Pediatric Rheumatology Unit, Children's Institute, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Av. Dr. Eneas Carvalho Aguiar, São Paulo, SP, 05403-000, Brazil.
Discipline of Gynecology, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Adv Rheumatol. 2019 Mar 22;59(1):13. doi: 10.1186/s42358-019-0058-8.
To evaluate sexual function female adolescents and young adults with juvenile idiopathic arthritis (JIA) and healthy controls.
After exclusion, 21 female adolescent and young JIA patients and 25 healthy controls were selected for this study. Sexual function was assessed by the Sexual Quotient Questionnaire for Females (SQQ-F) score, which is a validated tool and adapted for Brazilian Portuguese language. Demographic data, JIA clinical/laboratory parameters and treatment were also assessed.
The median current age [26.5 (17-38.1) vs. 29.3 (19.7-35.8) years, p = 0.700)] as well as age at the first sexual activity [18 (14-30) vs. 17 (10-24) years, p = 0.158] were similar in JIA patients and healthy controls. The median of SQQ-F score was alike in both groups [75.9 (50-92) vs. 78.2 (58-94), p = 0.529], as well as frequencies of sexual dysfunction (14% vs. 12%, p = 1.000). The frequencies of all sexual domains (desire/sexual fantasies, desire/interest, arousal/foreplay, arousal/lubrication, arousal/in tune with partner, penetration/relaxation, pain/penetration, desire/involvement, orgasm and general satisfaction scores) were similar in JIA patients and healthy controls (p > 0.05).
To our knowledge, this was the first study using a validated sexual score in a chronic arthritis population suggesting a low frequency of overall sexual dysfunction in young JIA patients. Future multicenter studies with a large sample will be necessary to confirm this finding.
评估患有幼年特发性关节炎（JIA）的女性青少年和年轻女性的性功能，并与健康对照组进行比较。
排除后，本研究纳入 21 名患有 JIA 的青少年和年轻女性患者和 25 名健康对照者。采用女性性商数量表（SQQ-F）评分评估性功能，该评分是一种经过验证的工具，适用于巴西葡萄牙语。还评估了人口统计学数据、JIA 的临床/实验室参数和治疗情况。
JIA 患者和健康对照组的中位当前年龄[26.5（17-38.1）岁比 29.3（19.7-35.8）岁，p=0.700]以及首次性行为年龄[18（14-30）岁比 17（10-24）岁，p=0.158]相似。两组的 SQQ-F 评分中位数相似[75.9（50-92）分比 78.2（58-94）分，p=0.529]，性功能障碍的发生率也相似[14%比 12%，p=1.000]。JIA 患者和健康对照组在所有性领域（欲望/性幻想、欲望/兴趣、唤起/前戏、唤起/润滑、唤起/与伴侣合拍、插入/放松、疼痛/插入、欲望/参与、性高潮和总体满意度评分）的发生率相似（p>0.05）。
据我们所知，这是第一项在慢性关节炎人群中使用经过验证的性评分的研究，表明年轻 JIA 患者总体性功能障碍的发生率较低。未来需要进行更多的、具有更大样本量的多中心研究来证实这一发现。
