Kling Juliana M, Sidhu Kimran, Rullo Jordan, Mara Kristin C, Frohmader Hilsaca Karla S, Kapoor Ekta, Faubion Stephanie S
Division of Women's Health Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA.
Royal College of Surgeons, Dublin, Ireland.
Sex Med. 2019 Jun;7(2):162-168. doi: 10.1016/j.esxm.2018.11.009. Epub 2019 Jan 21.
Sexual dysfunction is a common problem in women and the nature of its association with alcohol use remains unclear.
To explore the association between alcohol use and female sexual dysfunction (FSD).
Associations between self-reported drinking and sexual function were evaluated in 2,253 women presenting for consultation to a women's health specialty clinic. A short version of the Alcohol Use Disorders Identification Test (AUDIT-C) was used to evaluate alcohol use. Women with an AUDIT-C ≥3 were considered at risk for hazardous drinking. Multivariable regression, controlling for depression, anxiety, and abuse (childhood and recent), was used to assess the association between alcohol consumption and FSD (defined as a Female Sexual Function Index [FSFI] ≤26.55 and Female Sexual Distress Scale [FSDS] ≥11) in sexually active women.
The main study outcome measure was the presence of FSD as defined by a score ≤26.55 on the FSFI and ≥11 on the FSDS.
57% of the 1,649 sexually active women were classified as having FSD; 80% reported any alcohol use and 38% reported drinking patterns with the potential to be hazardous. The women at risk for hazardous drinking had significantly higher FSFI domain scores indicating better sexual function (P ≤ .001). However, in multivariable analyses, there was no significant difference in the rates of FSD across alcohol use categories in women.
In women presenting for consultation to a women's health specialty clinic, an association between alcohol use and FSFI scores was seen, in which greater risk of hazardous drinking was associated with better sexual function scores. However, when sexual distress was included to define sexual dysfunction, those with FSD were not at higher risk of hazardous drinking. Given the complex nature of FSD, additional study is needed to further clarify these relationships. Kling JM, Sidhu K, Rullo J, et al. Association Between Alcohol Use and Female Sexual Dysfunction From the Data Registry on Experiences of Aging, Menopause, and Sexuality (DREAMS). Sex Med 2019;7:162-168.
性功能障碍是女性的常见问题，其与饮酒之间的关联性质仍不明确。
探讨饮酒与女性性功能障碍（FSD）之间的关联。
对2253名前往女性健康专科诊所咨询的女性进行自我报告饮酒情况与性功能之间的关联评估。使用酒精使用障碍识别测试简版（AUDIT-C）评估饮酒情况。AUDIT-C评分≥3的女性被视为有危险饮酒风险。在性活跃女性中，采用多变量回归分析，控制抑郁、焦虑和虐待（童年期和近期）因素，以评估饮酒量与FSD（定义为女性性功能指数[FSFI]≤26.55且女性性困扰量表[FSDS]≥11）之间的关联。
主要研究观察指标是根据FSFI评分≤26.55且FSDS评分≥11定义的FSD的存在情况。
1649名性活跃女性中，57%被归类为患有FSD；80%报告有饮酒情况，38%报告的饮酒模式有潜在危险。有危险饮酒风险的女性FSFI各领域得分显著更高，表明性功能更好（P≤0.001）。然而，在多变量分析中，女性不同饮酒类别中FSD发生率无显著差异。
在前往女性健康专科诊所咨询的女性中，饮酒与FSFI评分之间存在关联，其中危险饮酒风险越高，性功能评分越好。然而，当纳入性困扰来定义性功能障碍时，患有FSD的女性并非有更高的危险饮酒风险。鉴于FSD的复杂性，需要进一步研究以进一步阐明这些关系。克林·J·M、西杜·K、鲁洛·J等。来自衰老、绝经和性经历数据登记处（DREAMS）的饮酒与女性性功能障碍之间的关联。性医学2019；7：162 - 168。
