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Background <p>Sexual health is a critical aspect of quality of life in cancer patients. The EORTC QLQ-SH22 (SH22) assesses sexual health–related quality of life (SH-QoL), but no Simplified Chinese version has been validated. This study aimed to translate and culturally adapt the SH22 into Simplified Chinese (SH22-C) and to evaluate its psychometric properties in mainland Chinese cancer patients.</p> Methods <p>This study comprised two phases. Phase I involved translation and cultural adaptation of the SH22, following the standardized EORTC translation procedure to ensure clarity and cultural relevance. Phase II was a cross-sectional survey in outpatient oncology clinics of a tertiary hospital in mainland China, with 270 adults completing the SH22-C and 30 participants completing a retest after 2 weeks. Psychometric properties assessed included internal consistency, test–retest reliability, structural validity, and convergent/discriminant validity.</p> Results <p>Cognitive interviews led to revisions of ambiguous sexual activity terms, with no further changes in the second round. Phase II demonstrated excellent internal consistency (<i>Sexual Satisfaction</i> α = 0.93; <i>Sexual Pain</i> α = 0.81) and good test–retest reliability (intraclass correlation coefficients = 0.86 and 0.84, respectively; single-item <i>r</i> = 0.73–0.88). Confirmatory factor analysis confirmed a two-factor structure with acceptable fit and factor loadings of 0.62–0.92. Strong convergent validity and low inter-factor correlation (<i>r</i> = − 0.26) supported discriminant validity.</p> Conclusions <p>The SH22-C showed good cultural equivalence, reliability, and validity in mainland Chinese cancer patients and provides a valid and practical tool for assessing SH-QoL.</p>

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Translation, cultural adaptation, and psychometric validation of the simplified Chinese EORTC QLQ-SH22 among cancer patients

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月18日

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  • Yi-mei Du,
  • Ji Lu,
  • Hong Zhang,
  • Qin Huang,
  • Bing-hua Wang,
  • Li Liu

摘要

Background

Sexual health is a critical aspect of quality of life in cancer patients. The EORTC QLQ-SH22 (SH22) assesses sexual health–related quality of life (SH-QoL), but no Simplified Chinese version has been validated. This study aimed to translate and culturally adapt the SH22 into Simplified Chinese (SH22-C) and to evaluate its psychometric properties in mainland Chinese cancer patients.

Methods

This study comprised two phases. Phase I involved translation and cultural adaptation of the SH22, following the standardized EORTC translation procedure to ensure clarity and cultural relevance. Phase II was a cross-sectional survey in outpatient oncology clinics of a tertiary hospital in mainland China, with 270 adults completing the SH22-C and 30 participants completing a retest after 2 weeks. Psychometric properties assessed included internal consistency, test–retest reliability, structural validity, and convergent/discriminant validity.

Results

Cognitive interviews led to revisions of ambiguous sexual activity terms, with no further changes in the second round. Phase II demonstrated excellent internal consistency (Sexual Satisfaction α = 0.93; Sexual Pain α = 0.81) and good test–retest reliability (intraclass correlation coefficients = 0.86 and 0.84, respectively; single-item r = 0.73–0.88). Confirmatory factor analysis confirmed a two-factor structure with acceptable fit and factor loadings of 0.62–0.92. Strong convergent validity and low inter-factor correlation (r = − 0.26) supported discriminant validity.

Conclusions

The SH22-C showed good cultural equivalence, reliability, and validity in mainland Chinese cancer patients and provides a valid and practical tool for assessing SH-QoL.