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伊朗城市人口中女性性困难的流行情况及潜在危险因素:一项基于人群的研究。

Prevalence and potential risk factors of female sexual difficulties: an urban Iranian population-based study.

机构信息

Iranian Institute for Health Sciences Research, ACECR, No. 51, Nazari Street, South Palestine Street, Enghelab Avenue, Tehran, Iran.

出版信息

J Sex Med. 2009 Nov;6(11):2988-96. doi: 10.1111/j.1743-6109.2009.01398.x. Epub 2009 Jul 21.

DOI:10.1111/j.1743-6109.2009.01398.x
PMID:19627465
Abstract

INTRODUCTION

Female sexual dysfunction is common, a multifactorial phenomenon with a potential to cause marital strain, impaired fertility, and poor quality of life. Epidemiologic data are scarce and little is known about the prevalence of sexual difficulties and the exact role of putative risk factors in Iran.

AIM

To determine the prevalence of female sexual difficulties and the potential risk factors in an urban Iranian population.

METHODS

A cross-sectional study was performed in the province of Kohgilooyeh-Boyerahmad (KB) in the southwest of Iran and involved sexually active urban women aged 15 years and over, selected via a quota-based cluster sampling method. The study used an ad hoc questionnaire covering the demographic and reproductive variables as well as the data related to sexual difficulties. Data were analyzed using multiple logistic regression models. The main outcome measures were the prevalence rates and the predictors of sexual difficulties.

MAIN OUTCOME MEASURES

The prevalence of female sexual difficulties and the associated risk factors.

RESULTS

One thousand four hundred fifty-six sexually active women living in the urban areas of KB province in 2005 were selected. The mean age of the sample was 34.04 +/- 9.2 (16-71) years and the mean number of completed grades was 7.18 (+/-4.8). More than 52% of the participants had experienced at least one type of sexual difficulty. The greatest and smallest frequencies were observed for orgasm difficulty (21.3%, confidence intervalCI = 19.2-23.4%) and lubrication difficulty (11.9%, CI(0.95) = 10.2-13.6%). Age, education, contraceptive modality, and obstetric/gynecologic procedures were all associated with at least one type of sexual dysfunction.

CONCLUSION

Similar to previous studies, we found a relatively high prevalence of sexual difficulties in this urban population of low socioeconomic status. However, our results concerning the role of some demographic and reproductive variables in producing sexual difficulties were different from those reported by other researchers.

摘要

介绍

女性性功能障碍很常见,是一种多因素现象,可能导致婚姻紧张、生育能力受损和生活质量下降。流行病学数据稀缺,对伊朗性困难的患病率和潜在危险因素知之甚少。

目的

确定伊朗城市人口中女性性困难的患病率和潜在危险因素。

方法

在伊朗西南部的科吉洛耶-博耶拉马德省(KB)进行了一项横断面研究,涉及年龄在 15 岁及以上的有性行为的城市女性,采用基于配额的聚类抽样方法选择。研究使用了一个专门的问卷,涵盖了人口统计学和生殖变量以及与性困难相关的数据。使用多因素逻辑回归模型分析数据。主要观察指标是性困难的患病率和预测因素。

主要结果衡量标准

女性性功能障碍的患病率和相关危险因素。

结果

2005 年,在 KB 省城市地区选择了 1456 名有性行为的活跃女性。样本的平均年龄为 34.04 +/- 9.2(16-71)岁,平均完成年级数为 7.18 +/- 4.8。超过 52%的参与者至少经历过一种类型的性困难。最常见和最不常见的是性高潮困难(21.3%,置信区间[CI](0.95)= 19.2-23.4%)和润滑困难(11.9%,CI(0.95)= 10.2-13.6%)。年龄、教育、避孕方式和产科/妇科手术都与至少一种性功能障碍有关。

结论

与之前的研究类似,我们发现这个社会经济地位较低的城市人群中,性困难的患病率相对较高。然而,我们关于一些人口统计学和生殖变量在产生性困难中的作用的结果与其他研究人员报告的结果不同。

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