Shin H, Min B, Park J, Son H
Department of Urology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, South Korea.
Int J Impot Res. 2017 Mar;29(2):49-53. doi: 10.1038/ijir.2016.41. Epub 2016 Dec 8.
Female sexual dysfunction (FSD) is defined as disturbances in sexual desire and the psychophysiological changes that characterize the sexual response cycle, which cause marked distress and interpersonal difficulty. Female sexual dysfunction is strongly related to socio-cultural characteristics of a certain region and can change over time. Authors previously reported the features of FSD in Korea through an analysis of an internet-based survey conducted in 2004. This time, we designed a 10-year interval study to compare the prevalence of and risk factors of FSD through the Korean Internet Sexuality Survey (KISS) 2014. The internet-based survey was targeted towards 20-59-year-old women, who were asked to answer the questionnaire only if they were sexually active. In total, 516 responses were analyzed and the mean age of the subjects was 38.1±10.3 years. We defined FSD as having a total FSFI score of under 25.0, and resulted in a prevalence of FSD of 46.7%. The prevalence of FSD in each age group increased with age from 23.7, 45.4, 51.4 to 72%, for those in their 20, 30, 40 and 50s, respectively. Among the 50s age group, lubrication and pain domain dysfunctions were highly prevalent. The risk factors for FSD were identified as constipation, depression, incontinence, age of first intercourse, number of sexual partners and the use of oral contraceptive pills. Although the some demographic features of this study was different with those of the 2004 repot, the prevalence of FSD was similar with that reported previously in 2004 and a few risk factors of FSD was consistently significant in these interval studies.
女性性功能障碍(FSD)被定义为性欲以及作为性反应周期特征的心理生理变化方面的紊乱,这会导致明显的痛苦和人际关系困难。女性性功能障碍与特定地区的社会文化特征密切相关,并且会随时间变化。作者之前通过对2004年进行的一项基于互联网的调查分析,报告了韩国女性性功能障碍的特征。此次,我们设计了一项间隔10年的研究,通过2014年韩国互联网性调查(KISS)来比较女性性功能障碍的患病率及危险因素。这项基于互联网的调查针对的是20至59岁的女性,仅要求性活跃的女性回答问卷。总共分析了516份回复,受试者的平均年龄为38.1±10.3岁。我们将女性性功能障碍定义为女性性功能指数(FSFI)总分低于25.0,结果女性性功能障碍的患病率为46.7%。各年龄组女性性功能障碍的患病率随年龄增长而上升,20多岁、30多岁、40多岁和50多岁的患病率分别为23.7%、45.4%、51.4%和72%。在50多岁的年龄组中,润滑和疼痛领域的功能障碍非常普遍。女性性功能障碍的危险因素被确定为便秘、抑郁、尿失禁、首次性交年龄、性伴侣数量以及口服避孕药的使用。尽管本研究的一些人口统计学特征与2004年报告的不同,但女性性功能障碍的患病率与2004年之前报告的相似,并且在这些间隔研究中,一些女性性功能障碍的危险因素始终具有显著意义。