Mercer C H, Fenton K A, Johnson A M, Copas A J, Macdowall W, Erens B, Wellings K
Centre for Sexual Health and HIV Research, Department of Primary Care and Population Sciences, University College London, Mortimer Market Centre, London WC1E 6AU, UK.
Sex Transm Infect. 2005 Oct;81(5):394-9. doi: 10.1136/sti.2005.015149.
To identify sociodemographic, sexual, and health behavioural and attitudinal factors associated with reporting sexual function problems.
A probability sample survey of 11 161 men and women aged 16-44 years resident in Britain in 2000. Data collected by a combination of computer assisted face to face and self interviewing. Outcomes were self report of a range of sexual function problems, considered as "any problems" (1+ lasting 1+ months in the past year) and "persistent problems" (1+ lasting 6+ months in the past year), and associations with sociodemographic, behavioural, and attitudinal variables.
Both "any" and "persistent" sexual function problems were more commonly reported by women than men. A variety of sociodemographic factors were associated with both measures but differed by gender. For example, the adjusted odds ratio (AOR) for reporting any problems for married v single respondents was 0.70 (95% confidence interval (CI) 0.57 to 0.87) v 1.31 (95% CI 1.10 to 1.56) for men and women, respectively. Sexual behaviours significantly associated with reporting sexual function problems included competence at first sex, paying for sex in the past 5 years, number of occasions of sex and masturbation, both in the past 4 weeks. For men (only), reporting STI diagnosis(es) was significantly associated with reporting "any" problems (AOR 2.1, 95% CI 1.4 to 3.2) and "persistent" problems (AOR 2.1, 95% CI 1.1 to 3.9). Both measures were significantly more likely among men and women who reported communication difficulties with their partners, with AORs in excess of 1.9.
Sexual fulfilment is an important part of sexual health. Understanding factors associated with reporting sexual problems, and recognising that such factors maybe partnership specific, is an important step towards improving our understanding of sexual function and thus improving the provision of care and support available.
确定与性功能问题报告相关的社会人口统计学、性行为、健康行为及态度因素。
2000年对居住在英国的11161名年龄在16 - 44岁的男性和女性进行概率抽样调查。通过计算机辅助面对面访谈和自我访谈相结合的方式收集数据。结果是一系列性功能问题的自我报告，分为“任何问题”（过去一年中出现1次及以上且持续1个月及以上）和“持续性问题”（过去一年中出现1次及以上且持续6个月及以上），以及与社会人口统计学、行为和态度变量的关联。
女性报告“任何”和“持续性”性功能问题的情况均比男性更为常见。多种社会人口统计学因素与这两种测量结果均相关，但因性别而异。例如，已婚与单身受访者报告任何问题的调整比值比（AOR），男性为0.70（95%置信区间（CI）0.57至0.87），女性为1.31（95% CI 1.10至1.56）。与性功能问题报告显著相关的性行为包括首次性行为的能力、过去5年中购买性服务、过去4周内的性行为和手淫次数。对于男性（仅男性），报告性传播感染诊断与报告“任何”问题（AOR 2.1，95% CI 1.4至3.2）和“持续性”问题（AOR 2.1，95% CI 1.1至3.9）显著相关。在报告与伴侣沟通困难的男性和女性中，这两种测量结果的可能性均显著更高，AOR超过1.9。
性满足是性健康的重要组成部分。了解与性功能问题报告相关的因素，并认识到这些因素可能因伴侣关系而异，是增进我们对性功能的理解从而改善现有护理和支持提供的重要一步。
