Inventory of Anal Sex Knowledge (Kutner et al., 2021)

Adolescent knowledge of several topics related to anal sexual activity. 10 Items, Age M = 15.96
  • Populations: Adolescent Males
  • Age ranges: Range not reported, Sample age M (sd) = 15.96 (.85)
  • Languages: English
  • Countries: United States

Items

  • Douches and enemas should use only warm water. 
  • A fiber-rich diet naturally clears poop from the rectum. 
  • The rectum makes enough lubrication for anal penetration.* 
  • The internal anal sphincter relaxes open more easily than the external anal sphincter.*
  • The prostate can be felt two inches inside the rectum, by pressing toward the belly button.
  • Pressure on the prostate is pleasurable.
  • Rubbing inside the rectum massages the internal base of the penis. 
  • The only way to tell if a guy enjoys anal stimulation is if his penis is erect.*
  • During anal stimulation, the natural feeling of having to pee or poop reduces with relaxation.
  • It is possible to have anal sex with zero physical discomfort. 

 

Responses:

 Response categories for each item were “True” (1), “False” (0), “I don’t know” (2).

Scoring

*Items 3, 4, and 8 were reverse-scored so that a 1 on the item reflected the correct answer. Item responses of “Don’t Know” were re-calculated as incorrect responses.

Citations

Kutner, B. A., Perry, N. S., Stout, C., Norcini Pala, A., Paredes, C. D., & Nelson, K. M. (2022). The Inventory of Anal Sex Knowledge (iASK): A New Measure of Sexual Health Knowledge Among Adolescent Sexual Minority Males. The Journal of Sexual Medicine, 19(3), 521–528. https://doi.org/10.1016/j.jsxm.2021.12.011

Scoring breakdown

Measure development

  • Significant design input from young people
  • Cognitive interviews with young people
  • Expert input

Validity

  • Unknown: Face validity
  • Green: Convergent validity
  • Green: Construct validity

Reliability

  • Green: Internal consistency
  • Unknown: Test-retest

Ease of use

  • Unknown: Readability

Definitions

Face validity: How well a measure appears to represent the construct it is supposed to be measuring.

Convergent validity: How well a measure correlates with other hypothetically-related measures.

Construct validity: The extent to which a measure reflects the construct it was designed to evaluate.

Internal consistency: The extent to which items in a scale capture aspects of the same construct.

Test-retest: The degree to which measurement scores are consistent over a short period of time (usually 2 weeks).

Readability: The ease with which a reader can understand the questionnaire items.

Key

  • Green: Meets validation criteria
  • Red: Does not meet validation criteria
  • Unknown: Evidence not available

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