Abstract
A Sexual Outlook Questionnaire (SOQ) that can apply to a wide range of Korean populations, including disabled people, was necessary for comprehensive research on improving clinical practice of sexual education and developing sex-related intervention programs. We developed the SOQ and tested its validity with exploratory and confirmatory factor analysis and multi-trait/-item matrix analyses. Internal consistency was assessed using Cronbach’s α coefficient for item total correlations. We studied a total of 334 married or previously married adults with no cognitive impairment in the community settings. The eleven survey items were included in the final SOQ. Three factors were found: The first, “personal benefit”, was devoted to the impact of one’s sexual life and included four questions about the health-promoting effects and their recognition of healthiness, youth, and vitality as benefits of their sexual life. The second, “relational value”, included four questions about sex as an expression of love and means of communication, and its effect on the improvement of their relationship with their spouse (partner). The third, “sexual endeavor”, included three questions about the handling of sex-related problems, consulting with an expert, and sexual education. The questionnaire can briefly measure the sexual outlook of any married or previously married adult, regardless of disability.
Highlights
Sexual outlook refers to individuals’ values and convictions toward sex, including systematic and consistent thoughts, emotions, views, patterns of behavior, and knowledge, often affected by the culture to which the individuals belong [1]
The purpose of the present study was to develop the Sexual Outlook Questionnaire (SOQ) that can apply to a wide range of Korean people, including those with disabilities, and to validate the best set of possible items for the comprehensive use of research in improving clinical practice of sex education and developing sex-related intervention programs to protect the human rights of general adult populations
The results showed that the root-mean-square residual (RMR) = 0.047 (0.90), and the Tucker–Lewis Index (TLI) = 0.950 (>0.90), indicating that all criteria were satisfied
Summary
Sexual outlook refers to individuals’ values and convictions toward sex, including systematic and consistent thoughts, emotions, views, patterns of behavior, and knowledge, often affected by the culture to which the individuals belong [1]. People’s sexual outlooks reflect their education, environment, personal experience, and sociocultural elements. People express their sexual behaviors and thoughts based on their values and beliefs about sex. Sexual activities positively affect physical and mental health [7]. A positive and open outlook towards sex aligns with a higher sexual need, more knowledge about sex, and more sexual activities [8]
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