Afshari Poorandokht, Houshyar Zeinab, Javadifar Nahid, Pourmotahari Fatemeh, Jorfi Maryam
M.Sc. of Midwifery, Assistant Professor, Menopause Andropause Research Center, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
M.Sc. of Midwifery, Lecture in Midwifery, Department of Research, Faculty of Nursing, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran.
Electron Physician. 2016 Nov 25;8(11):3302-3308. doi: 10.19082/3302. eCollection 2016 Nov.
An individual's social and marital function, interpersonal relationships, and quality of life may, sometimes be affected by negative body image. This study is aimed at determining the relationship between body image and sexual function in middle-aged women.
In this cross-sectional study, 437 middle-aged women, who were referred to various public healthcare centers in Ahvaz, Iran during 2014-2015, were selected. The Female Sexual Function Index (FSFI) and Body Shape Questionnaire (BSQ) were used for data collection. Chi-square, one-way analysis of variance, Spearman's correlation test, and logistic regression analysis were performed for statistical analysis.
Approximately 58% of the participants expressed satisfaction with their body image, 35% were mildly dissatisfied, and 7% were moderately dissatisfied with their body image. Body image had a significant negative relationship with sexual satisfaction and sexual function (p=0.005). Furthermore, there was a significant relationship between body image and sexual desire (p=0.022), pain (p=0.001), sexual arousal (p<0.0005), sexual orgasm (p=0.001), and sexual satisfaction (p<0.0005).
As the results indicated, body image is an important aspect of sexual health. In this study, women with a positive body image had higher sexual function valuation, compared to women with a negative body image. Also, body shape satisfaction was a predictor of sexual function.
一个人的社交和婚姻功能、人际关系及生活质量有时可能会受到负面身体形象的影响。本研究旨在确定中年女性身体形象与性功能之间的关系。
在这项横断面研究中，选取了2014年至2015年期间转诊至伊朗阿瓦士各公共医疗中心的437名中年女性。采用女性性功能指数（FSFI）和身体形状问卷（BSQ）收集数据。进行卡方检验、单因素方差分析、Spearman相关性检验和逻辑回归分析以进行统计分析。
约58%的参与者对自己的身体形象表示满意，35%的人略有不满，7%的人中度不满。身体形象与性满意度和性功能呈显著负相关（p = 0.005）。此外，身体形象与性欲（p = 0.022）、疼痛（p = 0.001）、性唤起（p < 0.0005）、性高潮（p = 0.001）和性满意度（p < 0.0005）之间存在显著关系。
结果表明，身体形象是性健康的一个重要方面。在本研究中，与身体形象负面的女性相比，身体形象正面的女性对性功能的评价更高。此外，身体形状满意度是性功能的一个预测指标。
