Reviewer ’s report  
 
Title: Spanish Validation of Female Condom Attitude Scale and Female Condom Use in  Colombian Young Women  
 
Version: 2 Date: 27 Jul 2019  
 
Reviewer: Susan Witte  
 
Reviewer's report:  
 
Authors have been responsive to previous requests and the manuscript reads more clearly and is 
stronger.  
To strengthen the piece and clarify its position in the literature, I would still request more 
attenti on to the important question of theory. The addition of the sentence below was added with 
3 references but it is still not adequate:  
"Attitudes are essential elements in some of the main STD and unintended 5 pregnancy 
prevention models [15 -17]" 
And usin g the word "models" now confuses the concept used in the Discussion section, which is 
"theory."  
Please add a few sentences unpacking what this sentence means for the reader. Name an example 
of a model and an associated reason why attitudes are essential as they connect to actual risk 
reduction behavior. Also, please name them "theories" as opposed to "models," which may 
confuse the point.  
Then in the Discussion section, when authors (in lines 3 and 13) say "theory" please more 
explicitly offer again a b it more unpacking and clarification.  Even naming one of the exemplar 
theories would be helpful.  
If authors wished to take a few more sentences up front in the background section to name one or 
more of the theories and and situate as those that guide pre vention, then in the Discussion you 
could more clearly refer to the predominant theories guiding HIV/STI prevention, including 
behavioral risk reduction.  
This is an important work and I hope that it leads to more use of the assessment tool and 
promotion  of the device for STI/HIV and pregnancy prevention.  
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn adequately supported by  the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
If an additional statistical review is recommended,  please specify what aspects require further 
assessment in your comments to the editors.  
 
I recommend additional statistical review  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Needs some language corrections before being publis hed 
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary 
from an organisation th at may in any way gain or lose financially from the 
publication of this manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose 
financially from the publication of this manuscript, eith er now or in the future?  
 
3. Do you hold or are you currently applying for any patents relating to the content of 
the manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds or has applied for patents relating t o the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to all of the  above, write 'I declare that I have no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests  
 
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