Yilmaz Banu A, Sonmez Yonca, Sezik Mekin
Department of Midwifery, Süleyman Demirel University School of Health Sciences, Isparta, Turkey.
Department of Public Health, Akdeniz University School of Medicine, Antalya, Turkey.
J Obstet Gynaecol Res. 2020 Mar;46(3):507-516. doi: 10.1111/jog.14185. Epub 2019 Dec 19.
We aimed (i) to evaluate the point prevalence for sexual dysfunction in a population of reproductive-aged married women living in an urban area in Isparta, Turkey, (ii) to examine demographic and psychosocial risk factors for sexual dysfunction.
In a cross-sectional design, following single-stage cluster sampling all married women living in three representative areas (n = 1323) were approached at their place of residence. Female sexual dysfunction, poor mental health and marital adjustment were assessed with the 9-item Index of Female Sexual Function, the 12-item General Health Questionnaire, and Locke-Wallace Short Marital-Adjustment Test, respectively. Descriptive data were presented as frequencies, percentages and mean ± standard deviations. Chi-square and independent samples t-test were used for univariate analysis. Logistic regression model was constructed to define independent risk factors for sexual dysfunction. P < 0.05 was considered statistically significant.
Of the 1216 women included in analyses (response rate 91.9%), 45.0% experience sexual dysfunction. Poor marital adjustment and poor mental health are associated with sexual dysfunction (odds ratio = 4.06; 95% confidence interval = 2.97-5.54; odds ratio = 2.74; 95% confidence interval = 2.00-3.72, respectively). Lack of social insurance, chronic disease of the spouse, perception of deficient knowledge on sexuality-related topics, perceived sexual problems, and increasing duration of marriage were also associated with sexual dysfunction (P < 0.05 for all).
Screening of married women for sexual dysfunction and the risk factors revealed in the present study may permit appropriate preventive interventions.
（i）评估居住在土耳其伊斯帕尔塔市区的育龄已婚女性群体中性功能障碍的时点患病率；（ii）研究性功能障碍的人口统计学和社会心理风险因素。
采用横断面设计，通过单阶段整群抽样，在三个具有代表性的区域联系了所有已婚女性（n = 1323）。分别使用9项女性性功能指数、12项一般健康问卷和洛克 - 华莱士简短婚姻调适测试评估女性性功能障碍、心理健康不佳和婚姻调适情况。描述性数据以频率、百分比和均值±标准差表示。采用卡方检验和独立样本t检验进行单因素分析。构建逻辑回归模型以确定性功能障碍的独立风险因素。P < 0.05被认为具有统计学意义。
纳入分析的1216名女性（应答率91.9%）中，45.0%存在性功能障碍。婚姻调适不佳和心理健康不佳与性功能障碍相关（优势比分别为4.06；95%置信区间 = 2.97 - 5.54；优势比为2.74；95%置信区间 = 2.00 - 3.72）。缺乏社会保险、配偶患有慢性病、对性相关话题知识不足的认知、感知到的性问题以及婚姻持续时间增加也与性功能障碍相关（所有P < 0.05）。
对已婚女性进行性功能障碍筛查以及本研究中揭示的风险因素可能有助于采取适当的预防干预措施。
