Lammerink Ellen A G, de Bock Geertruida H, Pascal Astrid, van Beek Andre P, van den Bergh Alfons C M, Sattler Margriet G A, Mourits Marian J E
Department of Obstetrics and Gynecology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; Department of Obstetrics and Gynecology, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Department of Epidemiology, University Medical Center Groningen, Groningen, The Netherlands.
J Sex Med. 2017 Jul;14(7):937-949. doi: 10.1016/j.jsxm.2017.04.676.
After the diagnosis and treatment of disease, a major barrier to research on psychosexual functioning is the lack of a consistent estimate for the prevalence of female sexual dysfunction in the general population.
To clarify the prevalence of age-related female sexual functioning in the general population.
A sample was compiled by random selection of women from the general population in the northern part of the Netherlands and was categorized by age. Women completed the Female Sexual Function Index (FSFI), personal medical items and daily activities, the Body Image Scale, the SF-36 Health Survey, the Hospital Anxiety and Depression Scale, and the Multidimensional Fatigue Inventory. Participants' representativeness was assessed by comparing their characteristics with data from the Dutch Central Agency for Statistics and the Dutch Health Monitor. General health, fatigue, and well-being were compared with national or international data.
Age-related total and domain scores of the FSFI.
We evaluated female sexual functioning of 521 sexually active women. For women 20 to 80 years old, sexual functioning showed wide variance and was poor in 28% of all sexually active women, with FSFI scores being below the defined clinical cutoff (FSFI score < 26.55). Although sexual activity and functioning significantly decreased with increasing age, sexual satisfaction decreased only non-significantly.
This study provides valuable age-specific ranges for female sexual functioning in the general population and can inform upcoming clinical studies.
This is the largest study on female sexual function in a representative Dutch population using internationally validated tools and described by age categories, providing valuable information that can help in the understanding of how female sexual function changes with age. The FSFI has been criticized for not assessing personal distress related to sexual problems, so the lack of the Female Sexual Distress Scale in our study is an unfortunate shortcoming. The high rate of sexual inactivity (31%) resulted in fewer women being available to evaluate sexual functioning, but this could reflect the actual level of sexual (in)activity among women in a general population.
FSFI total and domain scores showed wide variation across all age categories, but overall, one in four sexually active women scored below the diagnostic cutoff score. Sexual activity and functioning also decreased with age, whereas sexual satisfaction decreased only slightly. Lammerink EAG, de Bock GH, Pascal A, et al. A Survey of Female Sexual Functioning in the General Dutch Population. J Sex Med 2017;42:937-949.
在疾病的诊断和治疗之后，性心理功能研究的一个主要障碍是缺乏对普通人群中女性性功能障碍患病率的一致估计。
明确普通人群中与年龄相关的女性性功能状况。
通过从荷兰北部普通人群中随机选取女性组成样本，并按年龄分类。女性完成女性性功能指数（FSFI）、个人医疗项目和日常活动、身体意象量表、SF-36健康调查、医院焦虑抑郁量表以及多维疲劳量表。通过将参与者的特征与荷兰中央统计局和荷兰健康监测的数据进行比较来评估参与者的代表性。将总体健康、疲劳和幸福感与国内或国际数据进行比较。
FSFI与年龄相关的总分及各领域得分。
我们评估了521名性活跃女性的性功能。对于20至80岁的女性，性功能表现出很大差异，在所有性活跃女性中有28%的性功能较差，FSFI得分低于规定的临床临界值（FSFI得分<26.55）。尽管性活动和功能随年龄增长显著下降，但性满意度仅略有下降。
本研究为普通人群中女性性功能提供了有价值的特定年龄范围，并可为即将开展的临床研究提供参考。
这是在具有代表性的荷兰人群中使用国际认可工具并按年龄类别描述的关于女性性功能的最大规模研究，提供了有助于理解女性性功能如何随年龄变化的有价值信息。FSFI因未评估与性问题相关的个人困扰而受到批评，因此我们研究中缺乏女性性困扰量表是一个不幸的缺点。性活动不活跃率较高（31%）导致可供评估性功能的女性较少，但这可能反映了普通人群中女性的实际性（不）活动水平。
FSFI总分及各领域得分在所有年龄类别中均表现出很大差异，但总体而言，四分之一的性活跃女性得分低于诊断临界分。性活动和功能也随年龄下降，而性满意度仅略有下降。拉默林克EAG、德博克GH、帕斯卡A等。荷兰普通人群女性性功能调查。《性医学杂志》2017年；42:937 - 949。
