Sánchez S C, Chedraui P, Pérez-López F R, Ortiz-Benegas M E, Palacios-De Franco Y
a Hospital Central, Dr. Emilio Cubas, Instituto de Previsión Social , Asunción , Paraguay ;
b Institute of Biomedicine, Research Area for Women's Health, Facultad de Medicina, Universidad Católica de Santiago de Guayaquil , Guayaquil , Ecuador ;
Climacteric. 2016 Jun;19(3):256-60. doi: 10.3109/13697137.2016.1151866. Epub 2016 Mar 3.
Background There are scant data related to sexuality assessed among mid-aged women from Paraguay. Objective To assess sexual function in a sample of mid-aged Paraguayan women. Methods This was a cross-sectional study in which 265 urban-living women from Asunción (Paraguay) aged 40-65 years were surveyed with the six-item version of the Female Sexual Function Index (FSFI-6) and a questionnaire containing personal and partner data. Results The median age of the sample was 48 years, 48.2% were postmenopausal (median/interquartile range age at menopause 46/13 years), 11.3% used hormone therapy, 37.0% used psychotropic drugs, 44.5% had hypertension, 7.2% diabetes, 46.1% abdominal obesity and 89.4% had a partner (n = 237). Overall, 84.1% (223/265) of surveyed women were sexually active, presenting a median total FSFI-6 score of 23.0, and 25.6% obtained a total score of 19 or less, suggestive of sexual dysfunction (lower sexual function). Upon bivariate analysis, several factors were associated with lower total FSFI-6 scores; however, multiple linear regression analysis found that lower total FSFI-6 scores (worse sexual function) were significantly correlated to the postmenopausal status and having an older partner, whereas coital frequency was positively correlated to higher scores (better sexual function). Conclusion In this pilot sample of urban-living, mid-aged Paraguayan women, as determined with the FSFI-6, lower sexual function was related to menopausal status, coital frequency and partner age. There is a need for more research in this regard in this population.
关于巴拉圭中年女性性方面评估的数据很少。
评估巴拉圭中年女性样本的性功能。
这是一项横断面研究，对来自亚松森（巴拉圭）的265名年龄在40 - 65岁的城市女性进行了六项版女性性功能指数（FSFI - 6）调查以及一项包含个人和伴侣数据的问卷调查。
样本的中位年龄为48岁，48.2%为绝经后女性（绝经年龄中位数/四分位间距为46/13岁），11.3%使用激素疗法，37.0%使用精神药物，44.5%患有高血压，7.2%患有糖尿病，46.1%有腹部肥胖，89.4%有伴侣（n = 237）。总体而言，84.1%（223/265）的受访女性有性活动，FSFI - 6总得分中位数为23.0，25.6%的女性总得分在19分及以下，提示性功能障碍（性功能较低）。双变量分析显示，几个因素与较低的FSFI - 6总得分相关；然而，多元线性回归分析发现，较低的FSFI - 6总得分（较差的性功能）与绝经后状态和伴侣年龄较大显著相关，而性交频率与较高得分（较好的性功能）呈正相关。
在这个城市居住的巴拉圭中年女性试点样本中，通过FSFI - 6测定，较低的性功能与绝经状态、性交频率和伴侣年龄有关。在这一人群中，这方面需要更多的研究。
