Development and Validation of the Couple Sexual Satisfaction Scale for HIV and Sexual Health Research
Development and Validation of the Couple Sexual Satisfaction Scale for HIV and Sexual Health Research
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DOI：
10.1007/s10508-021-02098-2
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发表时间：
2021-10-05
影响因子：
3.8
通讯作者：
Mkandawire, James
中科院分区：
文献类型：
--
作者：
Conroy, Amy A.;Ruark, Allison;Mkandawire, James
性满意度是关系质量的一个重要方面，对性健康和生殖健康(SRH)以及艾滋病毒预防、护理和治疗都有影响。我们开发并验证了撒哈拉以南非洲异性伴侣的夫妻性满意度量表(CSSS)。使用对斯威士兰和马拉维94名男女伴侣的定性访谈数据，我们生成了22个条目的量表，并对马拉维211对至少有一个伴侣感染艾滋病毒的夫妇进行了测试。我们进行了探索性因素分析(EFA)来识别，验证性因素分析(CFA)来检验因素结构。为了评估有效性，我们使用广义估计方程测试了CSSS与关系质量、一贯使用避孕套和亲密伴侣暴力(IPV)之间的关联。全民教育产生了两个因素，一般的性满意度(13个条目的CSSS-Gen子量表，例如，“我对我们关系中的性爱的甜蜜程度感到满意”)和特定于艾滋病毒的性满意度(4个条目的CSSS-HIV子量表，例如，“我的性欲因艾滋病毒而下降”)，占共同方差的78%。终审法院支持双因素解：CHI(2)=203.60；CFI=0.909；SRMR=0.057；RMSEA=0.058。CSSS-Gen得分较高的参与者报告的性行为频率和关系质量(亲密、信任、团结、平等、关系满意度、承诺、伴侣社会支持)较高，而使用避孕套、身体IPV和情感IPV的一致性较低。CSSS-HIV得分较高的参与者报告的性行为频率和关系质量(信任、伴侣支持)较高，安全套使用和性IPV的一致性较低。CSSS显示出良好的心理测量特性，并为研究撒哈拉以南非洲夫妇的性生殖健康和艾滋病毒相关健康行为提供了新的机会。
Sexual satisfaction is an important dimension of relationship quality with implications for sexual and reproductive health (SRH), and HIV prevention, care, and treatment. We developed and validated the Couple Sexual Satisfaction Scale (CSSS) with heterosexual couples in sub-Saharan Africa. Using data from qualitative interviews with 94 partnered women and men in Swaziland and Malawi, we generated a 22-item scale and administered it to 211 couples with at least one partner living with HIV in Malawi. We performed an exploratory factor analysis (EFA) to identify and confirmatory factor analysis (CFA) to test the factor structure. To assess validity, we tested for associations between the CSSS and relationship quality, consistent condom use, and intimate partner violence (IPV) using generalized estimating equations. The EFA yielded two factors, general sexual satisfaction (13-item CSSS-Gen subscale, e.g., "I am satisfied with the sweetness of sex in our relationship") and HIV-specific sexual satisfaction (4-item CSSS-HIV subscale, e.g., "My appetite for sex has gone down due to HIV"), accounting for 78% of the shared variance. The CFA supported the two-factor solution: chi(2)(118) = 203.60; CFI = 0.909; SRMR = 0.057; RMSEA = 0.058. Participants with higher CSSS-Gen scores reported higher coital frequency and relationship quality (intimacy, trust, unity, equality, relationship satisfaction, commitment, partner social support), and less consistent condom use, physical IPV, and emotional IPV. Participants with higher CSSS-HIV scores reported higher coital frequency and relationship quality (trust, partner support), and less consistent condom use, and sexual IPV. The CSSS demonstrated good psychometric properties and provides new opportunities to study sexual reproductive health and HIV-related health behaviors among couples in sub-Saharan Africa.