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Table 3 A description of items with sub-optimal results from scaling evaluation and the specific amendments undertaken

From: A contextually relevant approach to assessing health risk behavior in a rural sub-Saharan Africa setting: the Kilifi health risk behavior questionnaire

Item

Utilized response options (%)

Amendments following test evaluation

13.Been threatened or injured with a weapon during the past 12 months

50.0

Retained in its original format. The participants’ responses were varied and this item is important in the context of Kilifi.

23.Attempted suicide during the past 12 months

40.0

Retained in its original format. The item is vital for assessing psychiatric and behavioral problems.

26. Smoked cigarettes during the past 30 days

42.8

Item 26 and 27 were pooled into a new item asking about “cigarette smoking or use of any other tobacco products other than cigarettes e.g. shisha, ugoro, cigas, tobacco leaves/tumbaku”

27. Used any other tobacco products during the past 30 days

28.6

35. Has ever drank so much that they were really drunk

50.0

Retained in its original format. The item is crucial for assessing harmful alcohol use behavior

38. Ever used marijuana

40.0

Each of these items was retained in its original format since discussions showed that marijuana is common within Kilifi.

39. Had used Marijuana during the past 30 days

40.0

40. Ever used any form of cocaine

40.0

Item 40, 42, 44, 47 were pooled into a multiple choice response item as opposed to asking separately about frequency of use of each drug.

42. Ever used heroin

40.0

44. Ever used methamphetamines

40.0

47. Ever used a needle to inject illegal drugs into the body

33.3

51. Number of sexual partners during the past 3 months.

50.0

Retained in its original format. Multiple sexual partnerships were mentioned as common by young people during the construct clarification.