Knowledge, attitudes, and practices survey on adolescent sexual and reproductive health: evidence of internal structure validity
DOI:
https://doi.org/10.21527/2176-7114.2026.51.17188Keywords:
Validation study, Adolescent Health, Health Knowledge, Attitudes, Practice, Sexual behaviorAbstract
Objective: To evaluate evidence of validity based on the internal structure of the Knowledge, Attitudes, and Practices survey on sexual and reproductive health among adolescents. Methods: A methodological study involving 380 participants that examined evidence of validity based on the internal structure of the Knowledge, Attitudes, and Practices survey on sexual and reproductive health among adolescents, conducted in public schools in the city of Floriano, Piauí, Brazil. A questionnaire addressing sociodemographic, sexual, reproductive, and lifestyle profiles was administered, along with the survey developed by Barros (2024). Data were analyzed using the Statistical Package for the Social Sciences (version 20.0) and Factor (version 11.05.01) software. Factor extraction was performed using the Robust Unweighted Least Squares (ULS) method with polychoric correlation. McDonald’s Omega coefficient (ω) was used to verify factor reliability. The research was approved by the Research Ethics Committee (approval number 6,596,376). Results: Two factors representing the items were identified, with their respective explained variances: factor 1 = 38.5%; factor 2 = 25.3%. The model showed good internal consistency (ω = 0.767). The ORION and FDI indices indicated adequate reliability of the survey. Conclusion: The Knowledge, Attitudes, and Practices survey on sexual and reproductive health among adolescents, comprising 10 items and two dimensions (Practices; and Knowledge and attitudes), demonstrated satisfactory psychometric properties, proving to be a model with sound evidence of validity related to internal structure and reliability.
References
1 Sehnem DG, Crespo BTT, Lipinski JM, Ribeiro AC, Wilhelm LA, Arboit J. Saúde sexual e reprodutiva dos adolescentes: percepções dos profissionais de enfermagem. Av Enferm. 2019;37(3). doi:10.15446/av.enferm.v37n3.78933.
2 Malavé-Malavé M. Adolescentes e saúde sexual e reprodutiva [Internet]. Rio de Janeiro: IFF/Fiocruz; 2022 [citado 2025 jan 7]. Disponível em: https://www.iff.fiocruz.br/index.php/pt/?view=article&id=236:adolescentes-e-saude-sexual-e-reprodutiva&catid=8.
3 Silva SM, Ferreira MM, Amaral-Bastos MM, Monteiro MA, Couto GR. Diagnóstico do conhecimento dos adolescentes sobre sexualidade. Acta Paul Enferm. 2020. doi:10.37689/acta-ape/2020AO0210.
4 Lima LM, Hoelzle CR, Simões RT, Lima MI, Fradico JRB, Mateo ECC, Zauli DAG, Melo VH. Sexually transmitted infections detected by multiplex real-time PCR in asymptomatic women and association with cervical intraepithelial neoplasia. Rev Bras Ginecol Obstet. 2018;40(9):540–546. doi:10.1055/s-0038-1670640.
5 Barbosa LU, Machado RS, Pereira JCN, Lima AGT, Costa SS, Folmer V. Percepção de adolescentes sobre sexualidade e saúde reprodutiva: a escola como espaço para a educação sexual. Cult Cuid. 2019;23(55):25–33. doi:10.14198/cuid.2019.55.03.
6 Hongyu K. Análise fatorial exploratória: resumo teórico, aplicação e interpretação. Eng Sci. 2018;7(4):88–103. doi:10.18607/ES201877599.
7 Mialhe FL, Bado P, Ju X, Matos LR, Rebelo MAB. Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form. Rev Latino-Am Enfermagem. 2021;29:e3436. doi:10.1590/1518-8345.4362.3436.
8 Cestari VRF, Borges JWP, Florêncio RS, Garces TS, Pessoa VLMP, Moreira TMM. Internal structure of the Human Person dimension of the Health Vulnerability Questionnaire in heart failure. Rev Esc Enferm USP. 2022;56:e20220117. doi:10.1590/1980-220X-REEUSP-2022-0117.
9 Barroso SM, Cardoso AA, Mendes LH. Escala de Independência Funcional e Expressiva: construção e qualidades psicométricas iniciais. Aval Psicol. 2024;23(4):414–424. doi:10.15689/ap.2024.2304.05.
10 Santos SE dos, Rebustini F. Evidências de estrutura interna da Escala De Dependência De Exercício (Eds-R) na população idosa. Psicol Saude Debate. 2023;9(2):371–85. doi: 10.22289/2446-922X.V9N2A21.
11 Carvalho IS, Moreira TMM, Arruda LSNS, Lima GS, Loureiro AMO, Gomes EB, et al. Healthy Lifestyle Motivation Questionnaire: theoretical framework and validity evidence. Rev Rene. 2024;25:e93456. doi:10.15253/2175-6783.20242593456.
12 Andrade SS da C, Gomes KKdS, Soares MJGO, Almeida NDV de, Coêlho HFC, Oliveira SHS. Construção e validação de instrumento sobre intenção de uso de preservativos entre mulheres de aglomerado subnormal. Cienc Saude Coletiva. 2022;27(7):2867–77. doi: 10.1590/1413-81232022277.20662021.
13 Sá Leite de S, Esmeraldo AC, Carvalho LV, Silva JM da, Almeida PC de, Pagliuca LMF. Construction and validation of an Educational Content Validation Instrument in Health. Rev Bras Enferm. 2018;71(Suppl 4):1635–1641. doi:10.1590/0034-7167-2017-0648.
14 Matos DAS, Rodrigues EC. Análise fatorial. Brasília: Enap; 2019. v. 1. 74p.
15 Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. Essex: Pearson Education Limited; 2013.
16 Machado RS. Evidências de validade da versão brasileira da Death Attitude Profile Revised (Dap-R) da Enfermagem. Tese (Doutorado). Universidade Federal do Piauí, Programa de Pós-graduação em Enfermagem; 2021. Teresina-PI.
17 Carvalho RXC, Araújo TME. Conhecimentos, atitudes e práticas de adolescentes universitários sobre sífilis. Rev Saude Publica. 2020;54:120. doi:10.11606/s1518-8787.2020054002381.
18 Felisbino-Mendes MS, Malta DC, Bernal RTI, et al. Comportamentos sexuais e uso de preservativo na população brasileira: análise da Pesquisa Nacional de Saúde, 2019. Rev Bras Epidemiol. 2021;24(Suppl 2):e210018. doi:10.1590/1980-549720210018.supl.2.
19 Pereira LM, Leite PL, Torres FAF, Lima MRLV, Vasconcelos MND, Machado LDS, Silva MRF da. Conhecimentos e atitudes de adolescentes escolares sobre saúde sexual e reprodutiva. HU Rev. 2022;48:1–10. doi: 10.34019/1982-8047.2022.v48.37778.
20 Aragão JMN, Amaral HRM, Sousa FWM, Oliveira EN, Vasconcelos MIO. Conhecimento, atitude e prática de adolescentes escolares em relação ao uso do preservativo masculino. Rev Enf Contemp. 2021;10(1):[paginação]. doi:10.17267/2317-3378rec.v10i1.3446.
21 Garcia CE, Costa IR, Oliveira RC, Silva CRL, Góes ARS, Abrão FMS. Representações sociais de adolescentes sobre a transmissão do HIV/AIDS nas relações sexuais: vulnerabilidades e riscos. Esc Anna Nery. 2022;26:e20210083. doi:10.1590/2177-9465-EAN-2021-0083.
22 Cabral CDS, Brandão ER. Gravidez na adolescência, iniciação sexual e gênero: perspectivas em disputa. Cad Saude Publica. 2020;36:e00029420. doi: 10.1590/0102-311X00029420.
23 Branco TB, Oliveira FBM, Silva MVRS, Santos FAS, Guimarães JTF. Vulnerabilidades para hepatite B: conhecimento, atitudes e práticas de adolescentes escolares. J Nurs UFPE Online. 2017;11(11):4749–4757. doi:10.5205/reuol.11138-99362-1-SM.1111sup201727.
24 Guarnieri R, Botelho FC, Silva LAV, Zucchi EM. Representações sociais do HIV e o cuidado de jovens recentemente diagnosticados. Rev Saude Publica. 2024;58(Suppl 1):6s. doi:10.11606/s1518-8787.2024058005594.
25 Santos CD, Roso A. Saúde sexual e reprodutiva nas adolescências no contexto brasileiro: o que sabemos sobre isso? Estud Pesqui Psicol. 2024;24:17 abr. doi: 10.12957/epp.2024.67677.
26 Junior S. Avaliação de qualidades psicométricas da versão brasileira do índice de capacidade para o trabalho. 2010 jan 1.
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Copyright (c) 2026 WYGOR BRUNO E SILVA MORAIS, Zildanya da Silva Barros, Jardeliny Corrêa da Penha, Ana Virginia Rodrigues Veríssimo, Luisa Helena de Oliveira Lima, José Wicto Pereira Borges, Fernando Ferraz do Nascimento

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