Sexuality and obesity, a gender perspective: results from French national random probability survey of sexual behaviours.
Sexuality and obesity, a gender perspective: results from French national random probability survey of sexual behaviours.
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DOI：
10.1136/bmj.c2573
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发表时间：
2010-06-15
期刊：
影响因子：
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通讯作者：
CSF Group
中科院分区：
文献类型：
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作者：
Bajos N;Wellings K;Laborde C;Moreau C;CSF Group
目的分析肥胖人群的体重指数（BMI）与性活动、性满意度、意外怀孕和堕胎之间的关系，并讨论其对公共卫生实践的影响，同时考虑受访者及其伴侣的BMI。设计性行为随机概率调查。2006年，对生活在法国的12 364名18 - 69岁的男性和女性进行了全国人口调查。研究对象随机选择5535名女性和4635名男性，其中3651名女性和2725名男性体重正常（BMI 18.5-<25），1010名女性和1488名男性超重（BMI 25-<30），411名女性和350名男性肥胖（BMI> 30）。结果肥胖女性在过去12个月内报告有性伴侣的可能性低于正常体重女性（比值比0.71，95%可信区间0.51~0.97）。与正常体重男性相比，肥胖男性在同一时期报告多个性伴侣的可能性较低（0.31，0.17至0.57，P <0.001），报告勃起功能障碍的可能性较高（2.58，1.09至6.11，P <0.05）。女性性功能障碍与BMI无关。30岁以下的肥胖妇女不太可能寻求避孕保健服务（0.37，0.18至0.76）或使用口服避孕药（0.34，0.15至0.78）。他们也更有可能报告意外怀孕（4.26，2.21至8.23）。结论BMI与性行为和不良性健康结果之间存在联系，肥胖妇女不太可能获得避孕保健服务，并有更多的计划外怀孕。预防这些妇女的意外怀孕是一项重大的生殖健康挑战。医疗保健专业人员需要意识到在提供性健康服务时与体重和性别有关的敏感性。
Objectives To analyse the association between body mass index (BMI) and sexual activity, sexual satisfaction, unintended pregnancies, and abortions in obese people and to discuss the implications for public health practices, taking into account the respondents’ and their partners’ BMI. Design Random probability survey of sexual behaviours. Setting National population based survey of 12 364 men and women aged 18-69 living in France in 2006. Participants Random selection of 5535 women and 4635 men, of whom 3651 women and 2725 men were normal weight (BMI 18.5-<25), 1010 women and 1488 men were overweight (BMI 25-<30), and 411 women and 350 men were obese (BMI >30). Results Obese women were less likely than normal weight women to report having a sexual partner in the past 12 months (odds ratio 0.71, 95% confidence interval 0.51 to 0.97). Obese men were less likely than normal weight men to report more than one sexual partner in the same period (0.31, 0.17 to 0.57, P<0.001) and more likely to report erectile dysfunction (2.58, 1.09 to 6.11, P<0.05). Sexual dysfunction was not associated with BMI among women. Obese women aged under 30 were less likely to seek healthcare services for contraception (0.37, 0.18 to 0.76) or to use oral contraceptives (0.34, 0.15 to 0.78). They were also more likely to report an unintended pregnancy (4.26, 2.21 to 8.23). Conclusion There is a link between BMI and sexual behaviour and adverse sexual health outcomes, with obese women less likely to access contraceptive healthcare services and having more unplanned pregnancies. Prevention of unintended pregnancies among these women is a major reproductive health challenge. Healthcare professionals need to be aware of sensitivities related to weight and gender in the provision of sexual health services.