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孕期年轻女性性功能障碍与亲密伴侣暴力之间的相关性。

The correlation between sexual dysfunction and intimate partner violence in young women during pregnancy.

作者信息

Bahrami Vazir Ellahe, Mohammad-Alizadeh-Charandabi Sakineh, Kamalifard Mahin, Ghelichkhani Fatemeh, Mohammadi Azam, Mirghafourvand Mojgan

机构信息

Department of midwifery, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Islamic Republic of Iran.

Department of Midwifery, Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.

出版信息

BMC Int Health Hum Rights. 2020 Sep 14;20(1):24. doi: 10.1186/s12914-020-00245-9.

Abstract

BACKGROUND

Sexual function is one of the main aspects of life. Pregnancy affects sexual function. The aim of this study was to determine the sexual dysfunction in young pregnant women and its correlation with intimate partner violence (IPV).

METHODS

This cross-sectional study was conducted using two-stage cluster sampling method. The data were collected using a socio-demographic questionnaire, Female Sexual Function Index (FSFI), and Conflict Tactics Scale (CTS2). Multivariate logistic regression was used to determine the relationships between sexual dysfunction with IPV and socio-demographic factors.

RESULTS

The results of this study on 346 pregnant women aged 18-29 years showed that mean (SD = standard deviation) of the total sexual function score was 25.4 (5.9), within a possible score range of 2 to 36. About 66% of the young pregnant women had a sexual dysfunction. The lowest and the highest prevalence of sexual dysfunction were in sub domains of sexual satisfaction and sexual desire, respectively. The prevalence of overall IPV against young women was 63%. The most common type of IPV experienced by women was psychological aggression (56.6%). There were statistically significant relationships between sexual dysfunction and IPV (OR (Odds Ratio) = 0.4, 95% Confidence Interval = 0.2 to 0.6, p <  0.001), sufficiency of income for expenses (0.2, 0.1 to 0.6, p = 0.005), husband educational level (0.5, 0.3 to 0.9, p = 0.028) and marriage duration (1.9, 1.0 to 3.7, p = 0.044).

CONCLUSIONS

Sexual dysfunction has a high prevalence in young pregnant women and IPV had correlation with sexual dysfunction. The routine screening for sexual dysfunction and IPV is recommended during pregnancy for detection and consulting.

摘要

背景

性功能是生活的主要方面之一。怀孕会影响性功能。本研究的目的是确定年轻孕妇的性功能障碍及其与亲密伴侣暴力(IPV)的相关性。

方法

本横断面研究采用两阶段整群抽样方法。使用社会人口学问卷、女性性功能指数(FSFI)和冲突策略量表(CTS2)收集数据。采用多变量逻辑回归来确定性功能障碍与IPV及社会人口学因素之间的关系。

结果

本研究对346名年龄在18至29岁的孕妇进行的结果显示,性功能总得分的平均值(标准差=标准差)为25.4(5.9),可能得分范围为2至36。约66%的年轻孕妇存在性功能障碍。性功能障碍的最低和最高患病率分别出现在性满意度和性欲子领域。针对年轻女性的总体IPV患病率为63%。女性经历的最常见的IPV类型是心理攻击(56.6%)。性功能障碍与IPV(优势比(OR)=0.4,95%置信区间=0.2至0.6,p<0.001)、收入足以支付费用(0.2,0.1至0.6,p=0.005)、丈夫教育水平(0.5,0.3至0.9,p=0.028)和婚姻持续时间(1.9,1.0至3.7,p=0.044)之间存在统计学显著关系。

结论

年轻孕妇性功能障碍的患病率较高,且IPV与性功能障碍相关。建议在孕期对性功能障碍和IPV进行常规筛查,以便进行检测和咨询。

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