title: [Validity and Reliability of the Attitudes Toward Sexuality in the Elderly Questionnaire in Cartagena, Colombia].
abstract: BACKGROUND
  There are many stereotypes and prejudices about the sexual lives of the elderly. However, there are no validated and reliable tools for measuring these in the Latin-American context.
  
  
  OBJECTIVE
  To determine the internal consistency, dimensionality, differential item functioning (DIF) by gender and stability of the Attitudes towards Sexuality in the Elderly Questionnaire (ASEQ) in adults over 60 years-old in Cartagena, Colombia.
  
  
  METHODS
  A validation study was designed that included a sample of 130 participants without cognitive impairment attending a Life Center. The ages ranged between 60 and 90 years (mean, 73.7±8.0), and there were 61.5% females. Internal consistency was calculated using Cronbach alpha and McDonald omega, exploratory factor analysis (EFA) (dimensionality), DIF by gender (item response theory) with Kendall correlation, and stability (reproducibility) with Pearson correlation and intraclass correlation coefficient (ICC).
  
  
  RESULTS
  The ASEQ showed high internal consistency on the first application (α=.83 and ω=.87) and in the second one (α=.85 and ω=.89). AFE showed two salient factors (prejudices and limitations) that explained 42.6% of the total variance. The IDF presented appropriate coefficients, with the exception of item 14 that showed a high value (τ=.37). ASEQ showed high stability (r=.82 and ICC=.89; 95% confidence interval, 0.83- 0.92; P<.001).
  
  
  CONCLUSIONS
  ASEQ is a two-dimensional and reliable scale in older adults attending a Life Center in Cartagena, Colombia. New studies are required to evaluate the performance in a representative sample.
authors.affiliation: Grupo de Investigación Cuidado y Vida, Facultad de Enfermería, Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Estela
authors.initials: E
authors.lastname: Melguizo-Herrera
authors.affiliation: Grupo de Investigación Cuidado y Vida, Facultad de Enfermería, Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Yuleysi
authors.initials: Y
authors.lastname: Álvarez-Romero
authors.affiliation: Grupo de Investigación Cuidado y Vida, Facultad de Enfermería, Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Mayerlin Vanessa
authors.initials: MV
authors.lastname: Cabarcas-Mendoza
authors.affiliation: Grupo de Investigación Cuidado y Vida, Facultad de Enfermería, Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Rossy Stefanie
authors.initials: RS
authors.lastname: Calvo-Rodríguez
authors.affiliation: Grupo de Investigación Cuidado y Vida, Facultad de Enfermería, Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Jeomaidis
authors.initials: J
authors.lastname: Flórez-Almanza
authors.affiliation: Grupo de Investigación Cuidado y Vida, Facultad de Enfermería, Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Olga Patricia
authors.initials: OP
authors.lastname: Moadie-Contreras
authors.affiliation: Grupo de Investigación del Comportamiento Humano, Instituto de Investigación del Comportamiento Humano (Human Behavioral Research Institute), Bogotá, Colombia. Electronic address: campoarias@comportamientohumano.org.
authors.forename: Adalberto
authors.initials: A
authors.lastname: Campo-Arias
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003105:Colombia; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012725:Sexual Behavior / Q000523:psychology*; D019529:Sexuality / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Adulto mayor; Elderly; Estudios de validación; Prejudice; Prejuicio; Reproducibilidad de los resultados; Reproducibility of results; Sexualidad; Sexuality; Validation studies; Validez; Validity