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女性和男性性功能障碍的发病率与患病率:2015年第四届国际性医学咨询会议的共识声明

Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015.

作者信息

McCabe Marita P, Sharlip Ira D, Lewis Ron, Atalla Elham, Balon Richard, Fisher Alessandra D, Laumann Edward, Lee Sun Won, Segraves Robert T

机构信息

Institute for Health and Ageing, Australian Catholic University, Melbourne, Australia.

University of California, San Francisco, CA, USA.

出版信息

J Sex Med. 2016 Feb;13(2):144-52. doi: 10.1016/j.jsxm.2015.12.034.

Abstract

INTRODUCTION

The incidence and prevalence of various sexual dysfunctions in women and men are important to understand to designate priorities for epidemiologic and clinical research.

AIM

This manuscript was designed to conduct a review of the literature to determine the incidence and prevalence of sexual dysfunction in women and men.

METHODS

Members of Committee 1 of the Fourth International Consultation on Sexual Medicine (2015) searched and reviewed epidemiologic literature on the incidence and prevalence of sexual dysfunctions. Key older studies and most studies published after 2009 were included in the text of this article.

MAIN OUTCOME MEASURES

The outcome measures were the reports in the various studies of the incidence and prevalence of sexual dysfunction among women and men.

RESULTS

There are more studies on incidence and prevalence for men than for women and many more studies on prevalence than incidence for women and men. The data indicate that the most frequent sexual dysfunctions for women are desire and arousal dysfunctions. In addition, there is a large proportion of women who experience multiple sexual dysfunctions. For men, premature ejaculation and erectile dysfunction are the most common sexual dysfunctions, with less comorbidity across sexual dysfunctions for men compared with women.

CONCLUSION

These data need to be treated with caution, because there is a high level of variability across studies caused by methodologic differences in the instruments used to assess presence of sexual dysfunction, ages of samples, nature of samples, methodology used to gather the data, and cultural differences. Future research needs to use well-validated tools to gather data and ensure that the data collection strategy is clearly described.

摘要

引言

了解男女性各种性功能障碍的发病率和患病率对于确定流行病学和临床研究的重点至关重要。

目的

撰写本综述旨在回顾文献,以确定男女性性功能障碍的发病率和患病率。

方法

第四届国际性医学咨询会议(2015年)第一委员会成员检索并回顾了关于性功能障碍发病率和患病率的流行病学文献。本文纳入了关键的早期研究以及2009年之后发表的大多数研究。

主要观察指标

观察指标为各项研究中关于男女性性功能障碍发病率和患病率的报告。

结果

关于男性发病率和患病率的研究比女性更多,而且关于男女性患病率的研究远多于发病率的研究。数据表明,女性最常见的性功能障碍是性欲和性唤起障碍。此外,有很大比例的女性存在多种性功能障碍。对于男性,早泄和勃起功能障碍是最常见的性功能障碍,与女性相比,男性性功能障碍之间的共病情况较少。

结论

这些数据需谨慎对待,因为各研究之间存在高度变异性,这是由用于评估性功能障碍存在情况的工具的方法学差异、样本年龄、样本性质、收集数据所用方法以及文化差异导致的。未来研究需要使用经过充分验证的工具来收集数据,并确保清楚描述数据收集策略。

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