HIV Risk Predictors: Psychosocial (Lang, 1997)

Educational and environmental aspects of AIDS risk in adolescents; 47 Item / 1-8 Item Subscales, Ages 13-19
  • Populations: Adolescents, young adults
  • Age ranges: 13-19
  • Languages: English
  • Countries: United States

Items

Subscales

  • Environment, 26 Items, 4 subscales:
    • Peer Risk, 8 Items
    • AIDS Proximity, 8 Items
    • Media Resources, 5 Items
    • Media Influence, 5 Items
  • Education had 3 sub factors:
    • School Education, 13 Items
      • School Education, 8 Items tables
      • School Influence, 5 Items
    • Home Education had 2 subfactors:
      • Parent Education and Influence, 2 Items
      • Sibling Education and Influence, 2 Items
    • Peer Education had 2 subfactors:
      • Peer Education, 1 Item
      • Peer Influence, 3 Items

Items by Subscale

Environment

  • Peer Risk
    • Most of my friends have had sex.
    • One of my close friends does things that could lead to them getting AIDS.
    • My close friends insist on using condoms when they have sex with a risky partner . (R) 
    • My close friends think that their partner would not mind using a condom when they have sex. (R)
    • My close friends are afraid to ask their partner to use a condom when they have sex.
    • Some of my close friends think that they are at risk of getting AIDS.
    • My close friends think that it’s okay for a woman to ask a partner to use condoms. (R)
    • My close friends ask a sex partner to use a condom. (R)
  • AIDS Proximity
    • If you know someone with HIV/AIDS , how old were you when you first knew this person with HIV/AIDS? (R)
    • A family member or close friend has HIV/AIDS.
    • I know someone with HIV/AIDS who is not a close friend or a member of my family.
    • I know a gay person who has HIV/AIDS.
    • I know a person who is not gay who has HIV/AIDS.
    • I know a woman who has HIV/AIDS.
    • I know a person who shoots drugs with a needle who has HIV/AIDS.
    • I know someone who was tested for AIDS. 
  • Media Resources
    • For me, watching TV has been an important way to learn about HIV/AIDS.
    • For me, listening to the radio has been an important way to learn about HIV/AIDS.
    • For me, seeing movies in the theater , or on video has been an important way to learn about HIV/AIDS.
    • For me, reading books or magazines has been an important way to learn about HIV/AIDS.
    • For me, reading newspapers has been an important way to learn about HIV/AIDS.
  • Media Influence
    • Knowing that “Magic Johnson ,” a famous basketball player, has HIV/AIDS has made me want to learn more about HIV/AIDS.
    • Knowing that a famous singer I really like has died of AIDS would make me want to learn more about how I can avoid getting it.
    • Knowing that a famous movie or TV star I really like has died of AIDS would make me want to learn more about how I can avoid getting it.
    • Knowing a famous movie or TV star I really like has HIV/AIDS would make me want to learn more about how I can avoid getting it.
    • Knowing a famous singer I really like has HIV/AIDS would make me want to learn more about how I can avoid getting it.

Education

  • School Education
    • School Education
      • How old were you when you had your first class in school that talked about HIV/AIDS? (R)
      • I learned a lot about HIV/AIDS in classes I took in grade school.
      • I learned a lot about HIV/AIDS in classes I took in junior high school.
      • I learned a lot about HIV/AIDS in classes I took in high school.
      • Most of what I learned about HIV/AIDS in my classes was from listening to my teacher talk about it.
      • Most of what I learned about HIV/AIDS in my classes was from movies, books, and/or slides.
      • Most of what I learned about HIV/AIDS in my classes was from asking the teacher to answer my questions about it.
      • Most of what I learned about HIV/AIDS in my classes was from doing assignments or projects
    • School Influence
      • I learned a lot in my classes about the things people do that can cause them to get HIV/AIDS.
      • I learned a lot in my classes about what to do if I do not want to have sex.
      • Most of what I learned about how to practice safer sex was from my health or sex education classes.
      • I was taught how to keep myself from getting into a situation that would put me at risk for getting HIV/AIDS.
      • It would be easy for me to talk about sex with a teacher or school counselor.
  • Home Education had 2 subfactors:
    • Parent Education and Influence
      • It would be easy for me to talk to my mother or father(or guardian) about sex.
      • Most of what I know about HIV/AIDS I learned from my mother or father (or guardian)
    • Sibling Education and Influence
      • It would be easy to talk about sex with my brother or sister (if you don’t have brothers or sisters, consider cousins, or other relatives).
      • Most of what I know about HIV/AIDS I learned from my brother(s) and/or sister(s).
  • Peer Education had 2 subfactors:
    • Peer Education
      • It would be easy for me to talk about sex with my best friend(s) .
    • Peer Influence,
      • Most of what I know about HIV/AIDS I learned from my friends .
      • When my best friend(s) talk about HIV/AIDS, I believe that what they say is true.
      • Most of what I know about sex I learned from my friends.

Scoring

Peer Risk
Scale Range: 1-5; high score indicative of high peer risk

AIDS Proximity
Scale Range: 1-5; high score indicative of high AIDS proximity

Media Resources
Scale Range: 1-5; high score indicative of high use of media resources

Media Influence
Scale Range: 1-5; high score indicative of high media influence

School Education
Scale Range : 1-5; high score indicative of high education derived from school

School Influence
Scale Range: 1-5; high score indicative of high influence derived from school

Peer Education (single item)
Scale Range : 1-5; high score indicative of high education derived from peers

Peer Influence
Scale Range : 1-5; high score indicative of high influence derived from peers

Parent Education (single item)
Scale Range: 1-5; high score indicative of high education derived from parents

Parent Influence (single item)
Scale Range: 1-5; high score indicative of high influence derived from parents

Sibling Education (single item)
Scale Range: 1-5; high score indicative of high education derived from siblings

Sibling Influence (single item)
Scale Range: 1-5; high score indicative of high influence derived from siblings

 

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).  Further, the author cautions interpretation on this scale due to low number of items.

Internal consistency for the Environment-Peer Risk, Home education, the Peer education-Peer education subscales did not reach our threshold for Adequacy.

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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