Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study

Detalhes bibliográficos
Autor(a) principal: Ferreira, Rayanne C.
Data de Publicação: 2022
Outros Autores: Torres, Thiago S., Ceccato, Maria Das Graças B., Bezerra, Daniel R. B., Thombs, Brett D., Luz, Paula M., Harel, Daphna
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/52908
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
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spelling Ferreira, Rayanne C.Torres, Thiago S.Ceccato, Maria Das Graças B.Bezerra, Daniel R. B.Thombs, Brett D.Luz, Paula M.Harel, Daphna2022-05-25T23:36:24Z2022-05-25T23:36:24Z2022FERREIRA, Rayanne C. et al. Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study. JMIR public health and surveillance, v. 8, n. 3, p. 1-16, 20222369-2960https://www.arca.fiocruz.br/handle/icict/5290810.2196/30676engDevelopment and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Jewish General Hospital. Lady Davis Institute for Medical Research. Montreal, QC, Canada / McGill University. Departments of Psychiatry. Montreal, QC, Canada / McGill University. Department of Epidemiology, Biostatistics and Occupational Health. Montreal, QC, Canada / McGill University. Department of Medicine. Montreal, QC, Canada / McGill University. Department of Psychology. Montreal, QC, Canada / McGill University. Biomedical Ethics Unit. Montreal, QC, Canada.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.New York University. Department of Applied Statistics, Social Science, and Humanities. New York, NY, United States / New York University. Center for Practice and Research and the Intersection of Information, Society, and Methodology. New York, NY, United States.Background: In theoretical models of health behavior, knowledge about disease transmission and self-protective behaviors are conceptualized as important drivers of behavior change. Several studies conducted in Brazil point to an unfortunate convergence of sexual and gender minority (SGM) populations with low levels of HIV knowledge and younger age, lower education, engagement in higher-risk sexual behavior, and never having tested for HIV. Measures to assess level of HIV knowledge have been previously published, including the 12-item HIV/AIDS Knowledge Assessment (HIV-KA) tool. However, measure length can be a barrier to assessment. Objective: We started from the 12-item HIV-KA tool and developed candidate short forms using statistical procedures, evaluated their psychometric properties, and tested the equivalency of their associations with other measures of HIV knowledge compared to the 12-item version. Methods: A convenience sample of SGM was recruited during September 2020 to complete an online survey through advertisements on two social networking apps (Grindr and Hornet). The survey instrument included items on sociodemographic information, prior HIV testing and HIV test results, preexposure prophylaxis (PrEP) and antiretroviral treatment use, sexual behavior, and 3 HIV knowledge measures: the HIV-KA, World Health Organization Knowledge About HIV Transmission Prevention Indicator, and the Brief HIV Knowledge Questionnaire. We used exploratory factor analysis and confirmatory factor analysis (CFA) to assess the factor structure of the of the HIV-KA. We used optimal test assembly (OTA) methods to develop candidate short forms of the HIV-KA and evaluated them based on prespecified reliability, concurrent validity, and statistically equivalent convergent validity criteria. Results: Among 2552 SGM individuals from Brazil, mean age was 35.1 years, 98.2% (2507/2552) cisgender men and 1.8% (45/2552) transgender/nonbinary, 56.5% (1441/2552) White, and 31.0% (792/2552) self-reported HIV positive. CFA indicated a 1-factor structure for the 12-item HIV-KA. Concurrent validity correlations were high for all short forms with 6 items, but only versions with 9 items were as reliable as the full-length form and demonstrated equivalency for convergent validity correlations. Suggesting post hoc convergent validity, HIV knowledge scores using the 9- and 10-item short forms were higher for participants who perceived the Undetectable Equals Untransmittable (U=U) slogan as completely accurate versus not accurate. Suggesting post hoc concurrent validity, participants of younger age, of Black, Pardo or indigenous race, and reporting lower education and lower income scored lower on HIV knowledge. Participants who never tested for HIV scored lower than those who tested negative or positive, while those currently using PrEP scored higher than those reporting past or never use. Conclusions: OTA methods were used to shorten the 12-item HIV-KA to 9-item and 10-item versions while maintaining comparable reliability and validity among a large sample of Brazilian SGM. However, these short forms did not shorten sufficiently to justify deviation from the full measure.BrazilHIVKnowledgePreexposure prophylaxisSexual and gender minoritiesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/52908/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALDevelopment_Thiago_Torres_etal_INI_2022.pdfDevelopment_Thiago_Torres_etal_INI_2022.pdfapplication/pdf200253https://www.arca.fiocruz.br/bitstream/icict/52908/2/Development_Thiago_Torres_etal_INI_2022.pdf786774705ca8e44d66f4d6e44d2e6325MD52icict/529082022-05-25 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dc.title.pt_BR.fl_str_mv Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study
title Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study
spellingShingle Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study
Ferreira, Rayanne C.
Brazil
HIV
Knowledge
Preexposure prophylaxis
Sexual and gender minorities
title_short Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study
title_full Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study
title_fullStr Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study
title_full_unstemmed Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study
title_sort Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study
author Ferreira, Rayanne C.
author_facet Ferreira, Rayanne C.
Torres, Thiago S.
Ceccato, Maria Das Graças B.
Bezerra, Daniel R. B.
Thombs, Brett D.
Luz, Paula M.
Harel, Daphna
author_role author
author2 Torres, Thiago S.
Ceccato, Maria Das Graças B.
Bezerra, Daniel R. B.
Thombs, Brett D.
Luz, Paula M.
Harel, Daphna
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Ferreira, Rayanne C.
Torres, Thiago S.
Ceccato, Maria Das Graças B.
Bezerra, Daniel R. B.
Thombs, Brett D.
Luz, Paula M.
Harel, Daphna
dc.subject.en.pt_BR.fl_str_mv Brazil
HIV
Knowledge
Preexposure prophylaxis
Sexual and gender minorities
topic Brazil
HIV
Knowledge
Preexposure prophylaxis
Sexual and gender minorities
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-05-25T23:36:24Z
dc.date.available.fl_str_mv 2022-05-25T23:36:24Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv FERREIRA, Rayanne C. et al. Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study. JMIR public health and surveillance, v. 8, n. 3, p. 1-16, 2022
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/52908
dc.identifier.issn.pt_BR.fl_str_mv 2369-2960
dc.identifier.doi.none.fl_str_mv 10.2196/30676
identifier_str_mv FERREIRA, Rayanne C. et al. Development and Evaluation of Short-Form Measures of the HIV/AIDS Knowledge Assessment Tool Among Sexual and Gender Minorities in Brazil: Cross-sectional Study. JMIR public health and surveillance, v. 8, n. 3, p. 1-16, 2022
2369-2960
10.2196/30676
url https://www.arca.fiocruz.br/handle/icict/52908
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron:FIOCRUZ
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institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/52908/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/52908/2/Development_Thiago_Torres_etal_INI_2022.pdf
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