Nusbaum M R, Gamble G, Skinner B, Heiman J
Department of Family Medicine, University of North Carolina at Chapel Hill, 27599-7595, USA.
J Fam Pract. 2000 Mar;49(3):229-32.
Sexuality is an important part of health, quality of life, and general wellbeing. Studies indicate that less than half of patients' sexual concerns are known by their physicians, and physicians are unaware of how common these sexual concerns are in their practices. Our objective was to determine the prevalence and type of sexual concerns among women seeking routine gynecological care.
We mailed the survey in waves. Of 1480 women seeking routine gynecological care from the departments of Family Practice and Obstetrics and Gynecology at Madigan Army Medical Center between August 1992 and January 1993, 964 responded. The main outcome measures were self-reported sexual concerns and their experiences with discussing these concerns with a physician.
A A total of 98.8% of the women we surveyed reported one or more sexual concerns. The most frequently reported concerns were lack of interest (87.2%), difficulty with orgasm (83.3%), inadequate lubrication (74.7%), dyspareunia (71.7%), body image concerns (68.5%), unmet sexual needs (67.2%), and needing information about sexual issues (63.4%). More than half reported concerns about physical or sexual abuse, and more than 40% reported sexual coercion at some point in their lives.
Our results suggest that sexual health concerns are prevalent for women seeking routine gynecological care. Sexual health inquiry should be a regular and important part of health care maintenance.
性是健康、生活质量和总体幸福感的重要组成部分。研究表明，医生知晓的患者性方面的担忧不到一半，且医生并不清楚这些性方面的担忧在其诊疗实践中有多普遍。我们的目的是确定寻求常规妇科护理的女性中性方面担忧的患病率及类型。
我们分批次邮寄调查问卷。在1992年8月至1993年1月期间，从马迪根陆军医疗中心家庭医学科以及妇产科寻求常规妇科护理的1480名女性中，有964人作出了回应。主要的结果指标是自我报告的性方面的担忧以及她们与医生讨论这些担忧的经历。
我们调查的女性中，共有98.8%报告了一项或多项性方面的担忧。最常报告的担忧是缺乏兴趣（87.2%）、性高潮困难（83.3%）、润滑不足（74.7%）、性交疼痛（71.7%）、对身体形象的担忧（68.5%）、未满足的性需求（67.2%）以及需要性方面问题的信息（63.4%）。超过一半的人报告了对身体或性虐待的担忧，超过40%的人报告在其生活中的某个时刻遭受过性胁迫。
我们的结果表明，性健康问题在寻求常规妇科护理的女性中很普遍。性健康询问应该是医疗保健维护的常规且重要的一部分。
