应用女性性功能指数于性少数女性。
Applying the Female Sexual Functioning Index to sexual minority women.
机构信息
Department of Community Health Sciences, Boston University, Boston, MA 02118, USA.
出版信息
J Womens Health (Larchmt). 2012 Apr;21(4):401-9. doi: 10.1089/jwh.2011.3072. Epub 2011 Dec 2.
BACKGROUND
Available measurements of women's sexual function do not account for different sexual orientations; rather, instruments have been developed using heterosexual samples. The Female Sexual Functioning Index (FSFI) is a widely used instrument, applicable for sexually active or inactive women. We apply the FSFI to a sample of women who have or prefer women as sexual partners, defined as sexual minority women, and who vary with respect to their sexual activity.
METHODS
A modified version of the FSFI was used in a sample of sexual minority women. Statistical analyses focused on examining associations between FSFI responses of no sexual activity and women's characteristics.
RESULTS
Partner status and sexual frequency was significantly associated with reporting no sexual activity on the FSFI. A revised scoring of the FSFI allows for the use of this instrument among women who vary on sexual frequency and partner status, without biasing their scores towards sexual dysfunction. The desire subscale is independent of sexual frequency, partner status, and sexual orientation.
CONCLUSIONS
The modified wording of the FSFI and its revised scoring allow for the use of this instrument among sexual minority women. A separate reporting of the desire subscale will generate reliable and valid assessments of sexual minority women's sexual functioning.
背景
现有的女性性功能测量方法并未考虑到不同的性取向；相反，这些工具是使用异性恋样本开发的。女性性功能指数（FSFI）是一种广泛使用的工具，适用于有性行为或无性行为的女性。我们将 FSFI 应用于一组有或偏好女性作为性伴侣的女性样本，这些女性被定义为性少数群体女性，并且在其性行为方面存在差异。
方法
在性少数群体女性样本中使用了 FSFI 的修改版本。统计分析主要集中在研究 FSFI 无性行为反应与女性特征之间的关联。
结果
伴侣状况和性频率与 FSFI 报告的无性行为显著相关。FSFI 的修订评分允许在性频率和伴侣状况不同的女性中使用该工具，而不会使她们的分数偏向性功能障碍。欲望分量表独立于性频率、伴侣状况和性取向。
结论
FSFI 的修改措辞及其修订评分允许在性少数群体女性中使用该工具。单独报告欲望分量表将为评估性少数群体女性的性功能提供可靠和有效的评估。
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