Sexual Assertiveness Across Cultures,Genders,and Sexual Orientations: Validation of the Short Sexual Assertiveness Questionnaire (SAQ-9)

Abstract

Sexual assertiveness (SA) is an important concept in understanding sexual well-being and decision-making. However, psychometric evaluation of existing measures of SA in diverse populations is largely lacking, hindering cross-cultural and comparative studies. This study validated the short version of the Sexual Assertiveness Questionnaire (SAQ-9) and examined its measurement invariance across several languages, countries, genders, sexual orientations, and relationship statuses among 65,448 sexually-active adults (M_age = 32.98 years, SD = 12.08, 58% women, 2.74% gender-diverse individuals) taking part in the International Sex Survey. The scale demonstrated adequate psychometric properties. Measurement invariance tests indicated that the SAQ-9 is suitable for comparing individuals from different cultures, genders, sexual orientations, and relationship statuses, and significant group differences were also noted (e.g., gender-diverse individuals reported the highest levels of SA). Findings suggest that the SAQ-9 is a reliable and valid measure of SA and appropriate for use in diverse populations, with specific populations exhibiting varying levels of SA.

Keywords

sexual assertiveness cross-cultural gender difference sexual and gender minorities International Sex Survey (ISS)validation SAQ-9

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References

Azmoude

Firoozi

Sadeghi Sahebzad

Asgharipour

(2016). Relationship between gender roles and sexual assertiveness in married women. International Journal of Community Based Nursing and Midwifery, 4(4), 363–373.

Beaton

D. E.

Bombardier

Guillemin

Ferraz

M. B.

(2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186–3191. https://doi.org/10.1097/00007632-200012150-00014

Borgogna

N. C.

McDermott

R. C.

Aita

S. L.

Kridel

M. M.

(2019). Anxiety and depression across gender and sexual minorities: Implications for transgender, gender nonconforming, pansexual, demisexual, asexual, queer, and questioning individuals. Psychology of Sexual Orientation and Gender Diversity, 6, 54–63. https://doi.org/10.1037/sgd0000306

Bőthe

Koós

Nagy

Kraus

S. W.

Potenza

M. N.

Demetrovics

(2021). International Sex Survey: Study protocol of a large, cross-cultural collaborative study in 45 countries. Journal of Behavioral Addictions, 10(3), 632–645. https://doi.org/10.1556/2006.2021.00063

Brown

T. A.

(2015). Confirmatory factor analysis for applied research (2nd ed.). The Guilford Press.

Brown

T. N. T.

Herman

J. L.

(2015). Intimate partner violence and sexual abuse among LGBT people: A review of existing research. The Williams Institute at UCLA School of Law. https://www.jstor.org/stable/resrep34896

Chen

F. F.

(2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464–504. https://doi.org/10.1080/10705510701301834

Cohen

(1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum.

Comrey

A. L.

Lee

H. B.

(1992). A first course in factor analysis (2nd ed.). Psychology Press. https://doi.org/10.4324/9781315827506

10.

Couture

Hebert

Fernet

(2024). Validation of a French-Canadian adaptation of the Hurlbert Index of Sexual Assertiveness for adolescents. Sexual and Relationship Therapy, 39, 1106–1123. https://doi.org/10.1080/14681994.2022.2067981

11.

Dai

Fongkaew

Lirtmunlikaporn

Viseskul

Chaloumsuk

(2021). Predictors of the sexual assertiveness among Chinese female college students: A cross-sectional Study. Pacific Rim International Journal of Nursing Research, 25(4), 626–638.

12.

Darden

M. C.

Ehman

A. C.

Lair

E. C.

Gross

(2019). Sexual compliance: Examining the relationships among sexual want, sexual consent, and sexual assertiveness. Sexuality & Culture, 23, 220–235. https://doi.org/10.1007/S12119-018-9551-1

13.

Dunn

Lloyd

Phelps

(1979). Sexual assertiveness in spinal cord injury. Sexuality and Disability, 2(4), 293–300. https://doi.org/10.1007/BF01101395

14.

Dworkin

E. R.

Krahé

Zinzow

(2021). The global prevalence of sexual assault: A systematic review of international research since 2010. Psychology of Violence, 11(5), 497–508. https://doi.org/10.1037/vio0000374

15.

Egleston

B. L.

Miller

S. M.

Meropol

N. J.

(2011). The impact of misclassification due to survey response fatigue on estimation and identifiability of treatment effects. Statistics in Medicine, 30(30), 3560–3572. https://doi.org/10.1002/sim.4377

16.

Feinstein

B. A.

Hurtado

Jr. Dyar

Davila

(2023). Disclosure, minority stress, and mental health among bisexual, pansexual, and queer (Bi+) adults: The roles of primary sexual identity and multiple sexual identity label use. Psychology of Sexual Orientation and Gender Diversity, 10, 181–189. https://doi.org/10.1037/sgd0000532

17.

Gagnon

J. H.

Simon

(2005). Sexual conduct: The social sources of human sexuality (2nd ed.). Aldine Transaction.

18.

Gil-Llario

M. D.

Fernández-García

Gil-Juliá

Estruch-García

Ballester-Arnal

(2022). Development and psychometric properties of an instrument for the assessment of assertiveness in sexual relations. Sexuality Research and Social Policy, 19, 1255–1269. https://doi.org/10.1007/s13178-021-00630-6

19.

Goodboy

A. K.

Martin

M. M.

(2020). Omega over alpha for reliability estimation of unidimensional communication measures. Annals of the International Communication Association, 44(4), 422–439. https://doi.org/10.1080/23808985.2020.1846135

20.

Goodcase

E. T.

Spencer

C. M.

Toews

M. L.

(2021). Who understands consent? A latent profile analysis of college students’ attitudes toward consent. Journal of Interpersonal Violence, 36(15–16), 7495–7504. https://doi.org/10.1177/0886260519836786

21.

Gupta

(2017). What does asexuality teach us about sexual disinterest? Recommendations for health professionals based on a qualitative study with asexually identified people. Journal of Sex & Marital Therapy, 43(1), 1–14. https://doi.org/10.1080/0092623X.2015.1113593

22.

Haavio-Mannila

Kontula

(1997). Correlates of increased sexual satisfaction. In Archives of sexual behavior (Vol. 26, Issue 4, pp. 399–419). Springer/Plenum Publishers. https://doi.org/10.1023/A:1024591318836

23.

L. Y.

Ehman

A. C.

Gross

A. M.

(2021). Gender roles, sexual assertiveness, and sexual victimization in LGBTQ individuals. Sexuality & Culture, 25(4), 1469–1489. https://doi.org/10.1007/s12119-021-09819-8

24.

Hurlbert

D. F.

(1991). The role of assertiveness in female sexuality: A comparative study between sexually assertive and sexually nonassertive women. Journal of Sex & Marital Therapy, 17(3), 183–190. https://doi.org/10.1080/00926239108404342

25.

IBM. (2021). IBM SPSS statistics for windows (Version 28) [Computer software].

26.

Katz

May

Sörensen

DelTosta

(2010). Sexual revictimization during women’s first year of college: Self-blame and sexual refusal assertiveness as possible mechanisms. Journal of Interpersonal Violence, 25(11), 2113–2126. https://doi.org/10.1177/0886260509354515

27.

Kelley

E. L.

Orchowski

L. M.

Gidycz

(2016). Sexual victimization among college women: Role of sexual assertiveness and resistance variables. Psychology of Violence, 6(2), 243–252. https://doi.org/10.1037/A0039407

28.

Kim

Lee

(2019). Sexual double standard, dating violence recognition, and sexual assertiveness among university students in South Korea. Asian Nursing Research, 13(1), 47–52. https://doi.org/10.1016/j.anr.2019.01.003

29.

Lammers

Stoker

J. I.

(2019). Power affects sexual assertiveness and sexual esteem equally in women and men. Archives of Sexual Behavior, 48(2), 645–652. https://doi.org/10.1007/s10508-018-1285-5

30.

Leclerc

Bergeron

Brassard

Belanger

Steben

Lambert

(2015). Attachment, sexual assertiveness, and sexual outcomes in women with provoked vestibulodynia and their partners: A mediation model. Archives of Sexual Behavior, 44(6), 1561–1572. https://doi.org/10.1007/s10508-014-0295-1

31.

Livingston

J. A.

Testa

VanZile-Tamsen

(2007). The reciprocal relationship between sexual victimization and sexual assertiveness. Violence Against Women, 13(3), 298–313. https://doi.org/10.1177/1077801206297339

32.

Lopez-Alvarado

Prekatsounaki

Van Parys

Enzlin

(2022). Sexual assertiveness and its correlates in emerging adults: An exploratory study in Cuenca (Ecuador). International Journal of Sexual Health, 34(4), 679–690. https://doi.org/10.1080/19317611.2022.2106527

33.

Lopez-Alvarado

Van Parys

Cevallos-Neira

Enzlin

(2020). Latin American women’s beliefs, views and ideas about sexual assertiveness: A focus group study in Cuenca (Ecuador). Journal of Sex Research, 57(3), 307–321. https://doi.org/10.1080/00224499.2019.1615031

34.

Loshek

Terrell

H. K.

(2015). The development of the sexual assertiveness questionnaire (SAQ): A comprehensive measure of sexual assertiveness for women. Journal of Sex Research, 52(9), 1017–1027. https://doi.org/10.1080/00224499.2014.944970

35.

Lund

E. M.

(2021). Violence against asexual individuals. In Lund

E. M.

Burgess

Johnson

A. J.

(Eds.), Violence against LGBTQ+ persons: Research, practice, and advocacy (pp. 179–183). Springer International Publishing. https://doi.org/10.1007/978-3-030-52612-2_13

36.

Lyons

Houghton

Brewer

O’Brien

(2022). The Dark Triad and sexual assertiveness predict sexual coercion differently in men and women. Journal of Interpersonal Violence, 37(7–8), NP4889–NP4904. https://doi.org/10.1177/0886260520922346

37.

Marsh

H. W.

Hau

K.-T.

Grayson

(2005). Goodness of fit evaluation in structural equation modeling. In R. P. McDonald, A. Maydeu-Olivares, & J. J. McArdle (Eds.), Contemporary psychometrics. A Festschrift for Roderick P. McDonald (pp. 225–340) Lawrence Erlbaum Associates.

38.

Marsh

H. W.

Hau

K.-T.

Wen

(2004). In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler’s (1999) findings. Structural Equation Modeling: A Multidisciplinary Journal, 11(3), 320–341. https://doi.org/10.1207/s15328007sem1103_2

39.

McNicoll

Corsini-Munt

Rosen

McDuff

Bergeron

(2017). Sexual assertiveness mediates the associations between partner facilitative responses and sexual outcomes in women with provoked vestibulodynia. Journal of Sex & Marital Therapy, 43(7), 663–677. https://doi.org/10.1080/0092623X.2016.1230806

40.

Ménard

A. D.

Offman

(2009). The interrelationships between sexual self-esteem, sexual assertiveness and sexual satisfaction. Canadian Journal of Human Sexuality, 18(1/2), 35–45.

41.

Mercer Kollar

L. M.

Davis

T. L.

Monahan

J. L.

Samp

J. A.

Coles

V. B.

Bradley

E. L. P.

Sales

J. M.

Comer

S. K.

Worley

Rose

DiClemente

R. J

. (2016). Do as I say: Using communication role-plays to assess sexual assertiveness following an intervention. Health Education & Behavior, 43(6), 691–698. https://doi.org/10.1177/1090198116630528

42.

Meuleman

(2012). When are item intercept differences substantively relevant in measurement invariance testing? In Salzborn

Davidov

Reinecke

(Eds.), Methods, theories, and empirical applications in the social sciences (pp. 97–104). VS Verlag für Sozialwissenschaften. https://doi.org/10.1007/978-3-531-18898-0_13

43.

Milfont

T. L.

Fischer

(2010). Testing measurement invariance across groups: Applications in cross-cultural research. International Journal of Psychological Research, 3(1), Article 1. https://doi.org/10.21500/20112084.857

44.

Mollet

A. L.

Black

(2023). Coercive rape tactics perpetrated against asexual college students: A quantitative analysis considering students’ multiple identities. Journal of College Student Development, 64(1), 96–101. https://doi.org/10.1353/csd.2023.0004

45.

Morokoff

P. J.

Quina

Harlow

L. L.

Whitmire

Grimley

D. M.

Gibson

P. R.

Burkholder

G. J.

(1997). Sexual Assertiveness Scale (SAS) for women: Development and validation. Journal of Personality and Social Psychology, 73(4), 790–804. https://doi.org/10.1037/0022-3514.73.4.790

46.

Morokoff

P. J.

Redding

C. A.

Harlow

L. L.

Cho

Rossi

J. S.

Meier

K. S.

Mayer

K. H.

Koblin

Brown-Peterside

(2009). Associations of sexual victimization, depression, and sexual assertiveness with unprotected sex: A test of the multifaceted model of HIV risk across gender. Journal of Applied Biobehavioral Research, 14(1), 30–54. https://doi.org/10.1111/j.1751-9861.2009.00039.x

47.

NasrollahiMola

Bahrami

Ranjbaran

Alimoradi

(2023). Predictors of sexual assertiveness in a sample of Iranian married women of reproductive age. Sexual and Relationship Therapy, 38, 74–86. https://doi.org/10.1080/14681994.2020.1740672

48.

Noar

S. M.

Morokoff

P. J.

Harlow

L. L.

(2002). Condom negotiation in heterosexually active men and women: Development and validation of a condom influence strategy questionnaire. Psychology & Health, 17(6), 711–735. https://doi.org/10.1080/0887044021000030580

49.

Nunnally

J. C.

(1978). Psychometric theory (2nd ed.). McGraw-Hill.

50.

Onuoha

F. N.

Munakata

(2005). Correlates of adolescent assertiveness with HIV avoidance in a four-nation sample. Adolescence, 40, 525–532.

51.

Pierce

A. P.

Hurlbert

M. K.

(1999). Test-retest reliability of the Hurlbert Index of Sexual Assertiveness. Perceptual and Motor Skills, 88(1), 31–34. https://doi.org/10.2466/pms.1999.88.1.31

52.

Quina

Harlow

L. L.

Morokoff

P. J.

Burkholder

Deiter

P. J.

(2000). Sexual communication in relationships: When words speak louder than actions. Sex Roles: A Journal of Research, 42(7–8), 523–549. https://doi.org/10.1023/A:1007043205155

53.

R Core Team. (2021). R: A language and environment for statistical computing [Computer software]. R Foundation for Statistical Computing. https://www.R-project.org/

54.

Rickert

V. I.

Sanghvi

Wiemann

C. M.

(2002). Is lack of sexual assertiveness among adolescent and young adult women a cause for concern? Perspectives on Sexual and Reproductive Health, 34(4), 178–183.

55.

Rosseel

(2012). Lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48, 1–36. https://doi.org/10.18637/jss.v048.i02

56.

Rothman

E. F.

Exner

Baughman

A. L.

(2011). The prevalence of sexual assault against people who identify as gay, lesbian, or bisexual in the United States: A systematic review. Trauma, Violence, & Abuse, 12(2), 55–66. https://doi.org/10.1177/1524838010390707

57.

Rutkowski

Svetina

(2014). Assessing the hypothesis of measurement invariance in the context of large-scale international surveys. Educational and Psychological Measurement, 74(1), 31–57. https://doi.org/10.1177/0013164413498257

58.

Sanchez

D. T.

Phelan

J. E.

Moss-Racusin

C. A.

Good

J. J.

(2012). The gender role motivation model of women’s sexually submissive behavior and satisfaction in heterosexual couples. Personality and Social Psychology Bulletin, 38(4), 528–539. https://doi.org/10.1177/0146167211430088

59.

Santos-Iglesias

Carlos Sierra

(2010). Hurlbert Index of Sexual Assertiveness: A study of psychometric properties in a Spanish sample. Psychological Reports, 107(1), 39–57. https://doi.org/10.2466/02.03.07.17.21.PR0.107.4.39-57

60.

Santos-Iglesias

Sierra

J. C.

Vallejo-Medina

(2013). Predictors of sexual assertiveness: The role of sexual desire, arousal, attitudes, and partner abuse. Archives of Sexual Behavior, 42(6), 1043–1052. https://doi.org/10.1007/s10508-012-9998-3

61.

Santos-Iglesias

Vallejo-Medina

Sierra

J. C.

(2014). Equivalence and standard scores of the Hurlbert Index of sexual assertiveness across Spanish men and women. In Anales de Psicologia (Vol. 30, Issue 1, pp. 233–238). Universidad de Murcia. https://doi.org/10.6018/analesps.30.1.143321

62.

Scandurra

Mezza

Maldonato

N. M.

Bottone

Bochicchio

Valerio

Vitelli

(2019). Health of non-binary and genderqueer people: A systematic review. Frontiers in Psychology, 10, 1453. https://doi.org/10.3389/fpsyg.2019.01453

63.

Schry

A. R.

White

S. W.

(2013). Sexual assertiveness mediates the effect of social interaction anxiety on sexual victimization risk among college women. Behavior Therapy, 44(1), 125–136. https://doi.org/10.1016/j.beth.2012.09.001

64.

Sierra

Arcos-Romero

Alvarez-Muelas

Cervilla

(2021). The impact of intimate partner violence on sexual attitudes, sexual assertiveness, and sexual functioning in men and women. International Journal of Environmental Research and Public Health, 18(2), 594. https://doi.org/10.3390/ijerph18020594

65.

Sierra

Santos-Iglesias

Vallejo-Medina

(2012). Evaluation of the factorial and metric equivalence of the Sexual Assertiveness Scale (SAS) by sex. Psicothema, 24(2), 316–322.

66.

Snell

W. E.

Fisher

T. D.

Miller

R. S.

(1991). Development of the Sexual Awareness Questionnaire: Components, reliability, and validity. Annals of Sex Research, 4(1), 65–92. https://doi.org/10.1177/107906329100400104

67.

Steenkamp

J.-B. E. M.

Baumgartner

(1998). Assessing measurement invariance in cross-national consumer research. Journal of Consumer Research, 25, 78–90. https://doi.org/10.1086/209528

68.

Struckman-Johnson

Anderson

Smeaton

(2020). Predictors of female sexual aggression among a US MTurk sample: The protective role of sexual assertiveness. Journal of Contemporary Criminal Justice, 36(4), 499–519. https://doi.org/10.1177/1043986220936100

69.

Stulhofer

Graham

Bozicevic

Kufrin

Ajdukovic

(2009). An assessment of HIV/STI vulnerability and related sexual risk-taking in a nationally representative sample of young Croatian adults. Archives of Sexual Behavior, 38(2), 209–225. https://doi.org/10.1007/s10508-007-9234-8

70.

Tolman

D. L.

Davis

B. R.

Bowman

C. P.

(2016). “That’s just how it is”: A gendered analysis of masculinity and femininity ideologies in adolescent girls’ and boys’ heterosexual relationships. Journal of Adolescent Research, 31, 3–31. https://doi.org/10.1177/0743558415587325

71.

Vannier

S. A.

O’Sullivan

L. F.

(2011). Communicating interest in sex: Verbal and nonverbal initiation of sexual activity in young adults’ romantic dating relationships. Archives of Sexual Behavior, 40(5), 961–969. https://doi.org/10.1007/s10508-010-9663-7

72.

Walker

D. P.

Messman-Moore

T. L.

Ward

R. M.

(2011). Number of sexual partners and sexual assertiveness predict sexual victimization: Do more partners equal more risk? Violence and Victims, 26(6), 774–787. https://doi.org/10.1891/0886-6708.26.6.774

73.

Weijters

Baumgartner

Schillewaert

(2013). Reversed item bias: An integrative model. Psychological Methods, 18, 320–334. https://doi.org/10.1037/a0032121

74.

Williams

L. J.

Holahan

P. J.

(1994). Parsimony-based fit indices for multiple-indicator models: Do they work? Structural Equation Modeling: A Multidisciplinary Journal, 1(2), 161–189. https://doi.org/10.1080/10705519409539970

75.

Yoon

Lai

M. H. C.

(2018). Testing factorial invariance with unbalanced samples. Structural Equation Modeling: A Multidisciplinary Journal, 25(2), 201–213. https://doi.org/10.1080/10705511.2017.1387859

76.

Zerubavel

Messman-Moore

T. L.

(2013). Sexual victimization, fear of sexual powerlessness, and cognitive emotion dysregulation as barriers to sexual assertiveness in college women. Violence Against Women, 19(12), 1518–1537. https://doi.org/10.1177/1077801213517566

77.

Zhang

Xie

Fan

Yip

(2022). Female sexual assertiveness and sexual satisfaction among Chinese couples in Hong Kong: A dyadic approach. Journal of Sex Research, 59(2), 203–211. https://doi.org/10.1080/00224499.2021.1875187

78.

Zhang

Yip

P. S. F.

(2018). Perceived and actual behavior in female sexual assertiveness: A within-couple analysis in Hong Kong. Journal of Sex & Marital Therapy, 44(1), 87–95.

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