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Young Women’s Sexual Health Care Behavior Scale: Reliability and Validity
Validation

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Y. Wang, H. Sun, C. Yang, T. Luo, and Y. Lee 2
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Department of Nursing, MacKay Junior College of Medicine, Nursing, and Management, Chinese
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Taipei, and Department of Nursing, MacKay Memorial Hospital, Chinese Taipei
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Background: Young women’s sexual health self-care behaviors contribute to proactive self-protection
and decision-making when facing sexual health risks. Therefore, developing this scale serves as an
effectiveness assessment tool for interventions in sexual health programs to promote sexual health among
young women.

Objective: The study aimed to develop the sexual health care behaviors in young women scale and
test the psychometric property of this scale.

Methods: The researchers utilized qualitative research findings, existing literature, and practical experience
in sexual health education and counseling to develop the questionnaire. The questionnaire’s content
validity was assessed by professional and experienced experts. Item analysis determined item
appropriateness and deletions. 311 young women formed the sample. Exploratory factor analysis (EFA)
assessed construct validity, and Cronbach’s α coefficient measured reliability.

Results: After two rounds of expert evaluation, the 13 questions were retained in the scale. The I-CVI ranged
from 0.8 to 1.0, and the S-CVI was 0.98, both meeting the standard.311 young women (average age 17.25±.49)
were sampled using convenience sampling. Item analysis revealed significant differences in the extreme
group (P < .001), indicating strong discrimination for all items. Factor analysis retained all 13 questions with
factor loadings between 0.416 and 0.946. Three factors emerged: “ safe dating practices,” “contraceptive
behavior,” and “sexual health promotion,” explaining 58.16% of the total variance. Cronbach’s α for the total
scale was .74, and for subscales ranged from .74 to .89, indicating good reliability and validity.

Conclusion: The scale evaluates young women’s sexual health care behaviors, including safe dating
practices, contraception, and the frequency and extent of sexual health promotion. In the future, it
can serve as an effectiveness assessment tool for interventions targeting sexual health among young
women. Additionally, it can be expanded to include young women from different educational systems
or regions to further test the reliability and validity of the scale.

Keywords: sexual health, sexual health care behavior, scale construction, young women

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Poster Presentation Abstracts
Correspondence: Yen-Hui Wang, Department of Nursing, MacKay Junior College of Medicine, Nursing,
and Management, Chinese Taipei
E-mail: s167@mail.mkc.edu.tw

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