Agaba Patricia A, Meloni Seema T, Sule Halima M, Agaba Emmanuel I, Idoko John A, Kanki Phyllis J
Department of Family Medicine, University of Jos, Jos, Nigeria.
APIN Centre, Jos University Teaching Hospital, Jos, Nigeria.
Int J Gynaecol Obstet. 2017 Jun;137(3):301-308. doi: 10.1002/ijgo.12140. Epub 2017 Mar 22.
To describe the prevalence of female sexual dysfunction (FSD) and its determinants among women with HIV infection enrolled for care and treatment in an ambulatory care setting.
A questionnaire-based cross-sectional survey was conducted among women attending the HIV clinic of Jos University Teaching Hospital, Nigeria, between March 2013 and February 2014. The self-administered Female Sexual Function Index (FSFI) was used to assess FSD; a score of less than 26.55 indicated FSD. Pearson coefficient was used to assess interdomain correlation, and multiple linear regression was used to identify factors associated with FSD.
Among 370 participants, 330 (89.2%, 95% confidence interval [CI] 85.6%-92.2%) had FSD. The overall median FSFI score was 19.2 (interquartile range [IQR] 6.4-23.9). The arousal domain had the lowest subscore (median 2.7, IQR 0.0-3.6). The highest interdomain correlations were between lubrication and orgasm (r=0.87), arousal and lubrication (r=0.84), and arousal and orgasm (r=0.81) domains. Satisfactory health (β=3.34, 95% CI 1.16-5.52) and history of alcohol use (β=2.38, 95% CI 0.28-4.47) were independently associated with FSD.
FSD was prevalent among women with HIV infection. Care providers need to routinely address FSD as part of a comprehensive care package in the study setting.
描述在门诊护理机构接受治疗的感染艾滋病毒女性中女性性功能障碍（FSD）的患病率及其决定因素。
2013年3月至2014年2月期间，对尼日利亚乔斯大学教学医院艾滋病毒诊所的女性进行了一项基于问卷的横断面调查。采用自我管理的女性性功能指数（FSFI）评估FSD；得分低于26.55表明存在FSD。使用Pearson系数评估域间相关性，并使用多元线性回归确定与FSD相关的因素。
在370名参与者中，330名（89.2%，95%置信区间[CI]85.6%-92.2%）存在FSD。FSFI总分中位数为19.2（四分位间距[IQR]6.4-23.9）。唤起域得分最低（中位数2.7，IQR 0.0-3.6）。润滑与性高潮（r=0.87）、唤起与润滑（r=0.84）以及唤起与性高潮（r=0.81）域之间的域间相关性最高。健康状况良好（β=3.34，95%CI 1.16-5.52）和饮酒史（β=2.38，95%CI 0.28-4.47）与FSD独立相关。
FSD在感染艾滋病毒的女性中普遍存在。在研究环境中，护理提供者需要将FSD作为综合护理包的一部分进行常规处理。
