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.

中文翻译：

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肯尼亚青少年性和生殖赋权量表的验证性因素分析和验证


了解少女和年轻女性在性生活和生殖生活中行使的权力水平对于采取干预措施帮助她们实现目标至关重要。我们在肯尼亚基苏木的 500 名 15-20 岁少女和年轻女性中实施了青少年和年轻人性与生殖健康赋权 (SRE) 量表的改编版。我们使用验证性因素分析（CFA）来评估因素结构，并使用逻辑回归通过赋权得分与通过持续使用避孕药具降低意外怀孕风险的能力之间的关系来检查构建有效性。参与者的平均年龄为 17.5 岁，大多数是学生 (61%)，目前有伴侣 (94%)，并报告在过去 3 个月内发生过性行为 (70%)。最终的 26 项 CFA 模型具有可接受的拟合度。所有子量表的 Cronbach's alpha 分数均>0.7，所有项目的旋转因子负荷>0.5，表明良好的内部一致性和稳健的因子变量关联。 SRE-Kenya (SRE-K) 总分与过去三个月使用一致方法的几率增加相关（调整后的几率比：1.98，95% CI：1.29-3.10）。 SRE-K 量表是针对东非地区少女和年轻女性新近调整的有效的性和生殖赋权衡量标准。