HIV Risk Predictors: Behavioral (Lang, 1997)

Behaviors related to HIV risk in adolescents; 47 Items, 5-15 Item Subscales, Ages 13-19
  • Populations: Adolescents, young adults
  • Age ranges: 13-19
  • Languages: English
  • Countries: United States

Items

Subscales

  • Sexual Assertiveness Partner Communication, 5 Items
  • Sexual Assertiveness Condom Use, 5 Items
  • Substance Use, 8 Items
  • Substance Abuse, 15 Items
  • Self Risk History, 7 Items
  • Partner-Risk History, 7 Items

Items by Subscale

Sexual Assertiveness Partner Communication

  • I would ask if I want to know if my partner ever had an HIV test.
  • I would ask my partner about the AIDS risk of his/her past partners, if I want to know.
  • I would ask if I want to know if my partner ever had a STD.
  • I would ask if I want to know if my partner ever had sex with someone who shoots drugs with a needle.
  • I would ask if I want to know if my partner ever used needles to take drugs

Sexual Assertiveness Condom Use

  • I would have sex without a condom if my partner doesn’t like them, even if I want to use one. (R)
  • I would make sure my partner and I use a condom when we have sex.
  • I would insist on using a condom if I want to, even if my partner doesn’t like them.
  • I would have sex without using a condom if my partner insists, even if I don’t want to. (R)
  • I would refuse to have sex if my partner refuses to use a condom

Substance Use

  • In the past year, how often have you had a drink of beer, wine , or liquor?
  • In the past year, how many drinks did you have when you drank alcohol? 
  • In the past year, how often did you have 3 or more drinks in one day?
  • In the past year, how often did you have 6 or more drinks in one day? 
  • In the past year, how many times did you use marijuana or hashish (grass, pot, hash, hash oil) with out a doctor’s orders? 
  • In the past year, how many times did you use other drugs without a doctor ‘s orders? 
  • In the past year, how many times did you share a needle to shoot drugs?
  • In the past year, how often have these things happened because of your drinking or drug use :
    • I had a hangover

Substance Abuse

Item Stem: In the past year, how often have these things
happened because of your drinking or drug use :

  • I messed up on something important.
  • I was in trouble with police or other authority.
  • I broke or messed up someone else’s things.
  • I got into an argument or fight.
  • I got sick/threw up.
  • I drove a car after having alcohol or drugs.
  • I was hurt/injured.
  • Someone I know talked to me about how I was acting.
  • I thought I might have a drinking/drug problem.
  • I couldn’t remember (blacked out).
  • I did something I wished I hadn ‘t.
  • I was arrested for drunk driving.
  • I had sex that I wouldn ‘t have had if sober.
  • I tried to stop using but didn’t
  • I thought about or tried to kill myself

Self Risk History

  • About how long have you been involved with your most recent sex partner?
  • How old were you the first time you willingly had intercourse?
  • About how many sex partners have you had in your life?
  • About how many sex partners have you had in the past year?
  • In the past year, did you use alcohol before having sex?
  • In the past year, how many drinks did you normally have before having sex?
  • In the past year, did you use marijuana or other drugs before having sex?

Partner-Risk History

  • How sure are you that you have not been exposed to AIDS?
  • How sure are you that your sex partner(s) have not been exposed to AIDS?
  • Have you ever been tested for HIV?
  • How many sex partners have you had who shoot drugs with a needle?
  • How many sex partners have you had who tested positive for HIV or had AIDS?
  • About how many sex partners has your most recent partner had?
  • How sure are you about your answer to the above question?

(R) Item is reverse coded.

Scoring

Substance Use
Scale Range : 1-5; high score indicative of high substance use

Substance Abuse
Scale Range : 1-5; high score indicative of high substance abuse

Sexual Assertiveness Partner Communication
Scale Range : 1-5; high score indicative of high assertiveness for partner communication

Sexual Assertiveness Condom Use
Scale Range: 1-5; high score indicative of high assertiveness for condom use

Self Risk History
Scale Range : 1-5; high score indicative of high self risk history

Partner Risk History
Scale Range: 1-5; high score indicative of high partner risk history

Citations

Lang, Michelle A., “A Quantitative and Qualitative Assessment of Adolescent HIV-Risk Predictors” (1997).
Open Access Dissertations. Paper 984.
https://digitalcommons.uri.edu/oa_diss/984

Team comments

This measure was developed as part of a set of 4 scales by Lang (1997). 

HIV Risk Predictors Scales:

  • Cognitive
  • Attitudinal
  • Behavioral
  • Psychosocial

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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