Translating Sexual Dysfunction: Does Language Impact Clinical Discussion of Painful Sex?
Translating Sexual Dysfunction: Does Language Impact Clinical Discussion of Painful Sex?
复制标题
DOI：
10.1097/spv.0000000000000667
复制
发表时间：
2020-11
影响因子：
1.6
通讯作者：
Swan K
中科院分区：
文献类型：
--
作者：
Eisenach N;Zoorob D;Nazir N;Pedraza R;Swan K
据估计，性交困难和性功能障碍分别影响高达22%和43%的女性。令人关切的是，这些统计数字没有反映真实的发病率，而且这些疾病往往得不到诊断和治疗。到2060年，拉丁裔将占美国总人口的30%。随着我们的患者群体变得更加多样化，我们需要确保我们的医疗保健实践适应这些变化。我们在大学附属诊所调查了107名英语和71名西班牙语女性的便利样本，年龄在18-45岁之间，以确定我们社区内性交困难和性功能障碍的患病率。此外，我们想确定临床医生与患者讨论痛苦的性行为的比率，以确定语言是否影响沟通。这些调查收集了关于疼痛与性别的主观报告和用女性性功能指数（FSFI）客观识别性功能障碍的数据。如果受试者与其临床医生讨论疼痛，则确定其他问题。这些问题在所有领域的语言之间进行了分析。在我们的研究人群中测量到的性交困难和性功能障碍的患病率高于先前的报告（分别为37.79%和54.71%）。讲西班牙语的女性自我报告的性交困难显著较低（28.99%），但FSFI评分显著较低，符合性功能障碍（63.24%）。与英语组相比，讲西班牙语的人讨论痛苦的性行为的次数明显较少，但总体讨论率仅为17.26%。这一初步数据表明，需要进一步研究语言作为沟通障碍的性功能在临床上。我们发现，在我们的英语和西班牙语患者人群中，性交困难和性功能障碍的患病率较高。讲西班牙语的妇女表现出不一致的模式，低的性交困难的个人报告，但更多的FSFI问卷分数合格的性功能障碍。讲西班牙语的患者与医疗保健提供者讨论痛苦的性交明显少于讲英语的患者。口语和文化似乎构成了识别，报告和讨论性疼痛的障碍。
Dyspareunia and sexual dysfunction are estimated to affect up to 22% and 43% of women respectively. There is concern that these statistics do not depict the true prevalence and that these conditions are frequently undiagnosed and untreated. By 2060, Latinos will make up 30% of the total population in the United States. As our patient population becomes more diverse, we need to ensure that our healthcare practices accommodate the changes. We surveyed a convenience sample of 107 English and 71 Spanish-speaking women, aged 18–45, at university affiliated clinics to identify the prevalence of dyspareunia and sexual dysfunction within our community. Additionally, we wanted to identify the rate that clinicians discuss painful sex with patients to identify if language impacted communication. The surveys collected data on subjective reporting of pain with sex and objective identification of sexual dysfunction with the Female Sexual Function Index (FSFI). Additional questions identified if subjects discussed pain with their clinician. These questions were analyzed between languages across all domains. A greater prevalence of both dyspareunia and sexual dysfunction were measured in our study population compared to prior reports (37.79% and 54.71% respectively). Spanish-speaking women had significantly lower self-reported dyspareunia (28.99%), but scored significantly lower on the FSFI, qualifying for sexual dysfunction (63.24%). Spanish-speakers discussed painful sex significantly less compared to the English cohort, but the overall discussion rate was only 17.26%. This pilot data demonstrates a need for further research on language as a barrier to communication about sexual function in clinic. We identify a higher prevalence of dyspareunia and sexual dysfunction among our population of English and Spanish-speaking patients. Spanish speaking women show a discordant pattern of low personal reporting of dyspareunia, but more FSFI questionnaire scores qualifying for sexual dysfunction. Spanish-speaking patients discuss painful intercourse with a healthcare provider significantly less than English-speaking patients. Spoken-language and culture appear to constitute a barrier for identifying, reporting, and discussing sexual pain.