使用女性性功能指数对中年女性的性状况进行评估。

Assessment of sexuality among middle-aged women using the Female Sexual Function Index.

作者信息

Chedraui P, Perez-Lopez F R, San Miguel G, Avila C

机构信息

Collaborative Group for Research of the Climacteric in Latin America (REDLINC), Guayaquil, Ecuador.

出版信息

Climacteric. 2009 Jun;12(3):213-21. doi: 10.1080/13697130802607727.

DOI:10.1080/13697130802607727

PMID:19117186

Abstract

OBJECTIVE

The purpose of the present investigation was to assess sexual function among middle-aged women and determine related risk factors (personal and partner) for sexual dysfunction.

METHODS

In this cross-sectional study, women aged 40-59 years were requested to fill out the Female Sexual Function Index (FSFI) and a general demographic questionnaire containing personal and partner data.

RESULTS

A total of 409 women with a mean age of 47 +/- 5.3 years were surveyed. Of these, 42.1% were premenopausal, 24.4% perimenopausal and 33.5% postmenopausal. At the time of survey, 10.5% of women were hysterectomized, 1.5% used psychotropic drugs, and 9.8% were on hormone therapy (HT) for the menopause; 28.1% had less than 12 years of schooling and 80.4% had only one partner at the moment of survey. Among their male partners, 7.3% abused alcohol, 10.3% had erectile dysfunction, 11.2% premature ejaculation and 63.83% were faithful partners. Mean (+/- standard deviation) scores for the FSFI domains were: desire (3.7 +/- 1.2), arousal (3.1 +/- 2.5), lubrication (3.3 +/- 2.6), orgasm (2.6 +/- 2.3), satisfaction (4 +/- 1.7), and pain/dyspareunia (3.2 +/- 2.6). The mean total FSFI score was 20.1 +/- 12.4 (median 24.7). In this series, the prevalence of female sexual dysfunction (FSFI score <or=26.55) was 55.7%, with women presenting difficulties across all domains of female sexual function but mostly in the dyspareunia and lubrication domains. Logistic regression analysis determined that female age (odds ratio (OR) 3.3, 95% confidence interval (CI) 1.6-6.8), p = 0.001), postmenopausal status (OR 2.8, 95% CI 1.3-6.1, p = 0.007), partner's age (OR 2.0, 95% CI 1-4, p = 0.03), educational level (OR 2.7, 95% CI 1.5-5, p = 0.001), and the presence of erectile dysfunction (OR 3.8, 95% CI 1.3-10.9, p = 0.01) and premature ejaculation (OR 4.1, 95% CI 1.4-11.7, p = 0.0001) significantly increased the risk for female sexual dysfunction. Partner faithfulness (OR 0.2, 95% CI 0.1-0.4, p = 0.001) and menopausal HT use (OR 0.4, 95% CI 0.1-1, p = 0.04) decreased this risk.

CONCLUSIONS

In this series, male sexual health and demographic profile and female HT use were relevant determinants for sexual functioning among middle-aged women.

摘要

目的

本研究旨在评估中年女性的性功能，并确定性功能障碍的相关风险因素（个人及伴侣因素）。

方法

在这项横断面研究中，要求40至59岁的女性填写女性性功能指数（FSFI）以及一份包含个人和伴侣数据的一般人口统计学调查问卷。

结果

共调查了409名平均年龄为47±5.3岁的女性。其中，42.1%处于绝经前，24.4%处于围绝经期，33.5%处于绝经后。在调查时，10.5%的女性接受了子宫切除术，1.5%使用精神药物，9.8%因绝经接受激素治疗（HT）；28.1%的女性受教育年限少于12年，80.4%的女性在调查时有一个伴侣。在其男性伴侣中，7.3%酗酒，10.3%有勃起功能障碍，11.2%有早泄，63.83%是忠诚伴侣。FSFI各领域的平均（±标准差）得分分别为：性欲（3.7±1.2）、性唤起（3.1±2.5）、润滑（3.3±2.6）、性高潮（2.6±2.3）、满意度（4±1.7）以及疼痛/性交困难（3.2±2.6）。FSFI总得分平均为20.1±12.4（中位数24.7）。在本研究系列中，女性性功能障碍（FSFI得分≤26.55）的患病率为55.7%，女性在性功能的所有领域均存在困难，但主要在性交困难和润滑领域。逻辑回归分析确定，女性年龄（比值比（OR）3.3，95%置信区间（CI）1.6 - 6.8，p = 0.001）、绝经后状态（OR 2.8，95%CI 1.3 - 6.1，p = 0.007）、伴侣年龄（OR 2.0，95%CI 1 - 4，p = 0.03）、教育水平（OR 2.7，95%CI 1.5 - 5，p = 0.001）以及勃起功能障碍（OR 3.8，95%CI 1.3 - 10.9，p = 0.01）和早泄（OR 4.1，95%CI 1.4 - 11.7，p = 0.0001）的存在显著增加了女性性功能障碍的风险。伴侣的忠诚度（OR 0.2，95%CI 0.1 - 0.4，p = 0.001）和绝经后HT的使用（OR 0.4，95%CI 0.1 - 1，p = 0.04）降低了这种风险。