Development and validity evidence of the multidimensional scale of sexual selfconcept in a Spanish-speaking context

Abstract Background/objective: STIs and HIV/AIDS are an important public health problem, transmitted by risky sex behaviours. In this context, it is necessary to identify protective factors, of those behaviours, as sexual self-concept. Sexual self-concept is a multidimensional trait (i.e. sexual self-esteem; sexual self-efficacy; and sexual assertiveness), but, in an extensive review, we did not find any measure to assess this multidimensional construct in a Spanish-speaking context. The objective of this research is development a scale to assess sexual self-concept in young people and adults. Method: Time-space sampling with a total size of 792 participants, coming from the two Chilean cities (i.e. Arica and Iquique) with the highest HIV rates, aged between 17 and 53 years old (ME = 23.42; SD = 6.33), with 66.2% women (N = 500), 33.6% men (N = 258). Results: Final scale has 16 items and 4 dimensions: sexual self-esteem, sexual self-efficacy, assertive sexual communication, and assertive sexual behaviour. The identified structure provides satisfactory levels of reliability (ω > .8) and presents robust evidence of validity, based on the internal structure of the test, using ESEM (RMSEA = .060; CFI = .99; TLI = .98), evidence of validity based on relationship to other variables (i.e. risky sexual behaviour) and measurement invariance between men and women. Conclusions: The multidimensional scale of sexual self-concept has adequate psychometric properties to assess sexual selfconcept in equivalent samples.

Developing guidelines for adapting questionnaires into the same language in another culture / Desarrollo de guías para adaptar cuestionarios dentro de una misma lengua en otra cultura

The adaptation of a test from a language into that same language in another culture is common; however, there are no clear guidelines for this process. The objective was to adapt a protocol providing some guidelines for adapting questionnaires from one language to the same language. a total of eight experts supported the adaption process and 825 participants from Spain and Colombia were evaluated in this study. Participants answered the brief version of the Sexual Assertiveness Scale, the Sexual Opinion Survey, the Massachusetts General Hospital-Sexual Functioning Questionnaire and the Sexuality Scale. The adaptation was made following some guidelines which have already been published. The results showed a strong partial invariance between countries. DIF analysis also replied this partial invariant form and adequate psychometric properties; guidelines to adapt questionnaires into same language in other cultures are presented. therefore, the adaptation process - in the absence of further evidence - could be effective.

La adaptación de test dentro de una misma lengua en varias culturas diferentes es común; sin embargo, no existen guías claras para realizar este proceso. El objetivo fue adaptar un protocolo generando unas guías para adaptar cuestionarios dentro de una misma lengua. Un total de ocho expertos realizaron el proceso de adaptación y 825 participantes de Espana y Colombia fueron evaluados en este estudio. Todos ellos contestaron a la versión breve de la Sexual Assertiveness Scale, la Sexual Opinion Survey, la Massachusetts General Hospital-Sexual Functioning Questionnaire y la Sexuality Scale. La adaptación se realizó siguiendo las directrices de algunas guías ya publicadas. Los resultados mostraron una invarianza fuerte entre los dos países. Estos hallazgos fueron replicados mediante DIF, además se observaron adecuadas propiedades psicométricas, finalmente las guías para el proceso de adaptación han sido presentadas. Por lo que concluimos que el proceso de adaptación - en ausencia de más evidencia- podría ser efectivo.

Validación de la Sexual Assertiveness Scale en mujeres mexicanas / Validation of the Sexual Assertiveness Scale in Mexican Women

RESUMEN La asertividad sexual constituye una dimensión fundamental de la sexualidad humana por su relación con distintos indicadores de la salud sexual. Es la capacidad de las personas para iniciar la actividad sexual, rechazar la actividad sexual no deseada y emplear métodos anticonceptivos y así desarrollar comportamientos saludables. Esta se mide a través de la Sexual Assertiveness Scale (SAS). Hasta la fecha, la SAS no se ha validado en población mexicana, por lo que se considera importante examinar sus propiedades psicométricas en esta población. Por lo tanto, este estudio tuvo como objetivo validar la SAS en una muestra de 202 mujeres mexicanas. Mediante un análisis factorial confirmatorio, se confirmó la estructura trifactorial del SAS: inicio, rechazo y embarazo-enfermedades de transmisión sexual (CFI = .953; TLI = .927). Asimismo, se obtuvo una confiabilidad adecuada en las tres subescalas y, de forma global (<±> = .85), sus puntuaciones correlacionaron significativamente en la dirección esperada con autoestima sexual y depresión rasgo. Se concluye que la SAS presenta buenas propiedades psicométricas en población femenina mexicana.

ABSTRACT Given its relationship to various indicators of sexual health, sexual assertiveness is a fundamental dimension of human sexuality. This is defined as the ability that people have to initiate sexual activity, refuse unwanted sexual activity, and use contraceptive methods, thereby developing healthy behaviours - which can be measured using the Sexual Assertiveness Scale (SAS). To date, the SAS has not been validated in the Mexican population, albeit it is considered important to examine the psychometric properties of the latter. Therefore, to the aim of this study was to validate the SAS in a sample of 202 Mexican women. Confirmatory factor analysis confirmed the three-factor structure of the SAS: initiation, rejection, and pregnancy-sexually transmitted diseases (CFI = .953; TLI = .927). Similarly, adequate reliability was obtained in the three subscales and overall (<±> = .85). Their scores significantly correlated in the expected direction with sexual self-esteem and the trait depression. It is concluded that the SAS has psychometric properties which are acceptable in Mexican women.

Relationships among Parent-child Communication, Self-esteem and Sexual Assertiveness for Male and Female University Students: Gender Difference

PURPOSE: The purpose of this study was to compare the relationships among parent-child communication, self-esteem and sexual assertiveness for male and female university students. METHODS: This descriptive study used a comparative survey design that utilized self-report questionnaires. A total of 470 participants were male and female university students in B metropolitan city. RESULTS: The degree of open communication use was higher for female students in comparison to male students, There were no differences in dysfunctional communication for both the father-child communication. There were no differences between males and females for the mother-child communication either. The degree of self-esteem was higher for male students in comparison to the female students. The degree of sexual assertiveness was higher for female students in comparison to the male students. The grade, religion, major, allowance source, marital status of parents, and relationship experience with opposite sex were influencing factors for the male students' sexual assertiveness whereas the individual's major and physical contact were influencing factors for the female students. CONCLUSION: Self-esteem and mother-child open communication were influencing factors of sexual assertiveness. Thus, the nursing intervention based on the influencing factors is needed in order for male and female students to express sexual assertiveness.

Female Adolescents' Sexual Assertiveness Types: Q Methodology

PURPOSE: The purpose of this study was to identify the type of sexual assertiveness of female adolescents. METHODS: A Q methodology which provided a method of analyzing the subjectivity of each type was used. Thirty-three female high school students classified 40 selected Q statements into 9 points standard. The collected data was analyzed by using the PC-QUNAL program. RESULTS: Four types of sexual assertiveness manifested by female adolescents were identified: Type 1: Self-normative line-drawing type, Type 2: Pleasure-seeking negotiation type, Type 3: Passive relationship maintenance type, Type 4: future-oriented satisfaction-delay type. CONCLUSION: This study is meaningful because it provides empirical information necessary for the development of theories by verifying integrated attributes related to the female adolescents' sexual assertiveness. Results also induced the measuring tools and succeeding studies, and presented educational material for sex education that is tailored to the developmental level and characteristics of female adolescents.

Modelos Explicativos del Uso del Condón en las Relaciones Sexuales de Adolescentes / Explanatory Models of Condom Use in Coital Sex of Adolescents

El presente estudio tuvo como propósitos investigar sistemáticamente los factores actitudinales e interpersonales que inciden en el uso del condón en las relaciones sexuales coitales entre estudiantes de bachillerato, así como elaborar modelos estructurales que muestren las interrelaciones y los efectos directos e indirectos de dichos factores sobre la frecuencia del uso del condón. Participaron 527 adolescentes quienes reportaron haber tenido relaciones sexuales alguna vez en la vida. Se usó un cuestionario que mide prácticas sexuales y frecuencia del uso del condón durante los encuentros sexuales, así como 80 preguntas de tipo ordinal divididas en cinco factores: 1) asertividad sexual, 2) sumisión sexual, 3) baja percepción de riesgo sexual, 4) enamoramiento y 5) aceptación del uso del condón. Con el uso de ecuaciones estructurales, se trazaron modelos de trayectorias con los factores obtenidos y la frecuencia de uso de condón. Los modelos estructurales para hombres y para mujeres muestran niveles aceptables de ajuste a los datos así como efectos directos significativos entre todas las variables, específicamente se reporta el efecto directo de las variables de aceptación del uso del condón y asertividad sexual sobre la frecuencia del uso del condón. Estos resultados amplían las posibilidades de explicación e intervención psicosocial sobre la conducta sexual de riesgo entre adolescentes.

The purpose of this study was to systematically investigate the attitudinal and interpersonal factors that influence condom use in coital sex between high school students and to develop structural models that show the interrelationships and the direct and indirect effects of these factors on frequency of condom use. Participants were 527 adolescents who reported having consensual sex at least once in life. For this matter a questionnaire measuring frequency of sex and condom use during sexual encounters was used, also 80 ordinal questions divided into five factors: 1) sexual assertiveness, 2) sexual submission, 3) low sexual risk perception, 4) infatuation and 5) acceptance of condom use. Using structural equations trajectories and frequency of condom use were drawn. Structural models for men and women show acceptable levels of fitness to the data as well as significant direct effects between all the variables, specifically direct effect of variables acceptance on condom use and sexual assertiveness on the frequency of preservative use. These results extend the possibilities of explanation and psychosocial intervention on sexual risk behavior among adolescents.

Effects of a Sexual Assertiveness Training Program in High School Girls / 간호학회지

PURPOSE: This study was done to develop an applicable training program for high school girls on sexual assertiveness. METHOD: The design combined methodological study and non-synchronized quasi experimental study designs. The participants were 174 high school girls from two schools. Two questionnaires were used, one consisted of 23 questions on self efficacy and the other, of 22 items on sexual assertiveness. The SPSS 10.0 program was used for data analysis. Experimental group 1(3 hour program) and experimental group 2(6 hour program) were received on sexual assertiveness. The sexual assertiveness program was carried out by members of the research team. There were no differences in demographic characteristics between control group, experimental group 1, and experimental group 2. RESULT: There was no significant increase in self efficacy scores in experimental group 1 over the control group, but there was a significant increase in sexual assertiveness scores in the experimental group 1 over the control group. There was an increase in self efficacy scores in experimental group 2 over the control group, but it was not significant. There was a significant increase in sexual assertiveness scores in experimental group 2 over the control group. There was no significant increase in self efficacy scores in the experimental group 2 over the experimental group 1, and there was no significant increase in sexual assertiveness scores in experimental group 2 over the experimental group 1. CONCLUSION: The results show that a 3 hour program was as effective as a 6 hour program for sexual assertiveness. Therefore, it is advisable to use a 3 hour program for clinical convenience. But further study is needed to determine the lasting effect on sexual assertiveness.