Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian Men

Introduction: Certain sexual health problems in men can be attributed to genital self-image. Therefore, a culturally adapted version of a Male Genital Self-Image Scale (MGSIS) could help health professionals understand this concept and its associated correlates. Aim: To translate the original Englis...

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Main Authors: Mohsen Saffari, Amir H. Pakpour, PhD, Andrea Burri
Format: Article
Language:English
Published: Oxford University Press 2016-03-01
Series:Sexual Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2050116116000064
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author Mohsen Saffari
Amir H. Pakpour, PhD
Andrea Burri
author_facet Mohsen Saffari
Amir H. Pakpour, PhD
Andrea Burri
author_sort Mohsen Saffari
collection DOAJ
description Introduction: Certain sexual health problems in men can be attributed to genital self-image. Therefore, a culturally adapted version of a Male Genital Self-Image Scale (MGSIS) could help health professionals understand this concept and its associated correlates. Aim: To translate the original English version of the MGSIS into Persian and to assess the psychometric properties of this culturally adapted version (MGSIS-I) for use in Iranian men. Methods: In total, 1,784 men were recruited for this cross-sectional study. Backward and forward translations of the MGSIS were used to produce the culturally adapted version. Reliability of the MGSIS-I was assessed using Cronbach α and intra-class correlation coefficients. Divergent and convergent validities were examined using Pearson correlation and known-group validity was assessed in subgroups of participants with different sociodemographic statuses. Factor validity of the scale was investigated using exploratory and confirmatory factor analyses. Main Outcome Measures: Demographic information, the International Index of Erectile Function, the Body Appreciation Scale, the Rosenberg Self-Esteem Scale, and the MGSIS. Results: Mean age of participants was 38.13 years (SD = 11.45) and all men were married. Cronbach α of the MGSIS-I was 0.89 and interclass correlation coefficients ranged from 0.70 to 0.94. Significant correlations were found between the MGSIS-I and the International Index of Erectile Function (P < .01), whereas correlation of the scale with non-similar scales was lower than with similar scale (confirming convergent and divergent validity). The scale could differentiate between subgroups in age, smoking status, and income (known-group validity). A single-factor solution that explained 70% variance of the scale was explored using exploratory factor analysis (confirming uni-dimensionality); confirmatory factor analysis indicated better fitness for the five-item version than the seven-item version of the MGSIS-I (root mean square error of approximation = 0.05, comparative fit index > 1.00 vs root mean square error of approximation = 0.10, comparative fit index > 0.97, respectively). Conclusion: The MGSIS-I is a useful instrument to assess genital self-image in Iranian men, a concept that has been associated with sexual function. Further investigation is needed to identify the applicability of the scale in other cultures or populations.
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spelling doaj.art-54b6e15526d24d509f3b2c00474d7f5a2023-09-03T01:10:49ZengOxford University PressSexual Medicine2050-11612016-03-0141e34e4210.1016/j.esxm.2015.12.005Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian MenMohsen Saffari0Amir H. Pakpour, PhD1Andrea Burri2Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranSocial Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, IranDepartment of Psychology, University of Zurich, Zurich, SwitzerlandIntroduction: Certain sexual health problems in men can be attributed to genital self-image. Therefore, a culturally adapted version of a Male Genital Self-Image Scale (MGSIS) could help health professionals understand this concept and its associated correlates. Aim: To translate the original English version of the MGSIS into Persian and to assess the psychometric properties of this culturally adapted version (MGSIS-I) for use in Iranian men. Methods: In total, 1,784 men were recruited for this cross-sectional study. Backward and forward translations of the MGSIS were used to produce the culturally adapted version. Reliability of the MGSIS-I was assessed using Cronbach α and intra-class correlation coefficients. Divergent and convergent validities were examined using Pearson correlation and known-group validity was assessed in subgroups of participants with different sociodemographic statuses. Factor validity of the scale was investigated using exploratory and confirmatory factor analyses. Main Outcome Measures: Demographic information, the International Index of Erectile Function, the Body Appreciation Scale, the Rosenberg Self-Esteem Scale, and the MGSIS. Results: Mean age of participants was 38.13 years (SD = 11.45) and all men were married. Cronbach α of the MGSIS-I was 0.89 and interclass correlation coefficients ranged from 0.70 to 0.94. Significant correlations were found between the MGSIS-I and the International Index of Erectile Function (P < .01), whereas correlation of the scale with non-similar scales was lower than with similar scale (confirming convergent and divergent validity). The scale could differentiate between subgroups in age, smoking status, and income (known-group validity). A single-factor solution that explained 70% variance of the scale was explored using exploratory factor analysis (confirming uni-dimensionality); confirmatory factor analysis indicated better fitness for the five-item version than the seven-item version of the MGSIS-I (root mean square error of approximation = 0.05, comparative fit index > 1.00 vs root mean square error of approximation = 0.10, comparative fit index > 0.97, respectively). Conclusion: The MGSIS-I is a useful instrument to assess genital self-image in Iranian men, a concept that has been associated with sexual function. Further investigation is needed to identify the applicability of the scale in other cultures or populations.http://www.sciencedirect.com/science/article/pii/S2050116116000064Sexual FunctionGenital Self-ImageMale Genital Self-Image ScaleMenIran
spellingShingle Mohsen Saffari
Amir H. Pakpour, PhD
Andrea Burri
Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian Men
Sexual Medicine
Sexual Function
Genital Self-Image
Male Genital Self-Image Scale
Men
Iran
title Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian Men
title_full Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian Men
title_fullStr Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian Men
title_full_unstemmed Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian Men
title_short Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian Men
title_sort cross cultural adaptation of the male genital self image scale in iranian men
topic Sexual Function
Genital Self-Image
Male Genital Self-Image Scale
Men
Iran
url http://www.sciencedirect.com/science/article/pii/S2050116116000064
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