TitleFull: Design and Validation of a Scale to Measure Sexual Health Risks in Colombian Adolescents.
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            NameFull: Jaramillo Sánchez, Yaneth Esperanza
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            – D: 01
              M: 05
              Text: May-Jul2026
              Type: published
              Y: 2026
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