The Development and Validation of a Scale to Measure Attitudes Toward Women's Genitals

Sexual behaviors may be related to or influenced by a range of factors including individuals' attitudes toward women's genitals. To date, however, no reliable and valid measure exists with which researchers or clinicians can assess individuals' attitudes toward women's genitals. The purpose of this study was to develop a reliable and valid scale to measure attitudes toward women's genitals and to test its predictive capacity. The process of developing the Attitudes Toward Women's Genitals Scale (ATWGS) was conducted in three phases: (1) elicitation, which involved a comprehensive literature review and surveys completed by 370 men and women; (2) development, review, and revision of an initial item pool; and (3) survey administration and psychometric analysis, which involved an initial survey administration to 604 men and women and a second administration, for the purposes of establishing temporal stability of the scale, to 16 individuals. The final ATWGS resulted in a 10-item scale that exhibited sufficient internal consistency (Cronbach's alpha = 0.848) and convergent validity, as it was correlated at 0.429 with the five-item Sexual Opinion Survey. The ATWGS also showed evidence of predictive capacity in that women's scale scores differed significantly based on their history of cunnilingus, gynecological care, vibrator use, and orgasm. For men, there were significant ATWGS score differences based on their experience with cunnilingus. Also, men scored significantly higher on the ATWGS than did women (p < .001), indicating more positive attitudes. The ATWGS was found to exhibit evidence of sufficient reliability, validity, and predictive capacity.