Sexual Assertiveness Across Cultures, Genders, and Sexual Orientations: Validation of the Short Sexual Assertiveness Questionnaire (SAQ-9)

Assessment. 2026 Mar;33(2):254-274. doi: 10.1177/10731911241312757. Epub 2025 Mar 18.

Abstract

Sexual assertiveness (SA) is an important concept in understanding sexual well-being and decision-making. However, psychometric evaluation of existing measures of SA in diverse populations is largely lacking, hindering cross-cultural and comparative studies. This study validated the short version of the Sexual Assertiveness Questionnaire (SAQ-9) and examined its measurement invariance across several languages, countries, genders, sexual orientations, and relationship statuses among 65,448 sexually-active adults (Mage = 32.98 years, SD = 12.08, 58% women, 2.74% gender-diverse individuals) taking part in the International Sex Survey. The scale demonstrated adequate psychometric properties. Measurement invariance tests indicated that the SAQ-9 is suitable for comparing individuals from different cultures, genders, sexual orientations, and relationship statuses, and significant group differences were also noted (e.g., gender-diverse individuals reported the highest levels of SA). Findings suggest that the SAQ-9 is a reliable and valid measure of SA and appropriate for use in diverse populations, with specific populations exhibiting varying levels of SA.

Keywords: International Sex Survey (ISS); SAQ-9; cross-cultural; gender difference; sexual and gender minorities; sexual assertiveness; validation.

Publication types

  • Validation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Assertiveness*
  • Cross-Cultural Comparison
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychometrics
  • Reproducibility of Results
  • Sex Factors
  • Sexual Behavior* / psychology
  • Surveys and Questionnaires / standards
  • Young Adult