# Development and Application of a Sexual Dysfunction Assessment Scale for Older Stroke Patients in China

## TL;DR

This paper introduces a new assessment scale for sexual dysfunction in older stroke patients in China, addressing a commonly overlooked issue.

## Contribution

The study develops a culturally sensitive Sexual Dysfunction Assessment Scale (SDAS) tailored for older stroke patients in China.

## Key findings

- The SDAS demonstrated good content validity and reliability with a Cronbach’s alpha of 0.85.
- Factor analysis confirmed the construct validity of the SDAS for assessing sexual health in stroke patients.
- The scale is practical for clinical use and can help improve patient care by enabling early identification of sexual dysfunction.

## Abstract

Sexual dysfunction (SD) is common among older stroke patients, affecting their physical, psychological, and social well-being. In China, SD is often overlooked due to cultural taboos around discussing sexuality in older adults. This study aimed to develop a culturally sensitive and reliable Sexual Dysfunction Assessment Scale (SDAS) for older stroke patients in China. A mixed-methods approach was used, including a literature review and expert interviews to identify factors affecting SD in this population. The SDAS was developed and tested for content validity through expert evaluation and pilot-tested on 126 older stroke patients in China. Reliability was assessed using Cronbach’s alpha (0.85), and construct validity was evaluated through factor analysis. Preliminary results showed that the SDAS effectively captured critical aspects of sexual health and was practical for use in clinical settings. This scale provides healthcare professionals with a reliable tool to identify SD early, facilitate open discussions with patients, and improve patient care. The SDAS contributes to advancing sexual health research in aging populations, with potential for use in other countries with similar cultural contexts.