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Qualitative interviews informed the initial item generation followed by a series of studies assessing the psychometric properties of the measure. Study 1 evaluated the ATTS in a sample of 186 Batswana adolescents and assessed the factor structure, item-to-whole correlations, internal consistency, and convergent validity. In Study 2, the ATTS was administered to a cross-validation sample ( N = 387). Confirmatory factor analysis, convergent validity, and internal consistency were consistent with the findings from the original sample. Discriminant validity was also assessed in Study 2. A subset of the sample ( N = 119) completed the measure on two occasions and yielded satisfactory test\u2013retest reliability. The resulting instrument appears to have sound psychometric properties and can be used to measure adolescents\u2019 attitudes toward accepting such adult sexual initiation that are implicated in the disproportionate burden of HIV among adolescents and young adults in sub-Saharan Africa. No existing measure with known psychometric properties has previously been available.<\/jats:p>","DOI":"10.1177\/10731911221146518","type":"journal-article","created":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T23:56:04Z","timestamp":1674863764000},"page":"2364-2372","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Batswana Adolescents\u2019 Attitudes Toward Sex With Older Adults: Psychometric Properties of the Attitudes Toward Transactional Sex Scale"],"prefix":"10.1177","volume":"30","author":[{"given":"Janet S.","family":"St. Lawrence","sequence":"first","affiliation":[{"name":"Portland State University, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5656-7055","authenticated-orcid":false,"given":"Christina J.","family":"Sun","sequence":"additional","affiliation":[{"name":"University of Colorado, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther S.","family":"Seloilwe","sequence":"additional","affiliation":[{"name":"University of Botswana, Gaborone, Botswana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mabel K. 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