Evidence map›Paper›PMID 34609644›Full record

ArticleArchives of sexual behavior2021

Development and Validation of the Couple Sexual Satisfaction Scale for HIV and Sexual Health Research.

Amy A Conroy, Allison Ruark, Torsten B Neilands, Lynae A Darbes, Mallory O Johnson, Judy Y Tan, James Mkandawire

Abstract read
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In one paragraph

Article in Archives of sexual behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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  9. Managing multimorbidity together: relationship dynamics and dual medication adherence for hypertension and HIV in Malawi.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Amy A ConroyCenter for AIDS Prevention Studies, Division of Prevention Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA. amy.conroy@ucsf.edu.ORCID 0000-0002-0609-5077
Allison RuarkDepartment of Medicine, Brown University, Providence, RI, USA.
Torsten B NeilandsCenter for AIDS Prevention Studies, Division of Prevention Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA.
Lynae A DarbesDepartment of Health Behavior and Biological Sciences, Center for Sexuality and Health Disparities, School of Nursing, University of Michigan, Ann Arbor, MI, USA.
Mallory O JohnsonCenter for AIDS Prevention Studies, Division of Prevention Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA.
Judy Y TanCenter for AIDS Prevention Studies, Division of Prevention Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA.
James MkandawireInvest in Knowledge, Zomba, Malawi.

Funding

Relationship Factors and Engagement in HIV Care in Malawi: A Dyadic InvestigationK01MH107331 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CONROY, AMY ANNE · 2016 to 2019
$773k
NIMH NIH HHS K01MH107331
6 · The paper itself

Abstract

Sexual satisfaction is an important dimension of relationship quality with implications for sexual and reproductive health (SRH), and HIV prevention, care, and treatment. We developed and validated the Couple Sexual Satisfaction Scale (CSSS) with heterosexual couples in sub-Saharan Africa. Using data from qualitative interviews with 94 partnered women and men in Swaziland and Malawi, we generated a 22-item scale and administered it to 211 couples with at least one partner living with HIV in Malawi. We performed an exploratory factor analysis (EFA) to identify and confirmatory factor analysis (CFA) to test the factor structure. To assess validity, we tested for associations between the CSSS and relationship quality, consistent condom use, and intimate partner violence (IPV) using generalized estimating equations. The EFA yielded two factors, general sexual satisfaction (13-item CSSS-Gen subscale, e.g., "I am satisfied with the sweetness of sex in our relationship") and HIV-specific sexual satisfaction (4-item CSSS-HIV subscale, e.g., "My appetite for sex has gone down due to HIV"), accounting for 78% of the shared variance. The CFA supported the two-factor solution: χ

Indexed as

HIV InfectionsIntimate Partner ViolenceSexual HealthFemaleHumansMaleOrgasmSexual BehaviorSexual PartnersHIV/AIDSSexual and reproductive healthSexual satisfactionSub-Saharan Africa

Identifiers

PMID34609644

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.