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为人口调查开发和验证性健康简要测量方法：Natsal性健康测量方法（Natsal-SW） ...
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为人口调查开发和验证性健康简要测量方法：Natsal性健康测量方法（Natsal-SW）
Development and Validation of a Brief Measure of Sexual Wellbeing for Population Surveys: The Natsal Sexual Wellbeing Measure (Natsal-SW)
——《性研究杂志》2025年第62卷第1期——
<The Journal of Sex Research> Volume 62, Issue 1, 2025
【摘要】性健康是人口健康的一个重要方面。将其作为一个独特的问题来解决和监测需要有效的措施。我们之前的概念性工作确定了性健康的七个领域：安全、尊重、自尊、适应力、宽恕、自主能力和舒适。在这里，我们描述了反映这些领域的性健康衡量标准的开发和验证。基于对40次半结构化访谈的分析，我们将领域操作化为项目，并通过认知访谈、研讨会和专家评审对其进行了细化。我们通过两项基于网络的调查（n=590；n=814）测试了这些项目。使用第一次调查的数据，我们进行了探索性因子分析，以评估和消除表现不佳的项目。使用第二次调查的数据，我们进行了验证性因子分析，以检查模型拟合度以及项目减少的测量值与假设与性健康相关的外部变量之间的关联（外部效度）。一个子样本（n=113）在2周后重复了第二次调查，以评估重测信度。验证性因子分析表明，“一般特定模型”具有最佳拟合度（RMSEA：0.064；CFI：0.975，TLI：0.962），并且在年龄组、性别、性取向和关系状态之间发挥同等作用。最终的Natsal-SW测量包含13个项目（来自最初的25个项目）。它与假设方向的外部变量相关（所有p<.001），包括心理健康（0.454）、自尊（0.564）、身体形象（0.232）、抑郁（-0.384）、焦虑（-0.340）、性满足（0.680）和性困扰（-0.615），并表现出良好的重测信度（ICC=0.78）。这项措施能够量化和了解人群内部和跨人群的性健康。
[Abstract] Sexual wellbeing is an important aspect of population health. Addressing and monitoring it as a distinct issue requires valid measures. Our previous conceptual work identified seven domains of sexual wellbeing: security; respect; self-esteem; resilience; forgiveness; self-determination; and comfort. Here, we describe the development and validation of a measure of sexual wellbeing reflecting these domains. Based on the analysis of 40 semi-structured interviews, we operationalized domains into items, and refined them via cognitive interviews, workshops, and expert review. We tested the items via two web-based surveys (n = 590; n = 814). Using data from the first survey, we carried out exploratory factor analysis to assess and eliminate poor performing items. Using data from the second survey, we carried out confirmatory factor analysis to examine model fit and associations between the item reduced measure and external variables hypothesized to correlate with sexual wellbeing (external validity). A sub-sample (n = 113) repeated the second survey after 2 weeks to evaluate test–retest reliability. Confirmatory factor analysis indicated that a “general specific model” had best fit (RMSEA: 0.064; CFI: 0.975, TLI: 0.962), and functioned equivalently across age group, gender, sexual orientation, and relationship status. The final Natsal-SW measure comprised 13 items (from an initial set of 25). It was associated with external variables in the directions hypothesized (all p < .001), including mental wellbeing (0.454), self-esteem (0.564), body image (0.232), depression (−0.384), anxiety (−0.340), sexual satisfaction (0.680) and sexual distress (−0.615), and demonstrated good test–retest reliability (ICC = 0.78). The measure enables sexual wellbeing to be quantified and understood within and across populations.
论文原文：Kirstin R Mitchell, Melissa J Palmer, Ruth Lewis, Raquel Bosó Pérez, Karen J. Maxwell, Wendy Macdowall (2025). Development and Validation of a Brief Measure of Sexual Wellbeing for Population Surveys: The Natsal Sexual Wellbeing Measure (Natsal-SW). The Journal of Sex Research, Volume 62, Issue 1, Pages 1-11.
https://doi.org/10.1080/00224499.2023.2278530
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