Department of Epidemiology Research, Statens Serum Institut, Copenhagen S, Denmark.
Arch Sex Behav. 2011 Feb;40(1):121-32. doi: 10.1007/s10508-010-9599-y. Epub 2010 Feb 19.
Sexual dysfunctions and difficulties are common experiences that may impact importantly on the perceived quality of life, but prevalence estimates are highly sensitive to the definitions used. We used questionnaire data for 4415 sexually active Danes aged 16-95 years who participated in a national health and morbidity survey in 2005 to estimate the prevalence of sexual dysfunctions and difficulties and to identify associated sociodemographic factors. Overall, 11% (95% CI, 10-13%) of men and 11% (10-13%) of women reported at least one sexual dysfunction (i.e., a frequent sexual difficulty that was perceived as a problem) in the last year, while another 68% (66-70%) of men and 69% (67-71%) of women reported infrequent or less severe sexual difficulties. Estimated overall frequencies of sexual dysfunctions among men were: premature ejaculation (7%), erectile dysfunction (5%), anorgasmia (2%), and dyspareunia (0.1%); among women: lubrication insufficiency (7%), anorgasmia (6%), dyspareunia (3%), and vaginismus (0.4%). Highest frequencies of sexual dysfunction were seen in men above age 60 years and women below age 30 years or above age 50 years. In logistic regression analysis, indicators of economic hardship in the family were positively associated with sexual dysfunctions, notably among women. In conclusion, while a majority of sexually active adults in Denmark experience sexual difficulties with their partner once in a while, approximately one in nine suffer from frequent sexual difficulties that constitute a threat to their well-being. Sexual dysfunctions seem to be more common among persons who experience economic hardship in the family.
性功能障碍和困难是常见的体验,可能会对生活质量的感知产生重要影响,但患病率的估计结果高度依赖于所使用的定义。我们使用了 2005 年丹麦全国健康和发病情况调查中 4415 名年龄在 16-95 岁之间、有性行为的丹麦人的问卷调查数据,来估计性功能障碍和困难的患病率,并确定与之相关的社会人口学因素。总体而言,11%(95%CI,10-13%)的男性和 11%(10-13%)的女性报告在过去一年中至少有一种性功能障碍(即经常出现的、被认为是问题的性困难),而另外 68%(66-70%)的男性和 69%(67-71%)的女性报告性困难不频繁或不太严重。男性中各种性功能障碍的总体估计发生率为:早泄(7%)、勃起功能障碍(5%)、性高潮障碍(2%)和性交疼痛(0.1%);女性中为:润滑不足(7%)、性高潮障碍(6%)、性交疼痛(3%)和阴道痉挛(0.4%)。60 岁以上男性和 30 岁以下或 50 岁以上女性的性功能障碍发生率最高。在逻辑回归分析中,家庭经济困难的指标与性功能障碍呈正相关,在女性中尤为明显。总之,虽然丹麦大多数有性行为的成年人偶尔会与伴侣发生性困难,但约有十分之一的人经常遭受性困难,这对他们的幸福感构成威胁。性功能障碍似乎在家庭经济困难的人群中更为常见。