Contraceptive Self Efficacy (Levinson, 1984)

Contraceptive self-efficacy in late adolescent females and males, 15-14 Items, Age M 16
  • Populations: French Canadian adolescents
  • Age ranges: M = 15.9 years (SD= 0.82) for girls and M = 16.4 years for boys (SD= 1.07).
  • Languages: English, French
  • Countries: Canada

Items

Female Scale

  • When I’m with a boy, I feel like I can always control what happens sexually.
  • I am unable to tell a boyfriend how I feel about sexuality, even when the boyfriend is able to talk about it.
  • If my boyfriend and I become sexually aroused and I don’t really want to have sex, I can easily tell him “no” and stick to my idea.
  • If my boyfriend didn’t talk about our sexual relations, I wouldn’t be able to either.
  • If my boyfriend and I become sexually aroused and I don’t really want to make love, I can easily stop what’s happening and we don’t.
  • If I were very in love or excited, I might have sex even if I was not protected (did not use contraception).
  • Sometimes I do what my boyfriend wants to do, sexually, because it would be too complicated for me to try to make him understand what I want.
  • I could not continue using birth control if I thought my parents might find out.
  • I would be ashamed to go to the pharmacy and ask for pills or condoms.
  • Sometimes I should talk to my boyfriend about contraception, but I can’t bring myself to do it when the situation arises.
  • Sometimes I end up having sex with a boy because I can’t figure out any other way.

If my boyfriend  and i became very sexually excited and we were about to have sex

  • I could easily ask him if he has a condom or tell him that I don’t have any birth control.
  • I could stop for a moment so my boyfriend can put on his condom.
  • I could tell him that I take the pill or that I have an IUD (if those are the contraceptives I use).
  • I might stop before penetration if I couldn’t talk about contraception.

 

Male Scale

  • When I am with a girl, I feel able to control my sexual desire.
  • When I am with my girlfriend, even if I am very excited and want to make love; I can easily not have sex.
  • If my girlfriend didn’t talk about our sexual relations, I wouldn’t be able to either.
  • When I think about what it means to have sex (commitment, consequences), I can’t don’t do it so easily.
  • If I were very in love or excited, I could have sex without worrying about contraception.
  • Sometimes I do what my girlfriend wants to do, sexually, because it would be too complicated for me to try to make her understand what I want.
  • I could not continue using a condom if I thought my parents might notice.
  • I would be ashamed to go to the pharmacy and ask for condoms.
  • Sometimes I should talk to my girlfriend about contraception, but I can’t bring myself to do it when the situation arises.
  • Sometimes I end up having sex with a girl because I can’t figure out any other way.

If my girlfriend and i became very sexually excited and we were about to have sex

  • I could easily ask her if she has any birth control, or tell her that I don’t have a condom.
  • I could stop for a moment to put on a condom.
  • I could tell him I have a condom.
  • I might stop before penetration if I couldn’t talk about contraception.

Scoring

Not Reported

Citations

  • Levinson, R. A. (1984). Contraceptive self-efficacy: A primary prevention strategy. Journal of Social Work & Human Sexuality, 3(1), 1. https://doi.org/10.1300/J291v03n01_01
  • Levinson, R., Wan, C., & Beamer, L. (1998). The contraceptive self-efficacy scale: Analysis in four samples. Journal of Youth and Adolescence, 27(6), 773-793. https://doi.org/10.1023/A:1022865900546
  • Bilodeau, A., get, G., & Tetreault, J. (1994). L’auto-efficacite relative a la contraception chez les adolescentes et les adolescents: La validation de la version francaise de l’echelle de mesure de levinson. Canadian Journal of Public Health, 85(2), 115.
  • Miaochen Long, Qiulian Xu, Yue Xie, Yue Ren, Ying Zheng & Changmin Niu (2024) Contraception and Reproductive Health Measurement Instruments for Adolescents and Youth: A Scoping Review, International Journal of Sexual Health, 36:4, 584-596, DOI: 10.1080/19317611.2024.2388262

Team comments

This measure originally developed by Levinson (1984).  Due to institutional access issues, data reported are from a French translation of the measure (Bilodeau, 1994)

Scoring breakdown

Measure development

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

Validity

  • Green: Face validity
  • Unknown: 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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