Prevalence and Correlates of Sexual Activity and Function in Women: Results from the Boston Area Community Health (BACH) Survey
Prevalence and Correlates of Sexual Activity and Function in Women: Results from the Boston Area Community Health (BACH) Survey
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DOI：
10.1007/s10508-007-9290-0
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发表时间：
2009-08-01
影响因子：
3.8
通讯作者：
McKinlay, John B.
中科院分区：
文献类型：
--
作者：
Lutfey, Karen E.;Link, Carol L.;McKinlay, John B.
相对而言，很少有研究使用大量的、多样化的、基于社区的样本来测量女性的性功能，这些样本可以直接与以前的研究结果进行比较。在这篇文章中，我们：(1)通过关键的社会人口学特征，包括年龄、种族/民族、婚姻状况和社会经济地位，来描述女性性活动的流行程度；(2)评估关键相关因素对性问题的影响。数据分析来自波士顿地区社区健康调查（BACH），这是一项2002-2005年基于社区的流行病学研究，涉及波士顿地区居民的泌尿和妇科症状、社会人口统计学、健康状况和心理社会特征（N = 3,205名年龄在30-79岁之间的女性）。研究人员对全部样本进行了性活动流行率和不性活动原因的分析，同时对在过去4周内与伴侣有过性活动的女性子集进行了性问题及其相关性的分析。共有49%的受访者性行为不活跃，最常见的原因是缺乏兴趣（51.5%）和缺乏伴侣（60.8%）。有关性功能的五个维度的数据是通过一份自我管理的问卷收集而来的，该问卷采用了女性性功能指数，测量了所有女性的欲望，以及那些性活跃的女性的性唤起、润滑、性高潮和疼痛。在性活跃人群中，我们获得了38.4%的性问题患病率，其中34.9%的参与者报告他们对性生活也不满意。因此，只有13.7%的性活跃样本表现出性问题和对整体性生活的不满。年龄与性问题密切相关。就社会心理因素而言，抑郁症、成年期性虐待和身体虐待、全球心理健康功能和酒精与性问题有关，且在不同种族/族裔群体中存在差异。
Relatively few studies have measured sexual functioning in women using a large, diverse, community-based sample with measures that allow for direct comparisons with previous findings. In this article, we: (1) describe prevalence of sexual activity in women by key sociodemographic characteristics, including age, race/ethnicity, marital status, and socioeconomic status; and (2) estimate the influence of key correlates on sexual problems. Data were analyzed from the Boston Area Community Health (BACH) Survey, a 2002-2005 community-based epidemiologic study of urologic and gynecologic symptoms, sociodemographics, health status, and psychosocial characteristics in a diverse sample of Boston area residents (N = 3,205 women aged 30-79 years). Analyses of sexual activity prevalence and reasons for inactivity were conducted on the full sample, while analyses of sexual problems and their correlates were conducted for the subset of women who engaged in sexual activity with a partner in the previous 4 weeks. A total of 49% of participants were not sexually active, citing lack of interest (51.5%) and lack of a partner (60.8%) as the most common reasons. Data pertaining to five dimensions of sexual functioning were gathered through a self-administered questionnaire adapted from the Female Sexual Function Index, measuring desire among all women and arousal, lubrication, orgasm, and pain among those who were sexually active. Among the sexually active, we obtained a 38.4% prevalence rate of sexual problems and 34.9% of those participants reported that they were also dissatisfied with their sex lives. Therefore, only 13.7% of the sexually active sample exhibited both sexual problems and dissatisfaction with their overall sex lives. Age was strongly and positively associated with sexual problems. In terms of psychosocial factors, depression, sexual and physical abuse in adulthood, global mental health functioning, and alcohol were associated with sexual problems, with variation across racial/ethnic groups.