ORIGINAL PAPER
Short Sexual Well-Being Scale – a cross-sectional validation among transgender and cisgender people
 
 
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Department of Health Psychology and Quality of Life, Institute of Psychology, Opole University, Opole, Poland
Submission date: 2020-07-06
Final revision date: 2020-11-03
Acceptance date: 2020-11-04
Online publication date: 2020-12-31
Publication date: 2020-12-31
 
Health Psychology Report 2021;9(3):276–287
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Sexual well-being is often mistakenly operationalized simply as sexual satisfaction. The concept of sexual well-being has been often used as an umbrella term for positive aspects of sexuality, apart from its negative spheres. A new concept of sexual well-being was proposed in line with the World Health Organization (WHO) definition of sexual health. The definition tried to enrich the concept of sexual well-being, but it did not solve the problem of its operationalization. The aim of this study was to verify the psychometric properties of the new scale measuring the concept of sexual well-being.

Participants and procedure:
Two separate studies were conducted for the psychometric validation of the Short Sexual Well-Being Scale (SSWBS). This was because the first study on a group of transgender people was characterized by a smaller than recommended sample for confirmatory factor analysis. On this basis, a second study was conducted on a group of cisgender people. The study on a sample of transgender people (N = 111) verified the psychometric properties of the 4-point version of the scale. In the study on the cisgender sample (N = 211), it was decided to verify the psychometric properties of the 7-point version of the scale and verify whether a bigger response scale would have a positive effect on the reliability of the questionnaire.

Results:
The confirmatory factor analysis, reliability analysis using alpha and total omega coefficients, and two measures of validity (content and criterion validity) were applied. The results indicated that the SSWBS had good psychometric properties.

Conclusions:
Overall, the presented scale shows good psychometric properties. Both versions of the scale can be used in the quantitative research, but it is recommended to use the 7-point version of the scale. The SSWBS is one of the first questionnaires constructed in accordance with the sexual well-being concept.

 
REFERENCES (44)
1.
Bancroft, J., Long, J. S., & McCabe, J. (2011). Sexual well-being: a comparison of US Black and White women in heterosexual relationships. Archives of Sexual Behavior, 40, 725–740. https://doi.org/10.1007/s10508....
 
2.
Bouman, W. P., Davey, A., Meyer, C., Witcomb, G. L., & Arcelus, J. (2016). Predictors of psychological well-being among treatment seeking transgender individuals. Sexual and Relationship Therapy, 31, 359–375. https://doi.org/10.1080/146819....
 
3.
Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71–75. https://doi.org/10.1207/s15327....
 
4.
Dymecka, J., Gerymski, R., & Machnik-Czerwik, A. (2020). How does stress affect our life satisfaction during COVID-19 pandemic? Moderating mediation analysis of sense of coherence and fear of coronavirus. PsyArXiv. https://doi.org/10.31234/osf.i....
 
5.
Dymecka, J., Gerymski, R., & Machnik-Czerwik, A. (2021). Fear of COVID-19 as a buffer in the relationship between perceived stress and life satisfaction. Health Psychology Report, in print.
 
6.
Flora, D. B., & Curran, P. J. (2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9, 466–491. https://doi.org/10.1037/1082-9....
 
7.
Fricker, J., & Moore, S. (2002). Relationship satisfaction: The role of love styles and attachment styles. Current Research in Social Psychology, 7, 182–204.
 
8.
Gerymski, R. (2017). Influence of the sex reassignment on the subjective well-being of transgender men – results of the pilot study and discussion about future research. Przegląd Seksuologiczny, 16, 10–16.
 
9.
Gerymski, R. (2018). Wsparcie i radzenie sobie ze stresem jako moderatory związku stresu i jakości życia osób transpłciowych [Support and coping as moderators of the relationship between perceived stress and the quality of life of transgender people]. Czasopismo Psychologiczne, 24, 607–616.
 
10.
Gerymski, R., & Krok, D. (2019). Psychometric properties and validation of the Polish adaptation of the Light Triad Scale. Current Issues in Personality Psychology, 7, 341–354. https://doi.org/10.5114/cipp.2....
 
11.
Gerymski, R., & Krok, D. (2020). A Polish adaptation of the Multidimensional Existential Meaning Scale: Internal structure, reliability, and validity. Roczniki Psychologiczne, 23, 173–190. https://doi.org/10.18290/rpsyc....
 
12.
Gerymski, R., & Skałacka, K. (2018). Czy intymność, namiętność i zobowiązanie kształtują satysfakcję seksualną seniorów? Wyniki badania eksploracyjnego [Do intimacy, passion and commitment shape the sexual satisfaction of seniors? Results of the exploratory study]. Seksuologia Polska, 16, 43–50.
 
13.
Gott, M., & Hinchliff, S. (2003). How important is sex in later life? The views of older people. Social Science & Medicine, 56, 1617–1628. https://doi.org/10.1016/s0277-....
 
14.
Graf, A. S., & Patrick, J. H. (2014). The influence of sexual attitudes on mid-to late-life sexual well-being: Age, not gender, as a salient factor. The International Journal of Aging and Human Development, 79, 55–79.
 
15.
Haavio-Mannila, E., & Kontula, O. (1997). Correlates of increased sexual satisfaction. Archives of Sexual Behavior, 26, 399–419. https://doi.org/10.1023/A:1024....
 
16.
Kaestle, C. E., & Halpern, C. T. (2007). What’s love got to do with it? Sexual behaviors of opposite‐sex couples through emerging adulthood. Perspectives on Sexual and Reproductive Health, 39, 134–140. https://doi.org/10.1363/391340....
 
17.
Katsikatsou, M., Moustaki, I., Yang-Wallentin, F., & Jöreskog, K. G. (2012). Pairwise likelihood estimation for factor analysis models with ordinal data. Computational Statistics & Data Analysis, 56, 4243–4258. https://doi.org/10.1016/j.csda....
 
18.
Kim, H. Y. (2013). Statistical notes for clinical researchers: Assessing normal distribution (2) using skewness and kurtosis. Restorative Dentistry & Endodontics, 38, 52–54. https://doi.org/10.5395/rde.20....
 
19.
Koğar, H., & Koğar, E. Y. (2015). Comparison of different estimation methods for categorical and ordinal data in confirmatory factor analysis. Journal of Measurement and Evaluation in Education and Psychology, 6, 351–364. https://doi.org/10.21031/epod.....
 
20.
Kuhn, A., Bodmer, C., Stadlmayr, W., Kuhn, P., Mueller, M. D., & Birkhäuser, M. (2009). Quality of life 15 years after sex reassignment surgery for transsexualism. Fertility and Sterility, 92, 1685–1689. https://doi.org/10.1016/j.fert....
 
21.
Kuiper, B., & Cohen-Kettenis, P. (1988). Sex reassignment surgery: a study of 141 Dutch transsexuals. Archives of Sexual Behavior, 17, 439–457. https://doi.org/10.1007/BF0154....
 
22.
Laumann, E. O., Paik, A., Glasser, D. B., Kang, J. H., Wang, T., Levinson, B., Moreira, E. D., Nicolosi, A., & Gingell, C. (2006). A cross-national study of subjective sexual well-being among older women and men: Findings from the Global Study of Sexual Attitudes and Behaviors. Archives of Sexual Behavior, 35, 145–161. https://doi.org/10.1007/s10508....
 
23.
Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28, 563–575. https://doi.org/10.1111/j.1744....
 
24.
Leavitt, C. E., Lefkowitz, E. S., & Waterman, E. A. (2019). The role of sexual mindfulness in sexual wellbeing, relational wellbeing, and self-esteem. Journal of Sex & Marital Therapy, 45, 497–509. https://doi.org/10.1080/009262....
 
25.
Li, C. H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods, 48, 936–949. https://doi.org/10.3758/s13428....
 
26.
Lombardi, E. (2009). Varieties of transgender/transsexual lives and their relationship with transphobia. Journal of Homosexuality, 56, 977–992. https://doi.org/10.1080/009183....
 
27.
Mastro, S., & Zimmer-Gembeck, M. J. (2015). Let’s talk openly about sex: Sexual communication, self-esteem and efficacy as correlates of sexual well-being. European Journal of Developmental Psychology, 12, 579–598. https://doi.org/10.1080/174056....
 
28.
Meredith, W. (1993). Measurement invariance, factor analysis and factorial invariance. Psychometrika, 58, 525–543. https://doi.org/10.1007/BF0229....
 
29.
Muthén, B., & Kaplan, D. (1985). A comparison of some methodologies for the factor analysis of non‐normal Likert variables. British Journal of Mathematical and Statistical Psychology, 38, 171–189. https://doi.org/10.1111/j.2044....
 
30.
Nemoto, T., Iwamoto, M., Perngparn, U., Areesantichai, C., Kamitani, E., & Sakata, M. (2012). HIV-related risk behaviors among kathoey (male-to-female transgender) sex workers in Bangkok, Thailand. AIDS Care, 24, 210–219. https://doi.org/10.1080/095401....
 
31.
Nomejko, A. (2010). Poczucie jakości życia a samoocena, płeć psychologiczna i satysfakcja seksualna. Praca magisterska [Sense of quality of life and self-esteem, psychological gender and sexual satisfaction. Master thesis]. University of Wrocław.
 
32.
Öberg, K., Fugl-Meyer, K. S., & Fugl-Meyer, A. R. (2002). On sexual well-being in sexually abused Swedish women: Epidemiological aspects. Sexual and Relationship Therapy, 17, 329–341. https://doi.org/10.1080/146819....
 
33.
Ochnik, D., & Slonim, G. (2020). Satisfaction with singlehood in never-married singles: The role of gender and culture. The Open Psychology Journal, 13, 17–26. https://doi.org/10.2174/187435....
 
34.
Poteat, T., Wirtz, A. L., Radix, A., Borquez, A., Silva-Santisteban, A., Deutsch, M. B., Khan, S. I., Winter, S., & Operario, D. (2015). HIV risk and preventive interventions in transgender women sex workers. The Lancet, 385, 274–286. https://doi.org/10.1016/S0140-....
 
35.
Reisner, S. L., Mimiaga, M. J., Bland, S., Mayer, K. H., Perkovich, B., & Safren, S. A. (2009). HIV risk and social networks among male-to-female transgender sex workers in Boston, Massachusetts. Journal of the Association of Nurses in AIDS Care, 20, 373–386. https://doi.org/10.1016/j.jana....
 
36.
Rhemtulla, M., Brosseau-Liard, P. É., & Savalei, V. (2012). When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions. Psychological Methods, 17, 354–373. https://doi.org/10.1037/a00293....
 
37.
Rosen, R. C., & Bachmann, G. A. (2008). Sexual well-being, happiness, and satisfaction, in women: The case for a new conceptual paradigm. Journal of Sex & Marital Therapy, 34, 291–297. https://doi.org/10.1080/009262....
 
38.
Rosenberg, M. (1979). Conceiving the Self. Basic Books.
 
39.
Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: a review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–166. https://doi.org/10.1146/annure....
 
40.
Skałacka, K., & Gerymski, R. (2019). Sexual activity and life satisfaction in older adults. Psychogeriatrics, 19, 195–201. https://doi.org/10.1111/psyg.1....
 
41.
Stephenson, K. R., & Meston, C. M. (2010). Differentiating components of sexual well-being in women: Are sexual satisfaction and sexual distress independent constructs? The Journal of Sexual Medicine, 7, 2458–2468. https://doi.org/10.1111/j.1743....
 
42.
Štulhofer, A., Jurin, T., Graham, C., Enzlin, P., & Træen, B. (2019). Sexual well-being in older men and women: Construction and validation of a multi-dimensional measure in four European countries. Journal of Happiness Studies, 20, 2329–2350. https://doi.org/10.1007/s10902....
 
43.
Watson, W. K., Stelle, C., & Bell, N. (2017). Older women in new romantic relationships: understanding the meaning and importance of sex in later life. The International Journal of Aging and Human Development, 85, 33–43. https://doi.org/10.1177/009141....
 
44.
World Health Organization (2006). Defining sexual health. Retrieved from http://www.who.int/reproductiv....
 
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