Sexuality Assessment of the Brazilian Population: An Integrative Review of the Available Instruments

Brasil, Marseylle Louise de Assis; Zakhour, Stephanie; Figueira, Gabriel Loureiro; Pires, Priscila; Nardi, Antônio Egídio; Sardinha, Aline

doi:10.1080/0092623x.2022.2035869

Journal of Sex & Marital Therapy

2022

DOI: 10.1080/0092623x.2022.2035869

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Sexuality Assessment of the Brazilian Population: An Integrative Review of the Available Instruments

Marseylle Louise de Assis Brasil

Stephanie Zakhour

Gabriel Loureiro Figueira

et al.

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Cited by 2 publications

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“…Translating an existing scale should consider the sociocultural, religious, and linguistic diversity, especially when it comes to the linguistic taboos around sexuality. Recently, researchers have questioned whether best practices in sexual health assessment informed the transcultural adaptation of psychometric instruments originally developed in English to be used in Brazil 3 and Middle East 4 .…”

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Methodology in sexuality research: how to build a valid road?

Sardinha

2022

J. bras. psiquiatr.

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Sexology is a broad, interdisciplinary, field with a long tradition of empirical research. Comprehensive quantitative and qualitative studies have been conducted since the 20th century, providing abounding evidence. As the area is informed by diverse theoretical backgrounds, a wide range of methods have been applied to sex research over time.While the World Health Organization 1 claims that sexual health refers to a state of physical, emotional, mental, and social well-being in relation to sexuality, beyond the absence of disease, dysfunction or infirmity, most studies from the past decades have focused on sexual function and behavior. Broader aspects such as quality of sex life, sexual violence, sexual beliefs, and sexual satisfaction have received less attention. The narrowing of sexuality around sexual function might be misleading in the understanding of the sexual complaints that make a person seek for sexual healthcare. The inclusion of broader aspects might foster a more comprehensive perspective and produce more effective, culturally competent, treatment options.From Masters' and Johnson's observations in the 1960s until today, most of the knowledge available on sexual function and the psychophysiological processes involved in sexual response was derived from experiments that may seem exotic to a naïve observer. Unconventional instruments are used to measure participants' genital responses, like vaginal and penile plethysmographs or genital thermographs, and experimental tasks may include masturbating in the lab or watching a pornographic video, while monitored by eye-trackers, electroencephalography, or functional magnetic resonance imaging. Clinical trials on sexual medicine interventions have also risen in the last 30 years, driven mostly by efforts to develop medications for sexual disfunctions.Ethical guidelines limit the number of sexual behaviors that can be observed or experimentally manipulated in laboratory settings. Generalizability of these findings may additionally be biased by the artificial context and observer effects. Thus, for the study of sexual behavior, indirect observation is broadly used, with methods that include interviews, self-report questionnaires or retrieval of clinical records and public databases.Cross-sectional surveys are the most used alternative for obtaining information about sexual behavior and other dimensions of human sexuality. Robust estimates of the prevalence of sexual behaviors and their determinants in the population have been provided by surveys in the past years. Research strategies to minimize measurement error have been applied, from sample selection to questionnaire content, design, and data collection 2 .Random probability sampling methods are used to reduce volunteer bias. Volunteers in sex research tend to be more sexually experienced, sensation seeking, to have more relaxed sexual attitudes and behaviors than the general population. Achieving good response rates is thus essential to improve the representativeness of the survey and reduce participation ...

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“…Validity of a scale should not be considered dichotomously, but as a continuum of cumulative evidence on how the scoring of an instrument can be interpreted as the reflex of the construct 3 . Hence, the quantitative psychometric aspects involved in the validation of this instrument needs further studies to advance the investigation of its properties.…”

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Methodology in sexuality research: how to build a valid road?

Sardinha

2022

J. bras. psiquiatr.

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Methodological quality of 100 recent systematic reviews of health-related outcome measurement instruments: an overview of reviews

Elsman,

Mokkink,

Abma

et al. 2024

Qual Life Res

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Purpose Systematic reviews evaluating and comparing the measurement properties of outcome measurement instruments (OMIs) play an important role in OMI selection. Earlier overviews of review quality (2007, 2014) evidenced substantial concerns with regards to alignment to scientific standards. This overview aimed to investigate whether the quality of recent systematic reviews of OMIs lives up to the current scientific standards. Methods One hundred systematic reviews of OMIs published from June 1, 2021 onwards were randomly selected through a systematic literature search performed on March 17, 2022 in MEDLINE and EMBASE. The quality of systematic reviews was appraised by two independent reviewers. An updated data extraction form was informed by the earlier studies, and results were compared to these earlier studies’ findings. Results A quarter of the reviews had an unclear research question or aim, and in 22% of the reviews the search strategy did not match the aim. Half of the reviews had an incomprehensive search strategy, because relevant search terms were not included. In 63% of the reviews (compared to 41% in 2014 and 30% in 2007) a risk of bias assessment was conducted. In 73% of the reviews (some) measurement properties were evaluated (58% in 2014 and 55% in 2007). In 60% of the reviews the data were (partly) synthesized (42% in 2014 and 7% in 2007); evaluation of measurement properties and data syntheses was not conducted separately for subscales in the majority. Certainty assessments of the quality of the total body of evidence were conducted in only 33% of reviews (not assessed in 2014 and 2007). The majority (58%) did not make any recommendations on which OMI (not) to use. Conclusion Despite clear improvements in risk of bias assessments, measurement property evaluation and data synthesis, specifying the research question, conducting the search strategy and performing a certainty assessment remain poor. To ensure that systematic reviews of OMIs meet current scientific standards, more consistent conduct and reporting of systematic reviews of OMIs is needed.

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Sexuality Assessment of the Brazilian Population: An Integrative Review of the Available Instruments

Cited by 2 publications

References 53 publications

Methodology in sexuality research: how to build a valid road?

Methodology in sexuality research: how to build a valid road?

Methodological quality of 100 recent systematic reviews of health-related outcome measurement instruments: an overview of reviews

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