Department of Communicable Disease Control and Health Protection, The Public Health Agency of Sweden, Stockholm, Sweden; Division Public Health Epidemiology, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Communicable Disease Control and Health Protection, The Public Health Agency of Sweden, Stockholm, Sweden; Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
J Sex Med. 2020 Dec;17(12):2362-2369. doi: 10.1016/j.jsxm.2020.07.084. Epub 2020 Aug 29.
Human sexuality is a natural and important part of peoples' life and well-being. The underlying interactions affecting sexual satisfaction are complex, and sexual orientation differences partly remain to be identified as well as explained.
Our aim was to investigate sexual orientation-related differences in sexual satisfaction and sexual dissatisfaction and differences in sexual function and sexual-related problems.
We used Swedish data from SRHR2017 (sexual and reproductive health and rights), based on self-administered surveys, linked to nationwide registers. The national sample consisted of 14,537 women and men aged 16-84 years. With logistic regression, we examined sexual orientation-related differences in self-reported sexual satisfaction and sexual dissatisfaction, stratified by sex.
The main outcome measures of this study are odds ratios (ORs) with 95% confidence intervals (CIs).
Bisexual women were more dissatisfied with their sex life, as compared with heterosexual women (OR: 1.8; 95% CI: 1.3-2.6), as were bisexual men compared with heterosexual men (OR: 2.7; 95% CI: 1.7-4.4). A bisexual or lesbian identity was a robust risk factor for premature orgasm (OR: 2.1; 95% CI: 1.1-3.9 and OR: 8.0; 95% CI: 3.2-20.0, respectively). Lesbian women seemed to have lower risk for many sexual-related problems (however not significant). Gay men lacked arousal (OR: 3.3; 95% CI: 1.6-6.9), had no orgasm (OR: 2.6; 95% CI: 1.4-4.7), and were at lower risk of experiencing premature ejaculation (OR: 0.4; 95% CI: 0.2-0.9), as compared with heterosexual men.
Our findings contribute to the sparse evidence of some sexual orientation differences in sexual satisfaction and sexual dysfunctions. Especially bisexual women and men appear to experience less sexual satisfaction in relation to heterosexual and homosexual women and men. Björkenstam C, Mannheimer L, Löfström M, et al. Sexual Orientation-Related Differences in Sexual Satisfaction and Sexual Problems-A Population-Based Study in Sweden. J Sex Med 2020;17:2362-2369.
人类的性行为是人们生活和健康的自然而重要的一部分。影响性满足的潜在相互作用很复杂，性取向的差异部分仍有待确定和解释。
我们旨在研究性满足和性不满方面的性取向相关差异，以及性功能和与性相关问题方面的差异。
我们使用了基于自我管理调查的瑞典 2017 年性与生殖健康和权利调查（SRHR2017）的数据，这些调查与全国登记册相联系。全国样本由 14537 名年龄在 16-84 岁的女性和男性组成。我们使用逻辑回归，按性别分层，检查了自我报告的性满意度和性不满方面的性取向相关差异。
本研究的主要观察指标是比值比（OR）及其 95%置信区间（CI）。
与异性恋女性相比，双性恋女性对性生活的不满程度更高（OR：1.8；95%CI：1.3-2.6），与异性恋男性相比，双性恋男性也是如此（OR：2.7；95%CI：1.7-4.4）。双性恋或女同性恋身份是性高潮提前的一个强有力的危险因素（OR：2.1；95%CI：1.1-3.9 和 OR：8.0；95%CI：3.2-20.0）。女同性恋女性似乎较少出现许多与性相关的问题（但无统计学意义）。与异性恋男性相比，男同性恋者缺乏性唤起（OR：3.3；95%CI：1.6-6.9），没有性高潮（OR：2.6；95%CI：1.4-4.7），并且出现早泄的风险较低（OR：0.4；95%CI：0.2-0.9）。
我们的研究结果为一些性满足和性功能障碍方面的性取向差异的稀缺证据做出了贡献。特别是双性恋女性和男性与异性恋和同性恋女性和男性相比，性满足度似乎较低。Björkenstam C，Mannheimer L，Löfström M，等人。性取向相关的性满足和性问题差异：瑞典的一项基于人群的研究。性医学杂志 2020；17：2362-2369。
