验证泰国版女性生殖器自我形象量表（FGSIS）。
Validation of the Thai version of the Female Genital Self-Image Scale (FGSIS).
机构信息
Department of Obstetrics & Gynaecology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand.
Department of Obstetrics and Gynecology, Pramongkutklao Hospital and College of Medicine, Bangkok, Thailand.
出版信息
BMC Womens Health. 2022 Jun 25;22(1):254. doi: 10.1186/s12905-022-01841-8.
BACKGROUND
Female genital self-image is associated with sexual health, sexual behavior, and gynecologic health behavior. The Female Genital Self-Image Scale (FGSIS) is a simple, validated instrument that quantifies genital self-image in women. The study aim was to translate the original English FGSIS into Thai and test its psychometric properties among Thai-speaking women.
METHODS
A cross-sectional, psychometric study of sexually active women attending a health check-up clinic at a university hospital in Thailand was conducted. On a volunteer basis and convenience sampling, 90 sexually active women were recruited between December 2020 and January 2021. Translation and transcultural adaptation of the English FGSIS into Thai were performed. The validity and reliability of the Thai FGSIS were assessed by examining content validity, face validity, internal consistency, construct validity, and test-retest reliability. The content validity of the Thai FGSIS was evaluated by assessing missing values, and internal consistency was evaluated using Cronbach's alpha. Scores on the FGSIS and the Female Sexual Function Index (FSFI) were compared to examine convergent validity (using Pearson correlations). Confirmatory factor analysis (CFA) was also conducted. Test-retest reliability was measured by re-administering the Thai FGSIS to the same group of respondents after a 2-week interval.
RESULTS
The final Thai FGSIS was developed and assessed by a panel of experts. Data were examined for 86 respondents with average age of 32.5 ± 9.11 years. Content validity assessed using the level of missing data demonstrated no missing items. The overall internal consistency was high (Cronbach's alpha: 0.847). Strong correlations (r = 0.61-0.83) between FSFI and FGSIS total scores (p < 0.01) were demonstrated. In addition, five domains of sexual functioning and the FSFI total score showed high correlations ranging from r = 0.089 to r = 0.383 (p < 0.05), which confirmed convergent validity. CFA identified a two-factor structure for the Thai FGSIS. The test-retest reliability for 38 participants was 0.937 (p < 0.05).
CONCLUSION
The Thai FGSIS was found to be a highly valid and reliable instrument with which to measure female genital self-image in Thai-speaking women.
背景
女性生殖器自我意象与性健康、性行为和妇科健康行为有关。女性生殖器自我意象量表（FGSIS）是一种简单、经过验证的工具，可量化女性的生殖器自我意象。本研究旨在将原始英文 FGSIS 翻译成泰语，并在讲泰语的女性中测试其心理测量特性。
方法
在泰国一所大学医院的健康检查诊所，对 90 名有性行为的女性进行了横断面、心理测量研究。在 2020 年 12 月至 2021 年 1 月期间，采用志愿者和方便抽样的方法招募了 90 名有性行为的女性。将英文 FGSIS 翻译成泰语并进行跨文化适应。通过检查内容效度、表面效度、内部一致性、结构效度和重测信度，评估泰国 FGSIS 的有效性和可靠性。通过评估缺失值评估泰国 FGSIS 的内容效度，并使用 Cronbach 的 alpha 评估内部一致性。通过 Pearson 相关分析比较 FGSIS 和女性性功能指数（FSFI）的评分，以评估收敛效度。还进行了验证性因素分析（CFA）。通过在两周间隔后向同一组受访者重新进行泰国 FGSIS 测量，来评估重测信度。
结果
最终的泰国 FGSIS 由一组专家制定和评估。对平均年龄为 32.5±9.11 岁的 86 名受访者的数据进行了检查。使用缺失数据水平评估的内容效度表明没有缺失项目。总体内部一致性较高（Cronbach 的 alpha：0.847）。FSFI 和 FGSIS 总分之间存在很强的相关性（r=0.61-0.83，p<0.01）。此外，五个性功能领域和 FSFI 总分之间存在高度相关性，范围从 r=0.089 到 r=0.383（p<0.05），这证实了收敛效度。CFA 确定了泰国 FGSIS 的两因素结构。对 38 名参与者的重测信度为 0.937（p<0.05）。
结论
泰国 FGSIS 是一种高度有效和可靠的工具，可用于测量讲泰语的女性的生殖器自我意象。
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