Confirmatory Factor Analysis and Validation of the Sexual and Reproductive Empowerment Scale for Adolescents and Young Adults in Kenya

Bibliographic Data

ID10796682
AuthorsYasaman Zia (0000-0001-6049-3706), Ushma D Upadhyay (0000-0002-2731-2157), Isaac C Rhew (0000-0001-9731-8776), Isaac Rhew, Syovata Kimanthi, Ouma Congo (0009-0005-6830-913X), Maricianah Onono (0000-0001-6847-8762), Ruanne V Barnabas (0000-0002-1793-6003), Ruanne Barnabas, Nelly Mugo (0000-0002-2347-006X), Elizabeth A Bukusi (0000-0002-2031-2808), Elizabeth K Harrington (0000-0002-8196-069X, Pacific Environment, corresponding author)
Year2024
Volume55
Issue2
Pages85-103
Publication date2024-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sifp.12263
PMID38604945
OpenAlexW4394758256
LanguageEN
Citations received4
References cited49

Understanding the levels of power that adolescent girls and young women exercise in their sexual and reproductive lives is imperative to inform interventions to help them meet their goals. We implemented an adapted version of the Sexual and Reproductive Health Empowerment (SRE) Scale for Adolescents and Young Adults among 500 adolescent girls and young women aged 15–20 in Kisumu, Kenya. We used confirmatory factor analysis (CFA) to assess factor structure, and logistic regression to examine construct validity through the relationship between empowerment scores and ability to mitigate risk of undesired pregnancy through consistent contraceptive use. Participants had a mean age of 17.5, and most were students (61 percent), were currently partnered (94 percent), and reported having sex in the past 3 months (70 percent). The final, 26‐item CFA model had acceptable fit. All subscales had Cronbach's alpha scores >0.7, and all items had rotated factor loadings >0.5, indicating good internal consistency and robust factor‐variable associations. The total SRE‐Kenya (SRE‐K) score was associated with increased odds of the consistent method used in the past three months (adjusted odds ratio: 1.98, 95 percent CI: 1.29–3.10). The SRE‐K scale is a newly adapted and valid measure of sexual and reproductive empowerment specific to adolescent girls and young women in an East African setting

Confirmatory factor analysis · Construct validity · Cronbach's alpha · Empowerment · Environmental health · Logistic regression · Odds · Odds ratio · Population · Psychiatry · Psychological intervention · Psychometrics · Reproductive health · Scale (ratio · Sexual intercourse · Structural equation modeling · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare · Psychology · Gerontology