Department of Sociology, University of Zagreb, Zagreb, Croatia.
J Sex Med. 2011 May;8(5):1314-21. doi: 10.1111/j.1743-6109.2010.02100.x. Epub 2010 Nov 3.
The prevalence of sexual health difficulties among women in Croatia is presently unknown. Although women under 40 years of age may be exposed to the most intense demands of the dual role (career and motherhood), they are often assumed to be at lower risk for sexual difficulties.
To assess the prevalence of sexual difficulties in a population-based study of women aged 18-35 and to explore the possible impact of the dual role on female sexual health.
The study was carried out in April 2010 on a multistage probability sample of 1,000 women aged 18-35 years. The response rate was 37.3% (1,680 women refused to participate). Multivariate logistic regression was used to analyze the correlates of sexual difficulties, including the dual role.
The prevalence of the four most common female sexual health difficulties (lack of desire, lubrication difficulties, inability to reach orgasm, and pain during intercourse) were measured using the one-item indicators from the Global Study of Sexual Attitudes and Behaviors.
Among coitally experienced women (N = 870), 27.6% reported having a lack of desire, 23.6% pain during sexual intercourse, 23.1% inability to reach orgasm, and 18.5% difficulties with genital lubrication. All four difficulties were negatively associated with sexual satisfaction, but only the lack of sexual interest and inability to reach orgasm seemed to substantially decrease sexual well-being. In multivariate analyses, age, education, being in a steady relationship or married, and partner communication about sexuality were significant correlates of reported sexual difficulties. The dual role was not a significant predictor of sexual health difficulties.
A substantial proportion of participants reported one or more sexual health difficulties that lasted for at least 2 months. Women in the dual role were not at an increased risk of experiencing difficulties in sexual functioning.
目前，克罗地亚女性的性健康问题的流行率尚不清楚。尽管 40 岁以下的女性可能面临着双重角色（职业和母亲）的最大压力，但她们通常被认为面临较低的性困难风险。
在一项针对 18-35 岁女性的基于人群的研究中，评估性困难的流行率，并探讨双重角色对女性性健康的可能影响。
该研究于 2010 年 4 月在一个 1000 名 18-35 岁女性的多阶段概率样本中进行。回应率为 37.3%（1680 名女性拒绝参与）。使用多元逻辑回归分析性困难的相关因素，包括双重角色。
使用全球性行为态度和行为研究的一个项目指标，衡量四种最常见的女性性健康困难（缺乏欲望、润滑困难、无法达到性高潮和性交疼痛）的流行率。
在有性经验的女性（N=870）中，27.6%报告缺乏欲望，23.6%性交疼痛，23.1%无法达到性高潮，18.5%生殖器润滑困难。所有四种困难都与性满意度呈负相关，但只有缺乏性兴趣和无法达到性高潮似乎会大大降低性幸福感。在多元分析中，年龄、教育、稳定关系或已婚状态以及伴侣关于性的沟通是报告性困难的显著相关因素。双重角色不是性健康困难的显著预测因素。
相当一部分参与者报告了至少持续 2 个月的一种或多种性健康问题。处于双重角色的女性在性功能方面遇到困难的风险并未增加。
