Laumann E O, Paik A, Rosen R C
Department of Sociology, University of Chicago, Ill 60637, USA.
JAMA. 1999 Feb 10;281(6):537-44. doi: 10.1001/jama.281.6.537.
While recent pharmacological advances have generated increased public interest and demand for clinical services regarding erectile dysfunction, epidemiologic data on sexual dysfunction are relatively scant for both women and men.
To assess the prevalence and risk of experiencing sexual dysfunction across various social groups and examine the determinants and health consequences of these disorders.
Analysis of data from the National Health and Social Life Survey, a probability sample study of sexual behavior in a demographically representative, 1992 cohort of US adults.
A national probability sample of 1749 women and 1410 men aged 18 to 59 years at the time of the survey.
Risk of experiencing sexual dysfunction as well as negative concomitant outcomes.
Sexual dysfunction is more prevalent for women (43%) than men (31%) and is associated with various demographic characteristics, including age and educational attainment. Women of different racial groups demonstrate different patterns of sexual dysfunction. Differences among men are not as marked but generally consistent with women. Experience of sexual dysfunction is more likely among women and men with poor physical and emotional health. Moreover, sexual dysfunction is highly associated with negative experiences in sexual relationships and overall well-being.
The results indicate that sexual dysfunction is an important public health concern, and emotional problems likely contribute to the experience of these problems.
尽管近期药理学进展引发了公众对勃起功能障碍临床服务的更多关注和需求，但关于性功能障碍的流行病学数据，无论对男性还是女性而言都相对匮乏。
评估不同社会群体中出现性功能障碍的患病率和风险，并研究这些障碍的决定因素及其对健康的影响。
对来自“国家健康与社会生活调查”的数据进行分析，该调查是对1992年具有人口统计学代表性的美国成年人群体性行为进行的概率抽样研究。
调查时年龄在18至59岁之间的1749名女性和1410名男性组成的全国概率样本。
出现性功能障碍的风险以及随之产生的负面结果。
性功能障碍在女性中的患病率（43%）高于男性（31%），且与多种人口统计学特征相关，包括年龄和受教育程度。不同种族群体的女性表现出不同的性功能障碍模式。男性之间的差异虽不那么明显，但总体上与女性一致。身心健康状况较差的男性和女性更易出现性功能障碍。此外，性功能障碍与性关系中的负面经历及总体幸福感高度相关。
结果表明，性功能障碍是一个重要的公共卫生问题，情绪问题可能是导致这些问题出现的原因。
