فهرست نشریات علمی دسترسی آزاد ایران

Background: School‑based sex education has the potential to prevent unwantedpregnancy and to promote positive sexual health at the individual, family and communitylevel. Objectives: To develop and validate a sexual health questionnaire to measure youngpeoples’ sexual health knowledge and understanding (SHQ) in Nepalese secondaryschool. Materials and Methods: Secondary school students (n = 259, male = 43.63%,female = 56.37%) and local experts (n = 9, male = 90%, female = 10%) were participatedin this study. Evaluation processes were; content validity (>0.89), plausibility check (>95),item‑total correlation (>0.3), factor loading (>0.4), principal component analysis (4 factorsKaiser’s criterion), Chronbach’s alpha (>0.65), face validity and internal consistency usingtest‑retest reliability (P > 0.05). Results: The principal component analysis revealed four factorsto be extracted; sexual health norms and beliefs, source of sexual health information, sexualhealth knowledge and understanding, and level of sexual awareness. Kaiser‑Meyer‑Olkin (KMO)measure of sampling adequacy demonstrated that the patterns of correlations are relativelycompact (>0.80). Chronbach’s alpha for each factors were above the cut‑off point (0.65). Facevalidity indicated that the questions were clear to the majority of the respondent. Moreover, therewere no significant differences (P > 0.05) in the responses to the items at two time points at sevenweeks later. Conclusions: The finding suggests that SHQ is a valid and reliable instrument tobe used in schools to measure sexual health knowledge and understanding. Further analysissuch as structured equation modelling (SEM) and confirmatory factor analysis could make thequestionnaire more robust and applicable to the wider school population.