Sexual Problems and Distress in United States Women Prevalence and Correlates
Sexual Problems and Distress in United States Women Prevalence and Correlates
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美国妇女的性问题和性苦恼的普遍程度及相关因素
DOI：
10.1097/aog.0b013e3181898cdb
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发表时间：
2008-11-01
影响因子：
7.2
通讯作者：
Johannes, Catherine B.
中科院分区：
文献类型：
--
作者：
Shiften, Jan L.;Monz, Brigitta U.;Johannes, Catherine B.
目的：估计患病率的自我报告的性问题（任何，欲望，觉醒，性高潮），患病率的问题伴随着个人的困扰，并描述相关correlations.METHODS：31,581名女性受访者年龄在18岁及以上的50,002个家庭抽样从一个国家的研究小组代表美国妇女。每一个痛苦的性问题的相关性进行了评估，使用多元Logistic回归techniques.RESULTS：年龄调整点患病率的任何性问题为43.1%和22.2%的性相关的个人困扰（定义为至少15分的女性性困扰量表）。任何令人痛苦的性问题（定义为报告性问题和性相关的个人痛苦，女性性痛苦量表评分至少为15）发生在12.0%的受访者中，45-64岁的女性（14.8%）比年轻（10.8%）或老年（8.9%）女性更常见。相关的痛苦的性问题，包括自我评估的健康状况差，教育水平低，抑郁，焦虑，甲状腺疾病，和尿in-abdominal.CONCLUSION：痛苦的性问题的患病率在中年妇女达到高峰，大大低于性问题的患病率。这强调了评估性相关的个人痛苦的患病率在准确估计可能需要临床干预的性问题的患病率方面的重要性。（妇产科2008;-112：970 -8）
OBJECTIVE: To estimate the prevalence of self-reported sexual problems (any, desire, arousal, and orgasm), the prevalence of problems accompanied by personal distress, and to describe related correlates.METHODS: The 31,581 female respondents aged 18 years and older were from 50,002 households sampled from a national research panel representative of U.S. women. Correlates of each distressing sexual problem were evaluated using multiple logistic regression techniques.RESULTS: The age-adjusted point prevalence of any sexual problem was 43.1% and 22.2% for sexually related personal distress (defined as a score of at least 15 on Female Sexual Distress Scale). Any distressing sexual problem (defined as reporting both a sexual problem and sexually related personal distress, Female Sexual Distress Scale score of at least 15) occurred in 12.0% of respondents and was more common in women aged 45-64 years (14.8%) than in younger (10.8%) or older (8.9%) women. Correlates of distressing sexual problems included poor self-assessed health, low education level, depression, anxiety, thyroid conditions, and urinary in-continence.CONCLUSION: The prevalence of distressing sexual problems peaked in middle-aged women and was considerably lower than the prevalence of sexual problems. This underlines the importance of assessing the prevalence of sexually related personal distress in accurately estimating the prevalence of sexual problems that may require clinical intervention. (Obstet Gynecol 2008;-112:970-8)