Canadian Sexual Health Indicators Survey (Smylie et al., 2013)

Sexual beliefs, behaviours, and experiences that relate to sexual health outcomes in adolescents and young adults; 33 Items / 3-8 Item Subscales, Ages 16-24
  • Populations: Adolescents, Young Adults
  • Age ranges: 16-24
  • Languages: English, French
  • Countries: Canada

Items

Subscales

  • Protection self efficacy, 8 Items
  • STI/HIV testing self efficacy, 5 Items
  • Sexual Communication Self Efficacy, 4 Items
  • Sexual Limit-Setting Self Efficacy, 3 Items
  • Sexual Assertiveness, 5 Items,
  • Partner Violence victimization, 4 Items
  • Sexual Coercion Victimization, 4 Items

Items By Subscale

Protection self efficacy

  • If I wanted to practice “safer sex” with someone, I would insist on doing so *a
  • I feel confident in my ability to use protection on myself and/or my partner. *a
  • I feel confident I could purchase protection without feeling embarrassed. *a
  • I feel confident in my ability to discuss protection usage with any partner I might have. *a
  • If I or my partner didn’t have protection, I feel confident in my ability to suggest less risky activities, even in the heat of passion. *a
  • I feel confident in my ability to suggest using protection with a new partner. *a
  • I feel confident I could bring up the topic of protection with my health-care provider. *a
  • I feel confident I could easily ask my partner if he/she had protection (or tell them that I didn’t). *a 

STI/HIV testing self efficacy

  • I feel confident I could ask a doctor or health-care provider specifically for HIV testing. *a
  • I feel confident I could ask my partner to get tested specifically for HIV. *a
  • I feel confident I could ask my doctor or health-care provider for STI testing. *a
  • I feel confident I could ask my partner to get tested for STIs. *a
  • If I got an STI, I feel confident I could tell my current partner(s) about it. *a

Sexual Communication Self Efficacy

  • If I were regularly having problems becoming sexually aroused, I feel confident I could ask a doctor about it. *a
  • If I were regularly experiencing pain during sexual activity, I feel confident I could ask a doctor about it. *a
  • If I were regularly experiencing pain during sexual activity, I feel confident I could talk to my partner(s) about it. *a
  • If I have questions about sexual health, I feel I could ask a teacher, health-care professional, and/or other sexual health educator. *a

Sexual Limit-Setting Self Efficacy

  • I feel confident I would be able to go out with someone without feeling obligated to engage in sexual activity. *a
  • I feel confident I would be able to choose when and where to engage in sexual activity. *a
  • I feel confident I would be able to refuse sexual activity with someone I’m not comfortable with. *a

Sexual Assertiveness

  • I am assertive about the sexual aspects of my life. *a
  • I am direct about voicing my sexual needs and preferences. *a
  • I am the type of person who insists on having my sexual needs met. *a
  • If I were to have sex with someone, I’d tell my partner what I like. *a
  • I feel confident I would be able to say to someone how he/she can give me sexual pleasure. *a

Partner Violence victimization

  • In general, in your sexual relationships, how often does it happen that one (or some) of your partners verbally intimidates you? *b
  • In general, in your sexual relationships, how often does it happen that one (or some) of your partners is aggressive toward you? *b
  • In general, in your sexual relationships, how often does it happen that one (or some) of your partners insults you? *b
  • In general, in your sexual relationships, how often does it happen that one (or some) of your partners physically hurts you? *b

Sexual Coercion Victimization

  • How often have you been forced to engage in sexual acts without your consent (without you wanting to do it)? *c
  • How often have you had sexual contact without your consent with a person in exchange for money? *c
  • How often have you had sexual contact without your consent with a person in exchange for drugs? *c
  • How often have you had sexual contact without your consent with a person in exchange for gifts, goods, a place to sleep,
    food, or services? *c

Responses

  • *a Variables were coded as 1 - strongly disagree, 2 - disagree, 3 - neither agree nor disagree, 4 - agree, and 5 - strongly agree
  • *b Variables were coded as 0 - never, 1 - once, 2 - two or three times, 3 - four or five times, and 4 - more than five times.
  • *c Variables were coded as 0 - never, 1 - rarely, 2 - sometimes, 3 - almost always, and 4 - always

Scoring

Not Reported

Citations

Smylie, L., Clarkea, B., Doherty, M., Gahagan, J., Numer, M., Otis, J., Smith, G., McKay, A., & Soon, C. (2013). The development and validation of sexual health indicators of canadians aged 16—24 years. Public Health Reports (1974), 128(2_suppl1), 53-61. https://doi.org/10.1177/00333549131282S106

Scoring breakdown

Measure development

  • Significant design input from young people
  • Cognitive interviews with young people
  • Expert input

Validity

  • Green: Face validity
  • Green: Convergent validity
  • Green: Construct validity

Reliability

  • Green: Internal consistency
  • Unknown: Test-retest

Ease of use

  • Unknown: Readability

Definitions

Face validity: How well a measure appears to represent the construct it is supposed to be measuring.

Convergent validity: How well a measure correlates with other hypothetically-related measures.

Construct validity: The extent to which a measure reflects the construct it was designed to evaluate.

Internal consistency: The extent to which items in a scale capture aspects of the same construct.

Test-retest: The degree to which measurement scores are consistent over a short period of time (usually 2 weeks).

Readability: The ease with which a reader can understand the questionnaire items.

Key

  • Green: Meets validation criteria
  • Red: Does not meet validation criteria
  • Unknown: Evidence not available

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