Translation, validation, and cultural adaptation of the index of male genital self-image in Egypt

Abstract

PurposePreoccupation with body image, particularly the genitals, is a distraction that can induce anxiety and sexual dysfunction. This study was carried out to translate, culturally adapt, and validate the index of male genital image (IMGI) into Arabic to be used for assessment of genital satisfaction, a taboo subject that threatens the solidarity of the cultural believes linking manhood to sexual performance and genital image. MethodsThe study included 200 men aged more than or equal to 18 years. Forward translation, cognitive testing, and backward translations were performed. Internal consistency was estimated using Cronbach’s &agr;. Intercorrelation with the sexual health inventory for men was performed. Discriminant, content, and construct validities were assessed. ResultsThe median age of the participants was 32 years and 64% lived in urban areas; 76% were married, the median duration of marriage was 6 years, and age at marriage was 27 years. All items of IMGI were reliable (Cronbach’s &agr;=0.85). Older, married, or divorced men, those who married after 25 years of age, those with BMI of at least 25 kg/m2, nondiabetics, and normotensives had significantly higher scores (P<0.05). The six factors of the questionnaire correlated significantly with the total IMGI score (P<0.05). The majority of the items were intercorrelated (P<0.05). Principal component analysis showed that 14 items explained 70.2% of variance. The Kaiser–Meyer–Olkin sampling adequacy was 0.73 and Bartlett’s test of sphericity was significant (P<0.001). All communalities (statistic squared variances) were above 0.5. ConclusionThe Arabic version of the IMGI is a reliable and valid tool for the assessment of male genital self-image satisfaction among Egyptian men.