克罗地亚城市女性的性问题：社区样本中的患病率及相关因素

Sexual problems of urban women in Croatia: prevalence and correlates in a community sample.

作者信息

Stulhofer Aleksandar, Gregurovic Margareta, Pikic Aleksandra, Galic Ivana

机构信息

Department of Sociology, Faculty of Philosophy, University of Zagreb, I. Lucica 3, 10000 Zagreb, Croatia.

出版信息

Croat Med J. 2005 Feb;46(1):45-51.

PMID:15726675

Abstract

AIM

To asses the prevalence and correlates of female sexual problems in a community sample in the Croatian capital of Zagreb.

METHOD

The study was based on a self-administered postal survey of 1,170 women 20-60 years old, living in Zagreb. The return rate was 48% (n=547). Participants not sexually active in the last month (n=119), and those who self-identified as homosexual or bisexual (n=31), were excluded from the analyses. The final sample consisted of 384 women. The average age of participants was 38.2 years. Four categories of sexual problems were addressed: inhibited sexual desire, inhibited sexual arousal, inhibited orgasm, and sexual pain disorders.

RESULTS

Of the heterosexual women sexually active in the last month, 33.8% experienced sexual problems, with inhibited orgasm being the most frequent problem. Comorbidity was recorded among 10.7% of the participants. Older age was positively related to inhibited desire (beta=0.11, P=0.05) and inhibited arousal (beta=0.25, P=0.002), whereas it was negatively related to inhibited orgasm and sexual pain disorders (beta=-3.73, P=0.001 and beta=-6.98, P=0.01, respectively). Length of relationship was positively related to inhibited desire (beta=1.17, P=0.016). Religious morality was positively related to inhibited desire, inhibited arousal, and sexual pain disorders (beta=0.43, P<0.001, beta=0.52, P=0.001, and beta=0.11, P=0.044, respectively). Intimate communication was negatively related to inhibited desire, inhibited arousal, and inhibited orgasm (beta=-2.18, P<0.001, beta=-2.67, P<0.001, and beta=-0.21, P=0.003, respectively); and body image was negatively related to inhibited arousal and sexual pain disorders (beta=-1.17, P=0.026 and beta=-0.38, P=0.042, respectively).

CONCLUSION

Sexual health disturbances among urban Croatian women are frequent. Their prevalence calls for incorporating sexual health issues in the national public health agenda. Multifaceted character of sexual problems is important for adult sexuality education and counseling.

摘要

目的

评估克罗地亚首都萨格勒布社区样本中女性性问题的患病率及其相关因素。

方法

该研究基于对萨格勒布1170名年龄在20至60岁之间女性的自填式邮政调查。回复率为48%（n = 547）。分析中排除了过去一个月内无性行为的参与者（n = 119）以及自我认定为同性恋或双性恋的参与者（n = 31）。最终样本由384名女性组成。参与者的平均年龄为38.2岁。研究涉及四类性问题：性欲减退、性唤起障碍、性高潮障碍和性交疼痛障碍。

结果

在过去一个月内有性行为的异性恋女性中，33.8%存在性问题，其中性高潮障碍最为常见。10.7%的参与者存在合并症。年龄较大与性欲减退（β = 0.11，P = 0.05）和性唤起障碍（β = 0.25，P = 0.002）呈正相关，而与性高潮障碍和性交疼痛障碍呈负相关（分别为β = -3.73，P = 0.001和β = -6.98，P = 0.01）。恋爱时长与性欲减退呈正相关（β = 1.17，P = 0.016）。宗教道德观念与性欲减退、性唤起障碍和性交疼痛障碍呈正相关（分别为β = 0.43，P < 0.001；β = 0.52，P = 0.001；β = 0.11，P = 0.044）。亲密沟通与性欲减退、性唤起障碍和性高潮障碍呈负相关（分别为β = -2.18，P < 0.001；β = -2.67，P < 0.001；β = -0.21，P = 0.003）；身体意象与性唤起障碍和性交疼痛障碍呈负相关（分别为β = -1.17，P = 0.026；β = -0.38，P = 0.042）。