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Accurately Assessing Gay Men’s Erectile Functioning

A Critique of the International Index of Erectile Function (Iief) Use with Gay Men

Bibliographic Data

ID10210702
AuthorsMark J Ki (0000-0002-4040-7839, University of Saskatchewan, corresponding author), Lorraine McDonagh (0000-0002-5122-0156, Research Department of Primary Care and Population Health, University College London), Brandon Sparks (0000-0002-8945-5241, University of Saskatchewan), Thomas Hamp (University of Saskatchewan), Todd G Morrison (0000-0001-8033-3822, University of Saskatchewan)
Year2020
Volume58
Issue5
Pages589-598
Publication date2020-10-12
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journal of Sex Research (JOURNAL)
Journal identifiersISSN: 0022-4499 • E-ISSN: 1559-8519
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00224499.2020.1811195
PMID33044087
OpenAlexW3092435728
LanguageEN
Citations received2
References cited69

The International Index of Erectile Functioning (IIEF) has been widely used to measure gay men's erectile functioning. However, the IIEF was initially developed using a sample of men whose sexual orientation was unspecified. Using scales not validated for specific populations can result in inaccurate assessments. The purpose of the current study was to evaluate the dimensionality, reliability, and validity of the IIEF with a large sample of gay men. One thousand and eighteen men self-identifying as "exclusively gay" completed an online survey consisting of demographics, the IIEF, the Hospital Anxiety and Depression Scale (HADS), the Perceived Stress Scale 4 (PSS4), and the Gay Male Sexual Difficulties (GMSD) erectile difficulties sub-scale. The replicability of the IIEF factor structure with a gay male sample was determined using exploratory and confirmatory factor analyses. Additionally, the HADS, PSS4, and GMSD were used to determine the validity of the IIEF. The current study was unable to replicate the IIEF factor structure. Four items required deletion and the factor solution differed from the original. Thus, reinterpretation of the latent variables was deemed necessary. Although the resultant 12-item IIEF evidenced model fit, validity, and reliability, it is not recommended for use with gay men. The revised IIEF is unable to accurately measure gay men's erectile functioning as the content of the items fail to capture their sexual behaviors (i.e., insertive and receptive anal sex)

Anxiety · Confirmatory factor analysis · Demographics · Erectile dysfunction · Erectile function · Exploratory factor analysis · Psychiatry · Psychometrics · Scale (ratio · Statistics · Structural equation modeling · Clinical Psychology · Demography · Hormonal and reproductive studies · Psychology · Sexual function and dysfunction studies · Sexuality, Behavior, and Technology

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Unique citing works2
Citations per year0,5
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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