Validation of the Six-item Female Sexual Function Index in Middle-Aged Brazilian Women

Objective To validate the six-item female sexual function index (FSFI-6) in middle-aged Brazilian women. Methods Cross-sectional observational study, involving 737 (premenopausal n = 117, perimenopausal n = 249, postmenopausal n = 371) Brazilian sexually active women, aged between 40 and 55 years, not using hormonal contraceptive methods. The Brazilian FSFI-6 was developed from the translation and cultural adaptation of the Portuguese FSFI-6 version. The participants completed a general questionnaire, the FSFI-6, and the menopause rating scale (MRS). The validation was performed by AMOS 16.0 software (SPSS, Inc., Chicago, IL, USA) for a confirmatory factor analysis (CFA). The chi-square of degrees of freedom (χ2/df), the comparative fit index (CFI), the Tucker-Lewis index (TLI) and the root-mean-square error of approximation (RMSEA) were used as indices of goodness of fit. Cronbach α coefficient was used for internal consistency. Results The process of cultural adaptation has not altered the Brazilian FSFI-6, as compared with the original content. The CFA for the FSFI-6 score showed an acceptable fit (χ2/df = 3.434, CFI = 0.990, TLI = 0.980, RMSEA = 0.058, 90% confidence interval (90%CI) = 0.033–0.083, p ≤ 0.001) and a good reliability was established in FSFI-6 and MRS (Cronbach α = 0.840 and = 0.854, respectively). In addition, 53.5% of the sample had low sexual function. Conclusion The FSFI-6 was translated and adapted to the Brazilian culture and is a consistent and reliable tool for female sexual dysfunction screening in Brazilian middle-aged women.

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The Female Sexual Function Index (FSFI): Translation, Validation, and Cross‐Cultural Adaptation of an Urdu Version “FSFI–U”

Sexual Medicine ◽

10.1002/sm2.77 ◽

2015 ◽

Vol 3 (4) ◽

pp. 244-250 ◽

Cited By ~ 10

Author(s):

Khaleeq Ur Rehman ◽

Mohammad Asif Mahmood ◽

Saba Shabbir Sheikh ◽

Tipu Sultan ◽

M. Amanullah Khan

Keyword(s):

Sexual Function ◽

Cultural Adaptation ◽

Cross Cultural ◽

Female Sexual Function Index ◽

Female Sexual Function ◽

Cross Cultural Adaptation ◽

Translation Validation ◽

Function Index

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Sexual Function Alteration in First Trimester of Pregnancy Among *** Women

10.21203/rs.3.rs-436925/v2 ◽

2021 ◽

Author(s):

Hoang Dao Nhat Linh ◽

Le Sy Phuc An ◽

Le Minh Tam ◽

Nguyen Vu Quoc Huy

Keyword(s):

Sexual Function ◽

Pregnant Women ◽

First Trimester ◽

Cross Sectional Study ◽

Female Sexual Function Index ◽

Sexual Life ◽

Female Sexual Function ◽

Related Factors ◽

Cross Sectional ◽

Function Index

Abstract Introduction: A healthy sexual life would contribute to a lasting intimate couple relationship; pregnant women were susceptible to physical, psychological and social changes leading to sexual alterations and dysfunction in pregnancy. In ***, despite not being a novel domain, sexuality has not been extensively evaluated due to the influence of Eastern tradition, which creating promotes unsecured feelings of insecurity when talking about sex.Aim: To investigate the female sexual function alteration during the 1st trimester of pregnancy and some related factors among *** women.Methods: A descriptive cross-sectional study comprising 383 women aged from 18 years old having routine antenatal visits at Department of Obstetrics and Gynecology, *** Hospital from April 2016 to March 2017. Data were collected by interviews using is Female Sexual Function Index (FSFI) questionnaire.Main outcome measures: Subjects’ sexual function alteration, using the validated *** version of Female Sexual Function Index.Results: The prevalence of women with female sexual function alteration before pregnancy was 53% and in 1st trimester was 88.8%. The frequency of intercourses during 1st trimester of pregnancy is lower than before pregnancy (p<0.05). The main reasons of no sexual activity during pregnancy were fear of harming the fetus (75.1%) and prefer not to be satisfied in the short-term rather than hurt the baby (73.5%). Factors affected female sexual function were age, time of living-together, age of 1st sexual intercourse, pregnancy planning, obstetrical history, sexual initiative, religion, academic level, and jobs (p<0.05).Conclusions: Sexual function alteration among first trimester pregnant women is a problem which should be considered, and medical staff should provide counseling to them to improve the quality of their sexual life and maintain normal course of pregnancy.

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Sexual Function Alteration in First Trimester of Pregnancy Among Vietnamese Women

10.21203/rs.3.rs-436925/v1 ◽

2021 ◽

Author(s):

Hoang Dao Nhat Linh ◽

Le Sy Phuc An ◽

Le Minh Tam ◽

Nguyen Vu Quoc Huy

Keyword(s):

Sexual Function ◽

Pregnant Women ◽

First Trimester ◽

Cross Sectional Study ◽

Female Sexual Function Index ◽

Sexual Life ◽

Female Sexual Function ◽

Related Factors ◽

Cross Sectional ◽

Function Index

Abstract Introduction: A healthy sexual life would contribute to a lasting intimate couple relationship; pregnant women were susceptible to physical, psychological and social changes leading to sexual alterations and dysfunction in pregnancy. In Vietnam, despite not being a novel domain, sexuality has not been extensively evaluated due to the influence of Eastern tradition, which creating promotes unsecured feelings of insecurity when talking about sex.Aim: To investigate the female sexual function alteration during the 1st trimester of pregnancy and some related factors among Vietnamse women.Methods: A descriptive cross-sectional study comprising 383 women aged from 18 years old having routine antenatal visits at Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy Hospital from April 2016 to March 2017. Data were collected by interviews using is Female Sexual Function Index (FSFI) questionnaire.Main outcome measures: Subjects’ sexual function alteration, using the validated Vietnamese version of Female Sexual Function Index.Results: The prevalence of women with female sexual function alteration before pregnancy was 53% and in 1st trimester was 88.8%. The frequency of intercourses during 1st trimester of pregnancy is lower than before pregnancy (p<0.05). The main reasons of no sexual activity during pregnancy were fear of harming the fetus (75.1%) and prefer not to be satisfied in the short-term rather than hurt the baby (73.5%). Factors affected female sexual function were age, time of living-together, age of 1st sexual intercourse, pregnancy planning, obstetrical history, sexual initiative, religion, academic level, and jobs (p<0.05).Conclusions: Sexual function alteration among first trimester pregnant women is a problem which should be considered, and medical staff should provide counseling to them to improve the quality of their sexual life and maintain normal course of pregnancy.

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CULTURAL ADAPTATION AND VALIDATION OF THE SPANISH VERSION OF THE FEMALE SEXUAL FUNCTION INDEX (FSFI) IN WOMEN WITH PELVIC FLOOR DISORDERS

10.26226/morressier.59b63e3fd462b80292389262 ◽

2017 ◽

Author(s):

Beatriz Navarro

Keyword(s):

Sexual Function ◽

Pelvic Floor ◽

Cultural Adaptation ◽

Pelvic Floor Disorders ◽

Spanish Version ◽

Female Sexual Function Index ◽

Female Sexual Function ◽

Function Index

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Sexual activity and function assessment in middle-aged Chinese women using the female sexual function index

Menopause The Journal of The North American Menopause Society ◽

10.1097/gme.0000000000000812 ◽

2017 ◽

Vol 24 (6) ◽

pp. 669-676 ◽

Cited By ~ 9

Author(s):

Caiyun Zhang ◽

Liping Cui ◽

Lizhi Zhang ◽

Chang Shi ◽

Hong Zang

Keyword(s):

Sexual Function ◽

Sexual Activity ◽

Chinese Women ◽

Female Sexual Function Index ◽

Female Sexual Function ◽

Middle Aged ◽

Function Index ◽

And Function ◽

Function Assessment

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Female sexual dysfunction and associated co-morbidities: a cross sectional study with Female Sexual Function Index (FSFI) in a tertiary care hospital of Bangladesh

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v30i2.45361 ◽

2020 ◽

Vol 30 (2) ◽

pp. 27-31 ◽

Cited By ~ 2

Author(s):

Mohammad Shamsul Ahsan ◽

Shahjada Selim ◽

Srijony Ahmed ◽

Rubaiya Ali ◽

Hosnea Ara ◽

...

Keyword(s):

Sexual Health ◽

Sexual Function ◽

Cross Sectional Study ◽

Female Sexual Function Index ◽

Sexual Dysfunctions ◽

Female Sexual Function ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Function Index

Talks regarding sexual problems are not encouraging in Bangladesh and sufferers are in grave situation as they are not sure regarding whom to approach and how to start. It was aimed to see the presenting patterns of female sexual dysfunctions (FSD) and co-morbidities among the patients attending at different outpatient departments (OPD) at Bangabandhu Sheikh Mujib Medical University (BSMMU). This descriptive cross sectional study was conducted among 173 female patients attending at gynecology, endocrinology and psychiatry OPD, BSMMU. Sample was taken by convenient sampling within the period of October 2015 to December 2016. Data were collected through face-to-face interview with Female Sexual Function Index (FSFI) questionnaire. The results showed that, most (95.95%) of the patients were in the reproductive age group. Majority of the patients (32.95%) were in 26-30 years age group and 24.85% were in 18-25 years age group. Majority (77.5%) belonged to home maker occupational class where 12.7% was service-holder. Fifty six percent of the respondents were found to have sexual dysfunctions and 38.15% patients had endocrinological co-morbidities, 37.57% had gynecological co- morbidities and 33.53% had psychiatric co-morbidities. Positive openness in sexual health is required for the betterment of both treatment and diagnosis of sexual disorders. Specialized service center focusing the different groups is needed to deal with sexual health in a developing country like Bangladesh. Bang J Psychiatry December 2016; 30(2): 27-31

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Sexual function of undergraduate women: a comparative study between Brazil and Italy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0669 ◽

2018 ◽

Vol 71 (suppl 3) ◽

pp. 1428-1434 ◽

Cited By ~ 1

Author(s):

Karine de Castro Bezerra ◽

Sabrine Rodrigues Feitoza ◽

Camila Teixeira Moreira Vasconcelos ◽

Sara Arcanjo Lino Karbage ◽

Dayana Maia Saboia ◽

...

Keyword(s):

Nursing Students ◽

Sexual Dysfunction ◽

Sexual Function ◽

Cross Sectional Study ◽

High Rate ◽

Female Sexual Function Index ◽

Female Sexual Function ◽

Related Factors ◽

Cross Sectional ◽

Function Index

ABSTRACT Objective: to evaluate the sexual function of Italian and Brazilian nursing students using the Female Sexual Function Index (FSFI), to estimate the prevalence of sexual dysfunctions and related factors. Method: this is a cross-sectional study involving 84 Brazilian and 128 Italian undergraduate. For the evaluation of sexual function, the Female Sexual Function Index (FSFI) questionnaire was used. Results: Italian women presented significantly higher sexual dysfunction index (n=78/60.9%) than the Brazilian women (n=32/38.1%) (p=0.00). Only the “desire” and “excitation” domains showed no difference between groups. Younger, single and without a steady relationship women had a higher rate of sexual dysfunction (p<0.05). Conclusion: the high rate of sexual dysfunction in a young public suggests the need for more research to increase knowledge about the influence of psychosocial and related factors on female sexual function, directing care towards the promotion of sexual and reproductive health.

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Sexual function in middle-aged Latin American women as determined by the Female Sexual Function Index

Menopause The Journal of The North American Menopause Society ◽

10.1097/gme.0b013e3181b8b54a ◽

2009 ◽

Vol 16 (6) ◽

pp. 1089-1091 ◽

Cited By ~ 2

Author(s):

Sheryl A. Kingsberg

Keyword(s):

Sexual Function ◽

Latin American ◽

Female Sexual Function Index ◽

Female Sexual Function ◽

Middle Aged ◽

American Women ◽

Function Index

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Development and validation of a short version of the Female Sexual Function Index in the Spanish population

BMC Women s Health ◽

10.1186/s12905-021-01213-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Laura Mateu Arrom ◽

Montserrat Girabent-Farrés ◽

Mónica González ◽

Joan Palou ◽

Carlos Errando-Smet ◽

...

Keyword(s):

Focus Group ◽

Sexual Function ◽

Intraclass Correlation ◽

Spanish Population ◽

Female Sexual Function Index ◽

Short Version ◽

Female Sexual Function ◽

Sexual Disorder ◽

Good Reliability ◽

Function Index

Abstract Background The Female Sexual Function Index (FSFI) is a commonly used scale for the assessment of female sexual function. Our aim was to develop and validate a Spanish short version of the FSFI. Methods A parallel exploratory, sequential mixed-methods approach was used, involving 2 sites. The process consisted of 2 steps: (1) cognitive and content validation of the previously translated FSFI in the Spanish population, both through a focus group; and item selection based on the difficulty and discrimination parameters using item response theory (IRT), thereby obtaining a short version of the scale (sFSFI-sv); (2) assessment of test–retest reliability (intraclass correlation coefficient, ICC) of the sFSFI-sv. The presence or absence of a sexual disorder variable based on clinical interview was used on the Receiver Operating Characteristic (ROC) to establish the cut off point whose Area Under the Curve (AUC) based on sensibility and specificity was maximum. Results Specific modifications of the FSFI were made according to the focus group results. 114 women were included for IRT analysis. The initial IRT model pointed to the exclusion of items 1, 2, 5, 11, 18, and 19 (S-χ2 p < 0.001). Items 3, 9, 11, and 14 showed the best discrimination and difficulty parameters. On the basis of the IRT and focus group results, items 1, 3, 9, 12, 16, and 17 were included in the final sFSFI-sv. sFSFI-sv showed good reliability (ICC 0.91) in a group of 93 women. A total score ≤ 18 could indicate a higher risk of sexual disorder (sensitivity: 81.0%, specificity: 73.3%). Conclusion A focus group and the IRT analysis allowed the development of a 6-item Spanish version of the FSFI, which showed good reliability in a group of Spanish women.

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