{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T02:47:05Z","timestamp":1772765225463,"version":"3.50.1"},"reference-count":32,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T00:00:00Z","timestamp":1667001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Association for Cooperation in Higher Education","award":["2021-1-ES01-KA220-HED-000023306"],"award-info":[{"award-number":["2021-1-ES01-KA220-HED-000023306"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Nurses dealing with a patient\u2019s sexuality must start from an awareness of their own experience, specific attitudes, and possible limits. What emerges from the literature is a conservative tendency in nurses, which underlines the difficulty in this awareness, but even a difficulty in improving the necessary knowledge\/skills. It is, therefore, essential to create tools that can raise awareness of these limits. Objective: the present study aims to explore the psychometric properties of the Attitudes and Beliefs about Sexuality Scale, adapted and validated for the Italian context. Method: This is an instrumental, cross-sectional piece of research, whose SABS validation process applies the steps of Beaton and Valmi. The convenience sample collected data from 223 participants in the first approach. This was followed by a retest involving 44 students randomly selected from those who responded in the first phase. Ethical principles were respected. Results: The SABS questionnaire demonstrated good test-retest reliability, good internal consistency, and adequate construct validity. Conclusions: The Italian version of the SABS is valid and reliable for use with nursing students. This is the fourth language in which the SABS is available for research.<\/jats:p>","DOI":"10.3390\/ijerph192114162","type":"journal-article","created":{"date-parts":[[2022,10,30]],"date-time":"2022-10-30T04:57:34Z","timestamp":1667105854000},"page":"14162","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Adaptation and Validation of the Sexuality Attitudes and Beliefs Scale for the Italian Context"],"prefix":"10.3390","volume":"19","author":[{"given":"Cinzia","family":"Gradellini","sequence":"first","affiliation":[{"name":"Campus Universitario San Lazzaro, University of Modena and Reggio Emilia, V\u00eda Amendola, 2-42122 Reggio Emilia, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1166-2961","authenticated-orcid":false,"given":"Shaniko","family":"Kaleci","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Modena e Reggio Emilia, V\u00eda Amendola, 2-42122 Reggio Emilia, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0028-2664","authenticated-orcid":false,"given":"Margarida","family":"Sim-Sim","sequence":"additional","affiliation":[{"name":"Comprehensive Health Research Centre Integrated Researcher, Nursing Department, University of Evora, 7000-811 Evora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2248-6673","authenticated-orcid":false,"given":"H\u00e9lia","family":"Dias","sequence":"additional","affiliation":[{"name":"Superior School of Health, Quinta do Mergulh\u00e3o Sr\u00aa da Guia, 2005-075 Santar\u00e9m, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0442-050X","authenticated-orcid":false,"given":"Daniela","family":"Mecugni","sequence":"additional","affiliation":[{"name":"Campus Universitario San Lazzaro, University of Modena and Reggio Emilia, V\u00eda Amendola, 2-42122 Reggio Emilia, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2562-5678","authenticated-orcid":false,"given":"Vicki","family":"Aaberg","sequence":"additional","affiliation":[{"name":"Faculty of Physiotherapy and Nursing, Toledo Campus, University of Castilla-La Mancha, Avenida Carlos III s\/n, 450071 Toledo, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9640-0409","authenticated-orcid":false,"given":"Sagrario","family":"G\u00f3mez-Cantarino","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit, Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3001-901 Coimbra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,29]]},"reference":[{"key":"ref_1","unstructured":"Craven, F.R., and Hirnle, C.J. (2015). Principi Fondamentali dell\u2019Assistenza Infermieristica, Casa Editrice Ambrosiana. [4th ed.]."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1590\/1982-0194201500034","article-title":"Validation of the Sexuality Attitudes and Beliefs Survey (SABS) for the Portuguese population","volume":"28","author":"Dias","year":"2015","journal-title":"Acta Paul. Enferm."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"103241","DOI":"10.1016\/j.nepr.2021.103241","article-title":"The effect of sexual self-schemas and sexual embarrassment of nursing students on the attitudes and beliefs of students related to sexual health","volume":"57","author":"Evli","year":"2021","journal-title":"Nurse Educ. Pract."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"104665","DOI":"10.1016\/j.nedt.2020.104665","article-title":"Sexual health attitudes and beliefs among nursing faculty: A correlational study","volume":"98","author":"Benton","year":"2021","journal-title":"Nurse Educ. Today"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1038\/nrurol.2017.117","article-title":"Sexuality as a health-promoting factor-theoretical and clinical consideration","volume":"14","author":"Graugaard","year":"2017","journal-title":"Nat. Rev. Urol."},{"key":"ref_6","unstructured":"Di Giacomo, P., and Rigon, L.A. (2016). Assistenza Infermieristica e Ostetrica in Area Materno-Infantile, Casa Editrice Ambrosiana."},{"key":"ref_7","unstructured":"World Health Organisation (2021, January 05). Sexual Health. Available online: https:\/\/www.who.int\/health-topics\/sexual-health#tab=tab_1."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.nedt.2012.05.014","article-title":"Assessing student nurses\u2019 learning needs for addressing patients\u2019 sexual health concerns in Taiwan","volume":"33","author":"Tsai","year":"2013","journal-title":"Nurse Educ. Today"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.jadohealth.2020.07.036","article-title":"Three Decades of Research: The Case for Comprehensive Sex Education","volume":"68","author":"Goldfarb","year":"2021","journal-title":"J. Adolesc. Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e3470","DOI":"10.1590\/1518-8345.4712.3470","article-title":"Development of an online educational toolkit for sexual orientation and gender identity minority nursing care","volume":"29","author":"Ziegler","year":"2021","journal-title":"Rev. Lat. Am. Enferm."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"412","DOI":"10.3928\/00220124-20200812-06","article-title":"Developing a Sexual Orientation and Gender Identity Nursing Education Toolkit","volume":"51","author":"Tyerman","year":"2020","journal-title":"J. Contin. Educ. Nurs."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"144","DOI":"10.5480\/14-1355","article-title":"A national survey of faculty knowledge, experience, and readiness for teaching lesbian, gay, bisexual, and transgender health in baccalaureate nursing programs","volume":"36","author":"Lim","year":"2015","journal-title":"Nurs. Educ. Perspect."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.2202\/1548-923X.1718","article-title":"Students inadequate knowledge about lesbian, gay, bisexual and transgender persons","volume":"6","author":"Rondahl","year":"2009","journal-title":"Int. J. Nurs. Educ. Scholarsh."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/ANS.0b013e3181e63e49","article-title":"Nursing\u2019s silence on lesbian, gay, bisexual, and transgender issues: The need for emancipatory efforts","volume":"33","author":"Eliason","year":"2010","journal-title":"Adv. Nurs. Sci."},{"key":"ref_15","first-page":"123","article-title":"Creation and validation of a scale of sexuality for adolescents: Scale of Myths about Sexuality","volume":"17","author":"Guerra","year":"2019","journal-title":"Rev. Int. Androl."},{"key":"ref_16","unstructured":"Queir\u00f3s, P.J., Fonseca, P., Pinheiro, E.A.M., Mariz, M.A., Chaves, M.C.R.F., and Cantarino G\u00f3mez, S. (2016). Significados Atribuidos al Concepto de Cuidado, Escola Superior de Enfermagem de CoimbraCoimbra."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/00002800-200509000-00009","article-title":"Nursing attitudes and beliefs toward human sexuality: Collaborative research promoting evidence based practice","volume":"19","author":"Reynolds","year":"2005","journal-title":"Clin. Nurs. Spec."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Frias, A., Fernandez, I., Sousa, L., G\u00f3mez-Cantarino, S., Barros, L., Reglero, M., Aaberg, V., Caldeira, E., and Sim-Sim, M. (2021). Sexuality Attitudes and Beliefs Survey (SABS): Validation of the Instrument for the Spanish Nursing Students. Healthcare, 9.","DOI":"10.3390\/healthcare9030294"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5116\/ijme.4dfb.8dfd","article-title":"Making sense of Cronbach\u2019s alpha","volume":"2","author":"Tavakol","year":"2011","journal-title":"Int. J. Med. Educ."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"79","DOI":"10.20982\/tqmp.09.2.p079","article-title":"Beginner\u2019s guide to factor analysis: Focusing on exploratory factor analysis","volume":"9","author":"Yong","year":"2013","journal-title":"Tutor Quant. Methods Psychol."},{"key":"ref_21","first-page":"282","article-title":"Barriers to addressing patient sexuality in nursing practice","volume":"14","author":"Magnan","year":"2005","journal-title":"Med. Surg. Nurs."},{"key":"ref_22","first-page":"1038","article-title":"Un sistema de clasificaci\u00f3n de los dise\u00f1os de investigaci\u00f3n en psicolog\u00eda","volume":"29","author":"Benavente","year":"2013","journal-title":"An. De Psicol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1186\/s12955-014-0176-2","article-title":"Sampled size used to validate a scale: A review of publication on newly developed patient reported outcomes measures","volume":"12","author":"Anthoine","year":"2014","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1111\/j.1365-2753.2010.01434.x","article-title":"Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline","volume":"17","author":"Valmi","year":"2011","journal-title":"J. Eval. Clin. Pract."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"3186","DOI":"10.1097\/00007632-200012150-00014","article-title":"Guidelines for the process of cross-cultural adaptation of self-report measures","volume":"25","author":"Beaton","year":"2000","journal-title":"Spine"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e001368","DOI":"10.1136\/bmjopen-2012-001368","article-title":"ECT & Cognition Systematic Review Team. Inter-rater and test-retest reliability of quality assessments by novice student raters using the Jadad and Newcastle-Ottawa Scales","volume":"2","author":"Oremus","year":"2012","journal-title":"BMJ Open"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/S0031-9406(05)61211-4","article-title":"Reliability: What is it, and how is it measured?","volume":"86","author":"Bruton","year":"2000","journal-title":"Physiotherapy"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1111\/j.1745-3992.1991.tb00195.x","article-title":"Standard error of measurement: An NCME instructional module on","volume":"10","author":"Harvill","year":"1991","journal-title":"Educ. Meas. Issues Pract."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.nedt.2016.05.009","article-title":"The state of sexuality education in baccalaureate nursing programs","volume":"44","author":"Aaberg","year":"2016","journal-title":"Nurse Educ. Today"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"989","DOI":"10.2105\/AJPH.2007.127811","article-title":"Sexual and gender minority health: What we know and what needs to be done","volume":"98","author":"Mayer","year":"2008","journal-title":"Am. J. Public Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1111\/ppc.12717","article-title":"Affiliations expand. Sexual myths and attitudes regarding sexuality of nursing students: A mixed method study","volume":"57","author":"Akalin","year":"2021","journal-title":"Perspect. Psychiatr. Care"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Mecugni, D., Gradellini, C., Caldeira, E., Aaberg, V., Dias, H., G\u00f3mez-Cantarino, S., and Sim-Sim, M. (2021). Sexual Competence in Higher Education: Global Perspective in a Multicentric Project in the Nursing Degree. 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