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   <subfield code="a">10.5167/uzh-123264</subfield>
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   <subfield code="a">10.1016/j.esxm.2015.12.005</subfield>
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   <subfield code="a">Cross-cultural adaptation of the male genital self-image scale in iranian men</subfield>
   <subfield code="h">[Elektronische Daten]</subfield>
   <subfield code="c">[Mohsen Saffari, Amir H Pakpour, Andrea Burri]</subfield>
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   <subfield code="a">INTRODUCTION: Certain sexual health problems in men can be attributed to genital self-image. Therefore, a culturally adapted version of a Male Genital Self-Image Scale (MGSIS) could help health professionals understand this concept and its associated correlates. AIM: To translate the original English version of the MGSIS into Persian and to assess the psychometric properties of this culturally adapted version (MGSIS-I) for use in Iranian men. METHODS: In total, 1,784 men were recruited for this cross-sectional study. Backward and forward translations of the MGSIS were used to produce the culturally adapted version. Reliability of the MGSIS-I was assessed using Cronbach α and intra-class correlation coefficients. Divergent and convergent validities were examined using Pearson correlation and known-group validity was assessed in subgroups of participants with different sociodemographic statuses. Factor validity of the scale was investigated using exploratory and confirmatory factor analyses. MAIN OUTCOME MEASURES: Demographic information, the International Index of Erectile Function, the Body Appreciation Scale, the Rosenberg Self-Esteem Scale, and the MGSIS. RESULTS: Mean age of participants was 38.13 years (SD= 11.45) and all men were married. Cronbach α of the MGSIS-I was 0.89 and interclass correlation coefficients ranged from 0.70 to 0.94. Significant correlations were found between the MGSIS-I and the International Index of Erectile Function (P &lt; .01), whereas correlation of the scale with non-similar scales was lower than with similar scale (confirming convergent and divergent validity). The scale could differentiate between subgroups in age, smoking status, and income (known-group validity). A single-factor solution that explained 70% variance of the scale was explored using exploratory factor analysis (confirming uni-dimensionality); confirmatory factor analysis indicated better fitness for the five-item version than the seven-item version of the MGSIS-I (root mean square error of approximation= 0.05, comparative fit index &gt; 1.00 vs root mean square error of approximation= 0.10, comparative fit index &gt; 0.97, respectively). CONCLUSION: The MGSIS-I is a useful instrument to assess genital self-image in Iranian men, a concept that has been associated with sexual function. Further investigation is needed to identify the applicability of the scale in other cultures or populations.</subfield>
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   <subfield code="t">Sexual Medicine</subfield>
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