Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Australia.
Maturitas. 2011 Oct;70(2):135-40. doi: 10.1016/j.maturitas.2011.07.013. Epub 2011 Aug 15.
This is the fourth in a series of reviews of cross-cultural studies of menopausal symptoms. The purpose of this review is to examine methods used in cross-cultural comparisons of sexual symptoms among women at midlife, and to examine the determinants of sexual symptoms and how those determinants were measured. The goal of this review is to make recommendations that will improve cross-cultural comparisons in the future. The review included nine studies that explicitly examined symptoms in different countries or different ethnic groups in the same country and included: Australian/Japanese Midlife Women's Health Study (AJMWHS), Decisions At Menopause Study (DAMeS), Four Major Ethnic Groups (FMEG), Hilo Women's Health Survey (HWHS), Mid-Aged Health in Women from the Indian Subcontinent (MAHWIS), Penn Ovarian Aging Study (POAS), Study of Women's Health Across the Nation (SWAN), Women's Health in Midlife National Study (WHiMNS), and Women's International Study of Health and Sexuality (WISHeS). Although methods used for assessing sexual symptoms across cultures differed between studies, statistically significant differences were reported. Cross-cultural differences in sexual symptoms exist, and should be measured by including the following symptoms: loss of interest in sex, vaginal dryness, and the Females Sexual Function Index which covers desire, arousal, lubrication, orgasm, satisfaction, and pain on intercourse. The measurement of these symptoms will provide an evidence-based approach when forming any future menopause symptom list and allow for comparisons across studies.
这是一系列关于更年期症状跨文化研究的综述中的第四篇。本次综述的目的是检验比较中年女性性症状的跨文化研究中使用的方法，并探讨性症状的决定因素及其测量方法。本文旨在提出建议，以改进未来的跨文化比较。本综述纳入了 9 项研究，这些研究明确在不同国家或同一国家的不同种族群体中检查了症状，包括：澳大利亚/日本中年女性健康研究（AJMWHS）、绝经决策研究（DAMeS）、四大族裔研究（FMEG）、希洛女性健康调查（HWHS）、来自印度次大陆的中年女性健康研究（MAHWIS）、宾夕法尼亚卵巢衰老研究（POAS）、全国女性健康研究（SWAN）、中年女性健康全国研究（WHiMNS）和女性国际健康与性行为研究（WISHeS）。尽管不同研究评估性症状的方法存在差异，但报告的统计结果存在显著差异。性症状存在跨文化差异，应通过以下症状进行评估：对性失去兴趣、阴道干燥以及涵盖欲望、唤起、润滑、性高潮、满意度和性交疼痛的女性性功能指数。这些症状的测量将为制定未来的任何更年期症状清单提供循证方法，并允许在研究之间进行比较。
