Cross-cultural Validation of the Arizona Sexual Experience Scale (ASEX) in 42 Countries and 26 Languages

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2024年10月24日

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Rafael Ballester-Arnal,
Marcel Elipe-Miravet,
Jesús Castro-Calvo,
Patricia Beltrán-Martínez,
Léna Nagy,
Mónika Koós,
Shane W. Kraus,
Zsolt Demetrovics,
Marc N. Potenza,
Dominik Batthyány,
Sophie Bergeron,
Joël Billieux,
Peer Briken,
Julius Burkauskas,
Georgina Cárdenas-López,
Joana Carvalho,
Ji-Kang Chen,
Lijun Chen,
Giacomo Ciocca,
Ornella Corazza,
Rita I. Csako,
David P. Fernandez,
Elaine F. Fernandez,
Hironobu Fujiwara,
Johannes Fuss,
Roman Gabrhelík,
Ateret Gewirtz-Meydan,
Biljana Gjoneska,
Mateusz Gola,
Joshua B. Grubbs,
Hashim T. Hashim,
Md. Saiful Islam,
Mustafa Ismail,
Martha C. Jiménez-Martínez,
Tanja Jurin,
Ondrej Kalina,
Verena Klein,
András Költő,
Sang-Kyu Lee,
Karol Lewczuk,
Chung-Ying Lin,
Christine Lochner,
Silvia López-Alvarado,
Kateřina Lukavská,
Percy Mayta-Tristán,
Dan J. Miller,
Oľga Orosová,
Gábor Orosz,
Fernando P. Ponce,
Gonzalo R. Quintana,
Gabriel C. Quintero Garzola,
Jano Ramos-Diaz,
Kévin Rigaud,
Ann Rousseau,
Marco De Tubino Scanavino,
Marion K. Schulmeyer,
Pratap Sharan,
Mami Shibata,
Sheikh Shoib,
Vera Sigre-Leirós,
Luke Sniewski,
Ognen Spasovski,
Vesta Steibliene,
Dan J. Stein,
Banu C. Ünsal,
Marie-Pier Vaillancourt-Morel,
Marie Claire Van Hout,
Beáta Bőthe

摘要

Introduction

The Arizona Sexual Experiences Scale (ASEX) is a brief questionnaire that evaluates five major aspects of sexual function: sex drive, arousal, erectile function/vaginal lubrication, ability to reach orgasm, and satisfaction with orgasm. An advantage of the ASEX is its simplicity and brevity (five items), making it suitable for the screening of sexual function problems in healthcare contexts and large-scale studies. The main objective of this study was to examine the psychometric properties of the ASEX in a multi-national sample, as well as to explore sexual function according to countries, genders, and sexual orientations.

Methods

The psychometric examination of the ASEX was conducted with a sample of 82,243 participants (women = 57.02%; men = 39.59%; gender-diverse = 3.38%; M_age = 32.39 years; SD = 12.52) from 42 different countries speaking 26 languages.

Results

The CFA supported a one-factor solution. Multigroup CFAs supported configural, metric, partial scalar, and residual invariance across countries, languages, genders, and sexual orientations. Furthermore, the ASEX showed good internal consistency (ω = .85) and convergent validity (e.g., significant negative associations with masturbation and sexual intercourse frequency). Finally, individuals in Eastern countries, women, and asexual participants reported higher levels of sexual function issues.

Conclusions and Policy Implications

The findings supported the use of the ASEX as a tool to screen for sexual function problems across diverse populations in multi-cultural settings. This scale may be used to improve our knowledge on the cross-cultural differences on the expression of sexual function, serving as the basis for the development of culturally tailored interventions for the improvement of this basic aspect of well-being.