Center for Interdisciplinary Research in Women's Health and the Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, TX 77555, USA.
J Sex Med. 2012 Mar;9(3):708-18. doi: 10.1111/j.1743-6109.2011.02620.x. Epub 2012 Jan 12.
Gynecological exams continue to be underused among young women, possibly due to a woman's genital self-image.
The purpose of this study was to (i) examine college women's genital image using the Female Genital Self-Image Scale (FGSIS); (ii) assess the reliability, validity, and factor structure of data collected on the FGSIS; and (iii) examine the relationship between FGSIS scores and gynecological exam behaviors.
Data were collected in November/December 2010 from 450 undergraduate women.
Descriptive statistics were utilized to analyze demographic variables. A comprehensive psychometric assessment of the FGSIS included: (i) a reliability assessment of internal consistency; (ii) conducting a confirmatory factor analysis (CFA) to identify factor structure; and (iii) structural equation modeling and predictive discriminant analysis to asses the predictive qualities of the FGSIS on gynecological exam behavior.
CFA analyses yielded a two-factor FGSIS structure: X(2) (12, N=450)=49.77; P<0.001, Root Mean Square Error of Approximation=0.08, Comparative Fit Index=0.98, Normed Fit Index=0.97. Reliability assessments indicated very good internal consistency for the scale (α=0.89), as well as for factor one (α=0.86) and factor two (α=0.82). Women who engaged in at least one gynecological exam during the past 24 months had a significantly more positive genital self-image than those who had not (t (449)=-2.501; P=0.01).
Data collected using the FGSIS were found to be valid and reliable in this sample, further supporting the utility of the scale and aiding in the understanding of college women's genital image using an underlying two-factor approach. This has important implications for the development of sexual health and women's health programs and discussions. Specifically, a two-factor FGSIS can aid medical and health professionals in better understanding relationships between genital image and gynecological exam behavior.
妇科检查在年轻女性中仍未得到充分利用，这可能与女性的生殖器自我形象有关。
本研究的目的是：(i)使用女性生殖器自我形象量表(FGSIS)检查女大学生的生殖器形象；(ii)评估 FGSIS 收集数据的可靠性、有效性和因子结构；以及 (iii) 研究 FGSIS 评分与妇科检查行为之间的关系。
2010 年 11 月/12 月，从 450 名本科女大学生中收集数据。
采用描述性统计分析方法分析人口统计学变量。FGSIS 的全面心理测量评估包括：(i)内部一致性的可靠性评估；(ii)进行验证性因子分析(CFA)以确定因子结构；以及 (iii) 结构方程模型和预测判别分析，以评估 FGSIS 对妇科检查行为的预测质量。
CFA 分析得出了 FGSIS 的两因素结构：X(2)(12, N=450)=49.77；P<0.001，近似均方根误差=0.08，比较拟合指数=0.98，标准化拟合指数=0.97。量表的可靠性评估显示，其内部一致性非常好(α=0.89)，因子一(α=0.86)和因子二(α=0.82)也是如此。在过去 24 个月内至少进行过一次妇科检查的女性，其生殖器自我形象明显比未进行过妇科检查的女性更为积极(t(449)=-2.501；P=0.01)。
在本样本中，使用 FGSIS 收集的数据被发现是有效和可靠的，进一步支持了该量表的实用性，并通过潜在的两因素方法帮助理解女大学生的生殖器形象。这对性健康和妇女健康计划的制定和讨论具有重要意义。具体来说，两因素 FGSIS 可以帮助医疗和健康专业人员更好地理解生殖器形象和妇科检查行为之间的关系。
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