Department of Obstetrics/Gynecology, The Reading Hospital and Medical Center, Reading, Pennsylvania 19612-6052, USA.
J Womens Health (Larchmt). 2010 Oct;19(10):1843-9. doi: 10.1089/jwh.2009.1800.
The objective of this study was to identify the prevalence of female sexual dysfunction (FSD) in a sample comprising women of mostly Hispanic descent and low socioeconomic status (SES).
Demographic data and symptoms related to sexuality were analyzed from 102 women who consecutively came to the Women's Life Center at Hartford Hospital (2004-2008). FSD was defined as decreased sexual desire, dyspareunia, or vaginal dryness; depression as one positive response to a validated three-question screening instrument; and anxiety as a positive response to whether the patient experiences anxiety sometimes or often.
The cohort was 52.9 ± 6.8 years of age (mean ± standard deviation [SD]) and 80.0% Hispanic, and 47.8% were unemployed. The majority (92.8%) earned < $25,000, and most (95.8%) did not have a college degree. The prevalence of FSD was 75.6%. The prevalence of depression was 80.9% vs. 52.8% (p = 0.01) and that of anxiety was 76.6% vs. 45.7% (p = 0.01) among women with vs. without a decrease in sexual desire. The prevalence of depression was 83.3% vs. 55.9% (p = 0.03) and that of anxiety was 76.7% vs. 52.9% (p = 0.07) among women who reported dyspareunia vs. those who did not. Problems sleeping was the only variable associated with a statistically higher likelihood of FSD (odds ratio [OR] 5.57, 95% confidence interval [CI] 1.22-25.33, p = 0.03). No significant differences were seen when comparing FSD between Hispanics and non-Hispanics.
This sample of predominantly Hispanic women of low SES had a high prevalence of FSD. These data also suggest that poor sleep is significantly associated with FSD and that women of low SES with FSD may have a significantly higher prevalence of depression and anxiety.
本研究旨在确定以西班牙语裔为主且社会经济地位较低的女性样本中女性性功能障碍（FSD）的患病率。
对 2004 年至 2008 年期间连续前往哈特福德医院妇女生活中心的 102 名女性的人口统计学数据和与性行为相关的症状进行了分析。FSD 的定义为性欲下降、性交痛或阴道干燥；抑郁是指对经过验证的三问筛查工具的一个阳性反应；焦虑是指患者是否有时或经常感到焦虑。
队列的平均年龄为 52.9 ± 6.8 岁（均值 ± 标准差[SD]），80.0%为西班牙裔，47.8%失业。大多数（92.8%）人的收入<25000 美元，95.8%的人没有大学学历。FSD 的患病率为 75.6%。性欲下降的女性中，抑郁的患病率为 80.9%（80.9%）vs. 52.8%（p = 0.01），焦虑的患病率为 76.6%（76.6%）vs. 45.7%（p = 0.01）。与无性交痛的女性相比，报告性交痛的女性中，抑郁的患病率为 83.3%（83.3%）vs. 55.9%（p = 0.03），焦虑的患病率为 76.7%（76.7%）vs. 52.9%（p = 0.07）。睡眠问题是唯一与 FSD 发生可能性显著增加相关的变量（比值比[OR] 5.57，95%置信区间[CI] 1.22-25.33，p = 0.03）。在比较西班牙裔和非西班牙裔女性的 FSD 时，未发现显著差异。
本研究样本中以西班牙语裔为主且社会经济地位较低的女性 FSD 患病率较高。这些数据还表明，睡眠质量差与 FSD 显著相关，且患有 FSD 的社会经济地位较低的女性可能患有明显更高比例的抑郁和焦虑。
