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Development and Psychometric Evaluation of a Risky Sexual Behaviour Scale for Married Women (Rsbs-Mw) in Iran: A Mixed-Method Study Publisher Pubmed



Jahdi F1 ; Ebadi A2, 3 ; Oskouie F1, 4 ; Kashanian M5 ; Merghatikhoei E6, 7
Authors
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Authors Affiliations
  1. 1. Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
  3. 3. School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
  4. 4. School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Obstetrics and Gynecology, Iran University of Medical Sciences, Tehran, Iran
  6. 6. Iranian National Center for Addiction Studies (INCAS), Institute for High-Risk Behavior Reduction, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Brain and Spinal Cord Injury Research Center, Neuroscience Institution, Tehran University of Medical Sciences, Tehran, Iran

Source: Human Fertility Published:2023


Abstract

A valid and reliable culture-based scale for the evaluation of risky sexual behaviours for married Iranian women is lacking. This study aimed to develop, and psychometrically test, a risky sexual behaviour scale for married Iranian women. A mixed-method sequential exploratory design was conducted from 2016 to 2020 in Tehran, Iran. First, a qualitative study was employed to define the concept of risky sexual behaviour using 16 semi-structured individual interviews and 10 focus group discussions (n = 100). Then, an item pool was generated, and the scale was developed. Finally, in the quantitative study, the psychometric properties of the scale were evaluated by validity and reliability tests. A maximum likelihood extraction with promax rotation was performed on 400 sexually active married women to assess the construct validity. The six components: (i) ‘quality of sexual relations’; (ii) ‘unusual pleasures in sexual relations’; (iii) ‘sexual coercion’; (iv) ‘verbal violence in sexual relations’; (v) ‘self-care in sexual relations’; and (vi) ‘concealment in sexual relations’ could explain 57.49% of the total observed variance. The findings showed that the 27-item Risky Sexual Behaviour Scale (RSBS-MW) for married women in Iran has excellent internal consistency (α = 0.94) and stability (ICC = 0.98). Health care providers can use it to access risky sexual behaviours in married Iranian women. © 2023 The British Fertility Society.
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