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阴道干燥:11 个国家的患病率和干预措施比较。

Vaginal dryness: a comparison of prevalence and interventions in 11 countries.

机构信息

New Jersey Center for Sexual Wellness, Bedminister, NJ, USA.

出版信息

J Sex Med. 2009 Sep;6(9):2425-33. doi: 10.1111/j.1743-6109.2009.01369.x. Epub 2009 Jul 13.

DOI:10.1111/j.1743-6109.2009.01369.x
PMID:19627461
Abstract

INTRODUCTION

There is limited research comparing cross-cultural differences in women's experiences of vaginal dryness.

AIM

To examine international differences in the prevalence of vaginal dryness, the degree to which it is experienced as problematic or bothersome, the use of lubricants to alleviate it, and women's discussion of this problem with physicians.

MAIN OUTCOME MEASURES

Questionnaire measuring the level of vaginal dryness and degree to which it is perceived as bothersome.

METHODS

The Global Survey of Sexual Attitudes and Practices was administered to 6,725 women from 11 countries: UK, Germany, Japan, Australia, Canada, Spain, Italy, Mexico, Argentina, Brazil and Thailand.

RESULTS

Prevalence of self-reported vaginal dryness varied from a minimum of 5.8% in Italy to a maximum of 19.7% in Brazil. The proportion of women with self-reported vaginal dryness who found it very bothersome varied as well (e.g., 5.6% UK, 26.4% Germany). Pain during intercourse ranged from a reported low of 3.6% in Australia to 18.6% in Brazil. Older women (50-65 years) as compared with younger women (18-34 years) reported significantly more vaginal dryness in the UK, Australia, Canada, Italy, Spain, Argentina, and Thailand (P values <0.02). The majority of women under 50 attributed vaginal dryness to inadequate sexual arousal while women over 50 believed it was because of aging or menopause. Cross-culturally, women differed substantially in the likelihood of discussing their sexual life/concerns with a physician.

CONCLUSION

Women from different countries differ substantially in their experiences, concerns, and reports of vaginal dryness/sexual pain, as well as their familiarity with personal lubricants as a treatment. Researchers should assess the prevalence and degree of the bother of vaginal dryness in order to make international comparisons of the burden of this condition.

摘要

引言

关于女性阴道干燥体验的跨文化差异,相关研究有限。

目的

研究国际间阴道干燥的流行率差异,评估其对生活的影响和困扰程度,以及使用润滑剂缓解阴道干燥的情况,并探讨女性与医生讨论该问题的情况。

主要观察指标

评估阴道干燥程度和对生活的影响程度的问卷。

方法

对来自 11 个国家的 6725 名女性进行了全球性行为态度和实践调查,这些国家包括英国、德国、日本、澳大利亚、加拿大、西班牙、意大利、墨西哥、阿根廷、巴西和泰国。

结果

自我报告阴道干燥的患病率从意大利的 5.8%到巴西的 19.7%不等。报告阴道干燥且认为其非常困扰的女性比例也有所不同(例如,英国为 5.6%,德国为 26.4%)。性交时疼痛的报告率从澳大利亚的 3.6%到巴西的 18.6%不等。与年轻女性(18-34 岁)相比,年龄较大的女性(50-65 岁)在英国、澳大利亚、加拿大、意大利、西班牙、阿根廷和泰国报告的阴道干燥情况更为普遍(P 值<0.02)。50 岁以下的大多数女性将阴道干燥归因于性唤起不足,而 50 岁以上的女性则认为这是由于衰老或绝经所致。在跨文化背景下,女性在讨论性生活/担忧与医生的可能性方面存在显著差异。

结论

来自不同国家的女性在阴道干燥/性疼痛的体验、担忧和报告,以及对个人润滑剂作为治疗方法的熟悉程度方面存在很大差异。研究人员应评估阴道干燥的流行率和困扰程度,以便对该病症的负担进行国际比较。

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