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Translation and validation of the Chinese version of the sexual health literacy measurement tool for pregnancy prevention among adolescents (SHL-PPA)
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Qiu-lian XU, Miao-chen LONG, Ya-wen YU, Xue-yu LU, Cai-xia XIAO, Chang-min NIU
Modern Preventive Medicine | 2025, 52(13) : 2390 - 2394
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Modern Preventive Medicine | 2025, 52(13): 2390-2394
• Child and Adolescent Health, Maternal and Child Health •
Translation and validation of the Chinese version of the sexual health literacy measurement tool for pregnancy prevention among adolescents (SHL-PPA)
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Qiu-lian XU, Miao-chen LONG, Ya-wen YU, Xue-yu LU, Cai-xia XIAO, Chang-min NIU
Affiliations
  • School of Nursing and Public Health, Yangzhou University, Yangzhou, Jiangsu 225009, China
Published: 2025-07-10 doi: 10.20043/j.cnki.MPM.202411035
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Objective

To translate and validate the Chinese version of the Sexual Health Literacy Measurement Tool for Pregnancy Prevention Among Adolescents (SHL-PPA).

Methods

Following Brislin’s translation model, the SHL-PPA was forward- and back-translated, then culturally adapted by 15 experts. From June to July 2024, 420 participants completed the online questionnaire, with 30 randomly selected for retesting to examine reliability and validity.

Results

The final Chinese version contained 16 items with item-level content validity indices ranging from 0.87 to 1.00 (scale-level=0.97). The scale demonstrated excellent internal consistency (Cronbach’ α=0.918), test-retest reliability (0.811), and split-half reliability (0.829). Exploratory factor analysis extracted three factors explaining 61.715% of total variance. Confirmatory factor analysis showed good model fit (χ2/v=2.250, RMSEA=0.077, IFI=0.921, TLI=0.906, CFI=0.921, RMR=0.042). Significant positive correlation with contraceptive knowledge (r=0.608, P<0.001) confirmed criterion validity.

Conclusion

The Chinese SHL-PPA demonstrates good reliability and validity for assessing contraceptive health literacy among Chinese adolescents, providing a tool for developing pregnancy prevention interventions.

Adolescent contraception  /  Contraceptive health literacy  /  Cultural adaptation  /  Reliability  /  Validity
Qiu-lian XU, Miao-chen LONG, Ya-wen YU, Xue-yu LU, Cai-xia XIAO, Chang-min NIU. Translation and validation of the Chinese version of the sexual health literacy measurement tool for pregnancy prevention among adolescents (SHL-PPA)[J]. Modern Preventive Medicine, 2025 , 52 (13) : 2390 -2394 . DOI: 10.20043/j.cnki.MPM.202411035
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Year 2025 volume 52 Issue 13
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Article Info
doi: 10.20043/j.cnki.MPM.202411035
  • Receive Date：2024-11-03
  • Online Date：2026-03-19
  • Published：2025-07-10
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  • Received：2024-11-03
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    School of Nursing and Public Health, Yangzhou University, Yangzhou, Jiangsu 225009, China
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