The Inventory of Anal Sex Knowledge (iASK): A New Measure of Sexual Health Knowledge Among Adolescent Sexual Minority Males Article Swipe
Bryan A. Kutner
,
Nicholas S. Perry
,
Claire D. Stout
,
Andrea Norcini Pala
,
Christian D. Paredes
,
Kimberly M. Nelson
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1016/j.jsxm.2021.12.011
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1016/j.jsxm.2021.12.011
Introduction Knowledge about sexual health is a key determinant of sexual behavior among adolescent sexual minority males (ASMM). No measures exist to assess anal sex knowledge, even though anal sex is the primary route by which ASMM acquire sexually transmitted infections (STIs), including a disproportionate burden of human immunodeficiency virus (HIV). Aim We developed a new measure as a first step toward assessing the prevalence and correlates of anal sex knowledge and potential effects of interventions to improve knowledge. Methods Two coders independently outlined domains of knowledge within 2 sex education videos designed to address anal sex knowledge among ASMM. An initial set of 56 items, some duplicative, encompassed all domains. A larger team, including a psychometrician, then iteratively revised and reduced the set of items, and assessed construct validity via cognitive testing among ASMM (N = 4, aged 16–17 years old, 75% identifying as racial/ethnic minorities). For the final set of 10 items, factor structure and convergent and divergent validity were assessed using baseline responses to an online survey within a randomized controlled pilot trial among 154 ASMM. Open-ended questions assessed their comprehension and the acceptability of items. Outcomes We examined correlates that we anticipated would be theoretically related (ie, the HIV Knowledge Questionnaire [HIV-KQ-18] and the STD-Knowledge Questionnaire [STD-KQ]) and theoretically distinct (ie, the Patient Health Questionnaire [PHQ-2], Generalized Anxiety Disorder scale [GAD-2], and employment status). Results The one-factor model explained 42% of the items’ common variance and demonstrated acceptable internal reliability (Cronbach’s alpha = 0.72). The measure withstood tests of convergent and divergent validity when compared to current measures (HIV knowledge, r = 0.35 and STI knowledge, r = 0.24, both P < .05; internalizing mental health symptoms, r = -0.07 and employment status, r = 0.13, both P > .05). Few respondents found words unfamiliar or uncomfortable. Clinical Implications A method for assessing anal sex knowledge may offer opportunities to intervene to lessen harmful sequelae of a lack of knowledge. Strength & Limitations We developed a brief, psychometrically valid measure of anal sex knowledge. The measure may neither generalize to all anal health knowledge nor to more sexually experienced, older SMM. Conclusion The resulting 10-item, single-factor measure, the Inventory of Anal Sex Knowledge (iASK), is psychometrically sound and addresses the lack of anal sex knowledge measures among ASMM. The iASK can function to assess the prevalence and sequelae of anal sex knowledge among ASMM as well as the impact of interventions targeting anal sex knowledge.
Related Topics
Concepts
Sexual minority
Psychology
Reproductive health
Clinical psychology
Anal sex
Measure (data warehouse)
Developmental psychology
Demography
Medicine
Social psychology
Sexual orientation
Men who have sex with men
Family medicine
Population
Human immunodeficiency virus (HIV)
Sociology
Computer science
Database
Syphilis
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.jsxm.2021.12.011
- OA Status
- green
- Cited By
- 4
- References
- 45
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4210816793
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4210816793Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1016/j.jsxm.2021.12.011Digital Object Identifier
- Title
-
The Inventory of Anal Sex Knowledge (iASK): A New Measure of Sexual Health Knowledge Among Adolescent Sexual Minority MalesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-01-25Full publication date if available
- Authors
-
Bryan A. Kutner, Nicholas S. Perry, Claire D. Stout, Andrea Norcini Pala, Christian D. Paredes, Kimberly M. NelsonList of authors in order
- Landing page
-
https://doi.org/10.1016/j.jsxm.2021.12.011Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/9115869Direct OA link when available
- Concepts
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Sexual minority, Psychology, Reproductive health, Clinical psychology, Anal sex, Measure (data warehouse), Developmental psychology, Demography, Medicine, Social psychology, Sexual orientation, Men who have sex with men, Family medicine, Population, Human immunodeficiency virus (HIV), Sociology, Computer science, Database, SyphilisTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 2Per-year citation counts (last 5 years)
- References (count)
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45Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.questions | 181 |
| abstract_inverted_index.responses | 166 |
| abstract_inverted_index.resulting | 358 |
| abstract_inverted_index.structure | 156 |
| abstract_inverted_index.symptoms, | 281 |
| abstract_inverted_index.targeting | 406 |
| abstract_inverted_index.withstood | 251 |
| abstract_inverted_index.Conclusion | 356 |
| abstract_inverted_index.Open-ended | 180 |
| abstract_inverted_index.acceptable | 242 |
| abstract_inverted_index.adolescent | 14 |
| abstract_inverted_index.controlled | 174 |
| abstract_inverted_index.convergent | 158, 254 |
| abstract_inverted_index.correlates | 67, 193 |
| abstract_inverted_index.employment | 227, 286 |
| abstract_inverted_index.generalize | 343 |
| abstract_inverted_index.infections | 41 |
| abstract_inverted_index.knowledge, | 26, 264, 270 |
| abstract_inverted_index.knowledge. | 79, 324, 338, 409 |
| abstract_inverted_index.one-factor | 231 |
| abstract_inverted_index.prevalence | 65, 390 |
| abstract_inverted_index.randomized | 173 |
| abstract_inverted_index.unfamiliar | 299 |
| abstract_inverted_index.Generalized | 221 |
| abstract_inverted_index.Limitations | 327 |
| abstract_inverted_index.[HIV-KQ-18] | 206 |
| abstract_inverted_index.anticipated | 196 |
| abstract_inverted_index.determinant | 9 |
| abstract_inverted_index.encompassed | 109 |
| abstract_inverted_index.identifying | 144 |
| abstract_inverted_index.iteratively | 119 |
| abstract_inverted_index.reliability | 244 |
| abstract_inverted_index.respondents | 296 |
| abstract_inverted_index.transmitted | 40 |
| abstract_inverted_index.Implications | 303 |
| abstract_inverted_index.Introduction | 1 |
| abstract_inverted_index.demonstrated | 241 |
| abstract_inverted_index.duplicative, | 108 |
| abstract_inverted_index.experienced, | 353 |
| abstract_inverted_index.minorities). | 147 |
| abstract_inverted_index.(Cronbach’s | 245 |
| abstract_inverted_index.Questionnaire | 205, 210, 219 |
| abstract_inverted_index.STD-Knowledge | 209 |
| abstract_inverted_index.acceptability | 187 |
| abstract_inverted_index.comprehension | 184 |
| abstract_inverted_index.independently | 83 |
| abstract_inverted_index.internalizing | 278 |
| abstract_inverted_index.interventions | 76, 405 |
| abstract_inverted_index.opportunities | 313 |
| abstract_inverted_index.racial/ethnic | 146 |
| abstract_inverted_index.single-factor | 360 |
| abstract_inverted_index.theoretically | 199, 213 |
| abstract_inverted_index.uncomfortable. | 301 |
| abstract_inverted_index.disproportionate | 45 |
| abstract_inverted_index.immunodeficiency | 49 |
| abstract_inverted_index.psychometrically | 332, 370 |
| abstract_inverted_index.psychometrician, | 117 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 94 |
| corresponding_author_ids | https://openalex.org/A5080201848 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I33086117, https://openalex.org/I78577930 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/4 |
| sustainable_development_goals[0].score | 0.4099999964237213 |
| sustainable_development_goals[0].display_name | Quality Education |
| citation_normalized_percentile.value | 0.78638571 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |