Factor structure of the Condoms Barriers Scale with a sample of men at high risk for HIV

Assessment. 2009 Mar;16(1):3-15. doi: 10.1177/1073191108322259. Epub 2008 Aug 8.


This study assesses the psychometric properties of the Condom Barriers Scale (CBS), an instrument originally designed to measure women's perceptions and attitudes regarding male condom use, with a sample of men at high risk for human immunodeficiency virus (HIV). Participants include 590 male patients in drug abuse treatment involved in a gender-specific HIV prevention intervention for teaching safer sex skills. Second-order confirmatory factor analysis generally supported the underlying four-factor subscale structure of the CBS. However, exploratory factor analysis revealed a few specific discrepancies in the factor structure between men and women. Internal consistency and test-retest reliability estimates were moderate to high in value. CBS scores correlated with use of condoms for men with high-risk sexual partners, supporting criterion-related validity. Overall, the analysis indicates that the CBS is a potentially valid and reliable instrument and has utility for assessing barriers to condom use with men, but may need some item content modifications to allow appropriate assessment of gender differences and comparisons across studies.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Black or African American
  • Condoms / statistics & numerical data*
  • Factor Analysis, Statistical*
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • HIV Infections / transmission
  • Health Behavior*
  • Humans
  • Illicit Drugs / adverse effects*
  • Male
  • Middle Aged
  • Models, Theoretical
  • Pilot Projects
  • Psychometrics
  • Reproducibility of Results
  • Risk Assessment
  • Risk-Taking*
  • Sexual Behavior / psychology*
  • Substance Abuse, Intravenous / complications*
  • United States / epidemiology
  • Washington / epidemiology
  • White People
  • Young Adult


  • Illicit Drugs