Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress
Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress
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DOI：
10.1111/j.1743-6109.2008.00838.x
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发表时间：
2008-07-01
影响因子：
3.5
通讯作者：
Fairley, Christopher K.
中科院分区：
文献类型：
--
作者：
Hayes, Richard D.;Dennerstein, Lorraine;Fairley, Christopher K.
介绍。以前没有基于人群的研究使用有效的工具来测量澳大利亚女性在大年龄段的性功能障碍（FSD）。估计患病率及探讨与消防处组成部分有关的因素。主要结果测量。性功能问卷测量性功能低下。《女性性痛苦量表》测量性痛苦。对356名年龄在20-70岁之间的女性随机抽样的邮政调查数据进行多变量分析。恋爱20-29年的女性性欲低下的可能性更大（优势比为3.7,95可信区间为1.1-12.8），而对伴侣作为情人的满意度更高（0.3,0.1-0.9）或对性更重视（0.1,0.03-0.3）的女性性欲低下的可能性更小。在围绝经期（4.4,1.2-15.7）、绝经后（5.3,1.6-17.7）或抑郁（2.5,1.1-5.3）的女性中，低生殖器兴奋的可能性更大，而在接受激素治疗（0.2,0.04-0.7）、受教育程度较高（0.5,0.3-0.96）、30多岁（0.2,0.1-0.7）或40多岁（0.2,0.1-0.7）或更重视性别（0.2,0.05-0.5）的女性中，低生殖器兴奋的可能性更小。30多岁的女性（0.3,0.1-0.8）或更重视性的女性（0.3,0.1-0.7）的性高潮功能较低的可能性较小。性困扰与抑郁呈正相关（3.1,1.2-7.8），与更好地沟通性需求呈负相关（0.2,0.05-0.5）。其他协变量包括年龄、心理、社会经济、生理和相关因素，对结果进行了调整。关系因素对性欲低下的影响大于年龄和更年期因素，而生理和心理因素对性唤起低下和性高潮低下的影响大于关系因素。性困扰与心理和人际关系因素有关。
Introduction. No previous population-based studies have used validated instruments to measure female sexual dysfunction (FSD) in Australian women across a broad age range.Aim. To estimate prevalence and explore factors associated with the components of FSD.Main Outcome Measures. Sexual Function Questionnaire measured low sexual function. Female Sexual Distress Scale measured sexual distress.Methods. Multivariate analysis of postal survey data from a random sample of 356 women aged 20-70 years.Results. Low desire was more likely to occur in women in relationships for 20-29 years (odds ratio 3.7, 95 confidence intervals 1.1-12.8) and less likely in women reporting greater satisfaction with their partner as a lover (0.3, 0.1-0.9) or who placed greater importance on sex (0.1, 0.03-0.3). Low genital arousal was more likely among women who were perimenopausal (4.4, 1.2-15.7), postmenopausal (5.3, 1.6-17.7), or depressed (2.5, 1.1-5.3), and was less likely in women taking hormone therapy (0.2, 0.04-0.7), more educated (0.5, 0.3-0.96), in their 30s (0.2, 0.1-0.7) or 40s (0.2, 0.1-0.7), or placed greater importance on sex (0.2, 0.05-0.5). Low orgasmic function was less likely in women who were in their 30s (0.3, 0.1-0.8) or who placed greater importance on sex (0.3, 0.1-0.7). Sexual distress was positively associated with depression (3.1, 1.2-7.8) and was inversely associated with better communication of sexual needs (0.2, 0.05-0.5). Results were adjusted for other covariates including age, psychological, socioeconomic, physiological, and relationship factors.Conclusions. Relationship factors were more important to low desire than age or menopause, whereas physiological and psychological factors were more important to low genital arousal and low orgasmic function than relationship factors. Sexual distress was associated with both psychological and relationship factors.