Gazibara Tatjana, Nurkovic Selmina, Kovacevic Nikolina, Kurtagic Ilma, Rancic Biljana, Radovanovic Sanja, Milosevic Branislav, Terzic Milan, Dotlic Jelena
Institute for Epidemiology, Faculty of Medicine, University of Belgrade, Visegradska 26A, Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, Dr Subotica 8, Belgrade, Serbia.
Qual Life Res. 2017 Oct;26(10):2793-2804. doi: 10.1007/s11136-017-1608-3. Epub 2017 Jun 3.
To assess factors associated with better sexual quality of life (QOL) in midlife period among women who are and are not sexually active.
Participants were 500 women aged 40-65 years from Belgrade, Serbia. Data were collected through general questionnaire (regarding socio-demographic characteristics, lifestyle habits, general medical, and gynecological history) in which one item investigated having partnered sexual activity (heterosexual intercourses). The sexual domain of the Utian Quality of Life Scale was used to assess the sexual QOL. The sexual QOL consisted of reflections on the satisfaction with frequency of sexual interactions, as well as sexual and romantic life in general. Higher scores indicated better sexual QOL.
Most women were sexually active in midlife (81.6%). The mean sexual QOL score for the overall sample was 9.99 (range 3-15). The level of sexual QOL did not differ between sexually active and non-active women. Factors associated with better sexual QOL in sexually active menopausal women were being married or coupled, being physically active, having more children, having hot flushes, and not having tachycardia. Factors associated with better sexual QOL in sexually inactive menopausal women were drinking alcohol, being physically active, not having insomnia or skin rash.
Sexual QOL among Serbian urban midlife women was good and did not differ between women who were sexually active and those who were not. Further studies are needed to determine in what manner women who are not sexually active in midlife achieve high level of satisfaction with their sexual QOL.
评估在中年时期，有和没有性活动的女性中与更好的性生活质量（QOL）相关的因素。
参与者为来自塞尔维亚贝尔格莱德的500名年龄在40 - 65岁的女性。通过一般问卷（关于社会人口学特征、生活方式习惯、一般医疗和妇科病史）收集数据，其中一个项目调查是否有性伴侣的性活动（异性性交）。使用乌田生活质量量表的性领域来评估性生活质量。性生活质量包括对性互动频率以及总体性和浪漫生活满意度的反映。分数越高表明性生活质量越好。
大多数女性在中年时期有性活动（81.6%）。整个样本的平均性生活质量得分为9.99（范围3 - 15）。有性活动和无性活动的女性在性生活质量水平上没有差异。在有性活动的绝经后女性中，与更好的性生活质量相关的因素是已婚或有伴侣、身体活跃、孩子较多、有潮热症状且没有心动过速。在无性活动的绝经后女性中，与更好的性生活质量相关的因素是饮酒、身体活跃、没有失眠或皮疹。
塞尔维亚城市中年女性的性生活质量良好，有性活动和无性活动的女性之间没有差异。需要进一步研究来确定中年无性活动的女性以何种方式对其性生活质量达到高度满意。
