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中國大陸已婚男女性生活品質問卷的編制與應用

Development and Psychometric Analysis of Quality of Sexual Life for Chinese Married Males and Females

摘要


Objective: From the aspect of humanism, to develop the questionnaire for The Quality of Sexual Life for married males and females (QSL) and assess its reliability and validity, and develop its norm of Chinese married males and females. Methods: Literature review, personal interview and qualitative study were used to develop initial questionnaire. For female, the initial questionnaire was administered to 366 married women for exploratory factor analysis, and then to 1,529 married women for confirmatory factor analysis. To evaluate the reliability and validity, correlation analysis was also used. For male, questionnaire was administered to 520 married males aged 22-70 from nine provinces of China, among whom 477 males finished effectively. 192 were tested with the criterion scales, and 32 were retested after two weeks with QSL. The reliabilities and validities of QSL were examined by factor analysis and other methods. Norm sampling surveyed 1,425 married males aged 22-75 from nine provinces of China. QSL had been created as software. Results: For female, Development of sexual quality of life questionnaire and establishment of norm. After exploratory factor analysis, a questionnaire consisted of 32 items was established, which had six factors: satisfaction, communication, anxiety, sexual response, attitude and self-image. These six factors could explain 63.59% of the total variance and were confirmed by confirmatory factor analysis (χ^2/df=5.247; GFI=0.905; NFI=0.906; TLI=0.914; CFI=0.922; RMSEA=0.053). Cronbach coefficient was 0.937, testretest reliability was 0.925. The correlation coefficient between the total score of the questionnaire and subscale score of ENRICH (sexual relationship) was high (r=0.716, P<0.01). For male, QSL correlation between each item and the total score is between 0.450-0.723, each item having a significant CR value. The retest reliability is 0.981; Cronbach's α is 0.940; split reliability is 0.905. The correlations between SHSM's subscales (sexual physiology, sexual psychology, sexual caress, sexual desire, sexual communication) and 3 subscales (husband-wife communication, sexual life, marriage satisfaction) from Olson's Marital Quality Inventory (ENRICH) and the 5-item version of the International Index of Erectile Dysfunction (IIEF-5) are positive, r ranging from 0.249 to 0.710. Exploratory factor analysis results in a 5-factor model, accounting for 55.90% of the total variance, with factor loadings between 0.420-0.732. The norm of the scale shows that there are significant difference between age groups. This QSL software is used in the website of Chinese Sina and has got good feedback. Conclusion: QSL has good psychometric properties and formed its norm of Chinese married males and female, thus it can be used in assessing quality of sexual life of Chinese married males and females.

並列摘要


Objective: From the aspect of humanism, to develop the questionnaire for The Quality of Sexual Life for married males and females (QSL) and assess its reliability and validity, and develop its norm of Chinese married males and females. Methods: Literature review, personal interview and qualitative study were used to develop initial questionnaire. For female, the initial questionnaire was administered to 366 married women for exploratory factor analysis, and then to 1,529 married women for confirmatory factor analysis. To evaluate the reliability and validity, correlation analysis was also used. For male, questionnaire was administered to 520 married males aged 22-70 from nine provinces of China, among whom 477 males finished effectively. 192 were tested with the criterion scales, and 32 were retested after two weeks with QSL. The reliabilities and validities of QSL were examined by factor analysis and other methods. Norm sampling surveyed 1,425 married males aged 22-75 from nine provinces of China. QSL had been created as software. Results: For female, Development of sexual quality of life questionnaire and establishment of norm. After exploratory factor analysis, a questionnaire consisted of 32 items was established, which had six factors: satisfaction, communication, anxiety, sexual response, attitude and self-image. These six factors could explain 63.59% of the total variance and were confirmed by confirmatory factor analysis (χ^2/df=5.247; GFI=0.905; NFI=0.906; TLI=0.914; CFI=0.922; RMSEA=0.053). Cronbach coefficient was 0.937, testretest reliability was 0.925. The correlation coefficient between the total score of the questionnaire and subscale score of ENRICH (sexual relationship) was high (r=0.716, P<0.01). For male, QSL correlation between each item and the total score is between 0.450-0.723, each item having a significant CR value. The retest reliability is 0.981; Cronbach's α is 0.940; split reliability is 0.905. The correlations between SHSM's subscales (sexual physiology, sexual psychology, sexual caress, sexual desire, sexual communication) and 3 subscales (husband-wife communication, sexual life, marriage satisfaction) from Olson's Marital Quality Inventory (ENRICH) and the 5-item version of the International Index of Erectile Dysfunction (IIEF-5) are positive, r ranging from 0.249 to 0.710. Exploratory factor analysis results in a 5-factor model, accounting for 55.90% of the total variance, with factor loadings between 0.420-0.732. The norm of the scale shows that there are significant difference between age groups. This QSL software is used in the website of Chinese Sina and has got good feedback. Conclusion: QSL has good psychometric properties and formed its norm of Chinese married males and female, thus it can be used in assessing quality of sexual life of Chinese married males and females.

參考文獻


國務院人口普查辦公室、國家統計局人口和社會科技統計司編(2002)。中國2000年人口普查資料。北京:中國統計
Briggs, S. R.,Cheek, J. M.(1986).The role of factor analysis in the development of personality scale.Journal of Personality.54,106-148.
Chen, W. J.,Chen, H. M.,Chen, C. C.,Chen, C. C.,Yu, W. Y.,Cheng, A. T. A.(2002).Cloninger's tridimentional personality questionnaire: Psychometric properties and construct validity in Taiwanese adults.Comprehensive Psychiatry.43,158-166.
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