a Department of Gynecology and Obstetrics , Peking University People's Hospital , Beijing , P. R. China.
b Department of Gynecology and Obstetrics , The First People's Hospital of Yunnan Province , Kumming City, P. R. China.
Climacteric. 2019 Feb;22(1):73-78. doi: 10.1080/13697137.2018.1514002. Epub 2018 Nov 30.
The study aimed to identify the factors associated with the sexual lives of perimenopausal and postmenopausal women in China.
A total of 426 participants were approached about this study from May 2012 to August 2013. In total, 252 cases were included in this study. One hundred and ninety-seven women who filled out the Quality of Sexual Life Questionnaire for Women (QSLQW) and the modified Kupperman Menopausal Index (KMI) had an active sexual life. Pearson's coefficient index was used to determine the correlation between the KMI and different domains of the QSLQW. Multivariable statistical analysis was performed to determine the correlation between different factors and the sexual life of perimenopausal and postmenopausal women.
When the participants reported a higher KMI, they suffered lower sexual satisfaction (r = -0.16, p = 0.035), more severe sexual anxiety (r = -0.367, p = 4.9 × 10), and less sexual response (r = -0.21, p = 0.004). No correlation was found between the KMI and sexual communication, sexual attitude, and self-image. Multivariable statistical analysis showed that menopause status and higher KMI scores are associated with a decrease in sexual satisfaction among Chinese women (β = -9.76, 95% CI -16.89 to -2.64 and β = -0.41, 95% CI -0.68 to -0.15, respectively), and that the better the spousal relationship, the fewer deliveries and the higher the scores of sexual life quality (β = 8.86, 95% CI -0.91 to 18.63 and β = -6.65, 95% CI -11.83 to -1.48, respectively).
Factors including parity, spousal relationship, menopausal status, and menopausal symptoms are associated with the quality of sexual life of perimenopausal and postmenopausal women in China.
本研究旨在探讨中国围绝经期和绝经后妇女性生活的相关影响因素。
2012 年 5 月至 2013 年 8 月期间，共对 426 名参与者进行了此项研究。共纳入 252 例病例，这些病例均填写了女性性生活质量问卷（QSLQW）和改良的库珀曼绝经指数（KMI），且有活跃的性生活。采用 Pearson 系数指数来确定 KMI 与 QSLQW 不同领域之间的相关性。采用多变量统计分析来确定不同因素与围绝经期和绝经后妇女性生活之间的相关性。
当参与者报告的 KMI 较高时，其性满意度较低（r=-0.16，p=0.035），性焦虑更严重（r=-0.367，p=4.9×10-4），性反应较差（r=-0.21，p=0.004）。KMI 与性沟通、性态度和自我形象之间没有相关性。多变量统计分析表明，绝经状态和较高的 KMI 评分与中国女性的性满意度降低有关（β=-9.76，95%CI-16.89 至-2.64 和 β=-0.41，95%CI-0.68 至-0.15），而夫妻关系越好、分娩次数越少、性生活质量评分越高（β=8.86，95%CI-0.91 至 18.63 和 β=-6.65，95%CI-11.83 至-1.48）。
在中国，包括生育次数、夫妻关系、绝经状态和绝经症状等因素与围绝经期和绝经后妇女的性生活质量有关。
