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Current Sexual Health Reports

Erschienen in:

23.02.2024

Measuring Sexual Function in Gender Minority Individuals: A Critical Review

verfasst von: Megan S. Henkelman, Jill A. Jacobson, Caroline F. Pukall

Erschienen in: Current Sexual Health Reports | Ausgabe 2/2024

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Abstract

Purpose of Review

Critically assess and evaluate existing measures of sexual function developed for and validated in gender minority individuals (e.g., transgender, non-binary, Two-Spirit, intersex individuals). Provide recommendations for the development of gender minority inclusive measures of sexual function.

Recent Findings

The present review describes the measurement development processes and psychometric properties of sexual function assessment tools that have been developed for and validated in gender minority individuals. Two measures of sexual function were recently developed with the intention of being used specifically in gender diverse groups. The Transmasculine Sexual Function Index (TM-SFI) for sexually active transmasculine individuals with cervixes was adapted from the six-item Female Sexual Function Index (FSFI). The Operated Male-to-Female Sexual Function Index (oMtFSFI) is for individuals who have received gender-affirming surgery (GAS), specifically penile skin inversion vaginoplasty. Although the TM-SFI is validated for use in English, the oMtFSFI is currently validated for use only in Italian. Psychometric properties of both measures are discussed, and recommendations for equity-informed measurement applicable to gender minority individuals are provided.

Summary

We present a critical review focused on the psychometric properties of two measures of sexual function for gender minority adults. Existing gaps with current measurement tools for this population are discussed, and recommendations are made using best practices in equity-informed measure development relevant to this population.

Kerckhof ME, Kreukels B, Nieder TO, Becker-Hébly I, van de Grift TC, Staphorsius AS, Köhler A, Heylens G, Elaut E. Prevalence of sexual dysfunctions in transgender persons: results from the ENIGI follow-up study. J Sex Med. 2019;16(12):2018–29. https://doi.org/10.1016/j.jsxm.2019.09.003.CrossRefPubMed

Barger D. Sexual function and quality of life: assessing existing tools and considerations for new technologies. In: Wac K, Wulfovich S, editors. Quantifying Quality of Life Health Informatics. Cham: Springer; 2022. p. 395–427. https://doi.org/10.1007/978-3-030-94212-0_16.CrossRef

Özer M, Toulabi SP, Gijs L, Kreukels BPC, Mullender MG. The assessment of sexual wellbeing in treatment-seeking transgender individuals: a systematic review of the medical literature. Int J Impot Res. 2022;35:121–31. https://doi.org/10.1038/s41443-022-00529-9.CrossRefPubMed

Barcelos TMR, Ferreira CHJ, Lerri MR, Brito LGO, de Sá MFS, de Sá ACS, da Silva Lara LA. Sexual function of transgender women after gender affirming surgery: a mini review. Clin Anat. 2022;35(5):560–70. https://doi.org/10.1002/ca.23863.CrossRefPubMed

Whitney N, Samuel A, Douglass L, Strand NK, Jahromi AH. avoiding assumptions: sexual function in transgender and non-binary individuals. J Sex Med. 2022;19:1032–4. https://doi.org/10.1016/j.jsxm.2022.03.214.CrossRefPubMed

Milhausen R, Sakaluk J, Fisher T, Davis C, Yarger W. Handbook of sexuality-related measures. 4th ed. New York: Routledge; 2020.

Rosen R, Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, Berman J, Fourcroy J, Laan E, Monica S, Phillips N. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:25–25.

Rosen RC, Cappelleri JC, Gendrano N 3rd. The International Index of Erectile Function (IIEF): a state-of-the-science review. Int J Impot Res. 2002;14(4):226–44. https://doi.org/10.1038/sj.ijir.3900857.CrossRefPubMed

Henkelman MS, Friedman J, McInnis M, Pukall CF. What is sexuality?: Moving toward inclusive and comprehensive measurement [Abstract]. J Sex Med. 2023;20(2):ii50. https://doi.org/10.1093/jsxmed/qdad061.088.

10.

Syed JS, Honig S. Sexual metrics in transgender women: transitioning from International Index of Erectile Function to Female Sexual Function Index. Sex Med Rev. 2021;9(2):236–43. https://doi.org/10.1016/j.sxmr.2020.09.005.CrossRefPubMed

11.

Buncamper ME, Honselaar JS, Bouman M-B, Özer M, Kreukels BPC, Mullender MG. Aesthetic and functional outcomes of neovaginoplasty using penile skin in male-to-female transsexuals. J Sex Med. 2015;12:1626–34. https://doi.org/10.1111/jsm.12914.CrossRefPubMed

12.

Zaliznyak M, Lauzon M, Stelmar J, Yuan N, Smith SM, Garcia MM. A proposed inventory to assess changes in orgasm function of transgender patients following gender affirming treatments: pilot study. Sex Med. 2022;10(3):100510–5. https://doi.org/10.1016/j.esxm.2022.100510.CrossRefPubMedPubMedCentral

13.

Vedovo F, Di Blas L, Aretusi F, Falcone M, Perin C, Pavan N, Satta M, Bucci S, Morelli G, Cocci A, Delle Rose A, Grisanti SC, Gentile G, Colombo F, Timpano M, Verze P, Spirito L, Bettocchi SC, Giulio Garaffa G, Palmieri A, Mirone V, Trombetta C. Operated Male-to-Female Sexual Function Index: validity of the first questionnaire developed to assess sexual function after male-to-female gender affirming surgery. J Urol. 2020;204:115–20. https://doi.org/10.1097/JU.0000000000000791.CrossRefPubMed

14.

Reisner SL, Pletta DR, Potter J, Deutsch MB. Initial psychometric evaluation of a brief sexual functioning screening tool for transmasculine adults: Transmasculine Sexual Functioning Index. J Sex Med. 2020;8(3):350–60. https://doi.org/10.1016/j.esxm.2020.05.006.CrossRef

15.

Huber S, Ferrando C, Safer JJ, Pang JHY, Streed CG, PriestlyCuligan JP. Development and validation of urological and appearance domains of the post-Affirming Surgery Form and Function Individual Reporting Measure (AFFIRM) for transwomen following genital surgery. J Urol. 2021;206(6):1445–53. https://doi.org/10.1097/JU.0000000000002141.CrossRefPubMed

16.

Mark KP, Toland MD, Rosenkrantz DE, Brown HM, Hong S. Validation of the sexual desire inventory for lesbian, gay, bisexual, trans, and queer adults. Psychol Sex Orientat Gend Divers. 2018;5(1):122–8. https://doi.org/10.1037/sgd0000260.CrossRef

17.

Spector IP, Carey MP, Steinberg L. The sexual desire inventory: development, factor structure, and evidence of reliability. J Sex Marital Ther. 1996;22:175–90. https://doi.org/10.1080/00926239608414655.CrossRefPubMed

18.

Reisner SL, Deutsch MB, Peitzmeier SM, et al. Comparing self- and provider-collected swabbing for HPV DNA testing in female-to-male transgender adult patients: a mixed-methods biobehavioral study protocol. BMC Infect Dis. 2017;17(444):1–10. https://doi.org/10.1186/s12879-017-2539-x.CrossRef

19.

McNeish D. Thanks coefficient alpha, we’ll take it from here. Psychol Methods. 2018;23(3):412–33.CrossRefPubMed

20.

Flake JK, Pek J, Hehman E. Construct validation in social and personality research: current practice and recommendations. Soc Psychol Personal Sci. 2017;8(4):370–8. https://doi.org/10.1177/1948550617693063.CrossRef

21.

Isidori AM, Pozza C, Esposito K, Giugliano D, Morano S, Vignozzi L, Corona G, Lenzi A, Jannini EA. Development and validation of a 6-item version of the Female Sexual Function Index (FSFI) as a diagnostic tool for female sexual dysfunction. J Sex Med. 2010;7:1139–46. https://doi.org/10.1111/j.1743-6109.2009.01635.x.CrossRefPubMed

22.

Revelle W, Condon DM. Reliability from α to ω: a tutorial. Psychol Assess. 2019;31(12):1395–411. https://doi.org/10.1037/pas0000754.CrossRefPubMed

23.

Rorer LG. The great response-style myth. Psychol Bull. 1965;63:129–56. https://doi.org/10.1037/h0021888.CrossRefPubMed

24.

Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef

25.

Reisner SL, Hughto JMW. Comparing the health of non-binary and binary transgender adults in a statewide non-probability sample. PLoS ONE. 2019;14(8):e0221583. https://doi.org/10.1371/journal.pone.0221583.CrossRefPubMedPubMedCentral

26.

MacKenzie SB, Podsakoff PM, Podsakoff NP. Construct measurement and validation procedures in MIS and behavioral research: integrating new and existing techniques. MIS Q. 2011;35:293–334.CrossRef

27.

Flake JK, Fried EI. Measurement schmeasurement: questionable measurement practices and how to avoid them. Adv Methods Pract Psychol Sci. 2020;3(4):456–65. https://doi.org/10.1177/2515245920952393.CrossRef

28.

DeWalt DA, Rothrock N, Yount S, Stone AA. Evaluation of Item Candidates: The PROMIS Qualitative Item Review. Medical Care. 2007;45(5):S12–21. https://doi.org/10.1097/01.mlr.0000254567.79743.e2.CrossRefPubMedPubMedCentral

29.

Gehlbach H, Brinkworth ME. Measure twice, cut down error: a process for enhancing the validity of survey scales. Rev Gen Psychol. 2011;15(4):380–7. https://doi.org/10.1037/a0025704.CrossRef

30.

Bringmann LF, Elmer T, Eronen MI. Back to basics: the importance of conceptual clarification in psychological science. Curr Dir Psychol Sci. 2022;31(4):340–6. https://doi.org/10.1177/09637214221096485.CrossRef

31.

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101. https://doi.org/10.1191/1478088706qp063oa.CrossRef

32.

DeVellis RF, Thorpe CT. Scale development : theory and applications. 5th ed. SAGE Publications, Inc; 2022.

Titel: Measuring Sexual Function in Gender Minority Individuals: A Critical Review
verfasst von: Megan S. Henkelman
Jill A. Jacobson
Caroline F. Pukall
Publikationsdatum: 23.02.2024
Verlag: Springer US
Erschienen in: Current Sexual Health Reports / Ausgabe 2/2024
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI: https://doi.org/10.1007/s11930-024-00382-5

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Measuring Sexual Function in Gender Minority Individuals: A Critical Review

Abstract

Purpose of Review

Recent Findings

Summary

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Costims – das nächste heiße Ding in der Krebstherapie?

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Update Urologie

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

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