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Factor structure and gender stability in the multidimensional condom attitudes scale.

Amy J Starosta1, Christopher R Berghoff2, Mitch Earleywine2

  • 1University at Albany, State University of New York, Albany, NY, USA as182232@albany.edu.

Assessment
|August 21, 2014
PubMed
Summary

The Multidimensional Condom Attitudes Scale (MCAS) is a valid tool for measuring condom attitudes across genders. Three items were identified for removal to improve accuracy in sexual health research.

Keywords:
Multidimensional Condom Attitudes Scalecondom attitudescondomsconfirmatory factor analysisdifferential item functioning (DIF)

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Area of Science:

  • Public Health
  • Psychology
  • Sociology

Background:

  • Sexually transmitted infections (STIs) remain a significant public health concern in the United States.
  • Condom use is a key strategy for STI prevention, influenced by attitudes towards condoms.
  • The Multidimensional Condom Attitudes Scale (MCAS) measures these attitudes but its gender invariance requires examination.

Purpose of the Study:

  • To assess the psychometric properties of the MCAS, specifically its factor structure and gender invariance.
  • To determine if the MCAS is biased across genders, potentially affecting sexual health research outcomes.
  • To refine the MCAS for more accurate measurement of condom attitudes in diverse populations.

Main Methods:

  • Confirmatory factor analysis (CFA) and item response theory (IRT) were employed.
  • Differential item functioning (DIF) analyses were conducted within subscales to detect gender bias.
  • Data were collected from over 770 participants via the internet.

Main Results:

  • The five-factor structure of the MCAS was confirmed, supporting its multidimensional nature.
  • Three specific items exhibited differential item functioning between genders and their removal is recommended.
  • Despite minor adjustments, the MCAS demonstrates reasonable methodological comparability across genders.

Conclusions:

  • The MCAS, with recommended item revisions, is a psychometrically sound instrument for assessing condom attitudes.
  • Findings support the use of the MCAS in sexual health research and interventions, with consideration for gender.
  • Future research and interventions can benefit from a validated and gender-fair measure of condom attitudes.