National Institute of Alcohol and Drugs Policy, Alcohol and Drug Research Unit, Psychiatry Department, Federal University of São Paulo, Sao Paulo, SP, Brazil.
Clinics (Sao Paulo). 2013;68(2):205-12. doi: 10.6061/clinics/2013(02)oa14.
To estimate the prevalence of female sexual dysfunction symptoms and the associated risk factors in a sample of patients with substance-related disorders admitted to a specialized in-patient care unit.
This study used a cross-section design, with eight months of data collection, conducted with substance-dependent women using structured questionnaires to collect socio-demographic data and identify their drug of choice. The Drug Abuse Screening Test, Short Alcohol Dependence Data questionnaire, Fagerstrom Test for Nicotine Dependence, and Arizona Sexual Experience Scale were also administered.
The sample consisted of 105 women who had a mean age of 34.8 years (SD = 12.1, range = 18-65) and were predominantly heterosexual (74.3%), single (47.6%), Caucasian (50.5%), catholic (36.2%), and educated only to the level of primary education (40%), with a monthly family income of up to one minimum salary (37.5%). In 42.9% of the patients, crack was the drug of choice; 47.6% of the sample qualified for the Drug Abuse Screening Test (substantial problems related to drugs), 43.8% exhibited Short Alcohol Dependence Data (moderate or severe dependency), 47.6% exhibited Fagerstrom Test for Nicotine Dependence (high or very high nicotine dependence). The prevalence of sexual dysfunction symptoms was 34.2% (95% CI = [25.3, 44.1]), and a high level of nicotine dependence and low income increased the chances of having sexual dysfunction by 2.72-fold and 2.54 fold, respectively. An association was also observed between female sexual dysfunction symptoms and schooling and levels of drug dependence.
Female sexual dysfunction symptoms were common among this sample and primarily associated with high levels of nicotine use.
评估物质相关障碍住院患者样本中女性性功能障碍症状的流行率及其相关危险因素。
本研究采用横断面设计，历时八个月，对依赖物质的女性使用结构问卷收集社会人口学数据，并确定其首选药物。还使用了药物滥用筛查测试、短期酒精依赖数据问卷、尼古丁依赖 Fagerstrom 测试和亚利桑那性体验量表。
样本包括 105 名女性，平均年龄 34.8 岁（SD=12.1，范围 18-65），主要为异性恋（74.3%）、单身（47.6%）、白种人（50.5%）、天主教徒（36.2%）和仅受过小学教育（40%），家庭月收入不超过一个最低工资（37.5%）。在 42.9%的患者中，冰毒是首选药物；47.6%的样本符合药物滥用筛查测试（与药物相关的实质性问题），43.8%的样本表现出短期酒精依赖数据（中度或重度依赖），47.6%的样本表现出尼古丁依赖 Fagerstrom 测试（高或非常高的尼古丁依赖）。性功能障碍症状的流行率为 34.2%（95%置信区间[25.3, 44.1]），尼古丁依赖程度高和收入低分别使性功能障碍的发生几率增加 2.72 倍和 2.54 倍。还观察到女性性功能障碍症状与教育程度和药物依赖程度之间存在关联。
女性性功能障碍症状在该样本中较为常见，主要与高水平的尼古丁使用有关。
