Ljungman Lisa, Lampic Claudia, Wettergren Lena
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Sex Med. 2020 Dec;8(4):631-642. doi: 10.1016/j.esxm.2020.08.010. Epub 2020 Sep 30.
There is a lack of studies using validated instruments to investigate prevalence and predictors of sexual dysfunction among young adults.
This population-based observational study aimed to determine the prevalence and predictors of sexual dysfunction in young adults in Sweden and to compare sexual function in women and men.
A random sample of the general population aged 19-40 years, identified via the Swedish population registry, was approached with a postal survey. A total of 819 individuals participated, 493 women (51% response) and 326 men (34% response). Predictors of sexual dysfunction were identified by multivariable logistic binary regression analyses.
Sexual function and satisfaction were assessed using the Patient-Reported Outcomes Measurement Information System Sexual Function and Satisfaction measure, version 2.0.
Among the women, 53% reported at least one sexual dysfunction; the corresponding figure for men was 31%. The most common sexual dysfunction in women was low sexual interest (reported by 32%), whereas low satisfaction with sex life was the most common dysfunction in men (reported by 17%). Men reported a higher level of sexual interest and orgasm ability than women, whereas women reported a higher level of orgasm pleasure than men. Regression models showed that in both women and men, having a partner was related to lower risk of dysfunction in the domains satisfaction with sex life and orgasm pleasure. Having children was related to low interest in sex in women, whereas it was related to dissatisfaction with sex life in men. Being born outside of Sweden predicted sexual dysfunction in both women and men, as did experiencing symptoms of anxiety and depression.
Sexual dysfunction is common in young adults, particularly in women. Risk factors of sexual dysfunction include not having a partner, having children, being an immigrant, and reporting symptoms of anxiety and depression. Ljungman L, Lampic C, Wettergren L, et al. Sexual Dysfunction Among Young Adults in Sweden-A Population-Based Observational Study. Sex Med 2020;8:631-642.
目前缺乏使用经过验证的工具来调查年轻成年人性功能障碍患病率及预测因素的研究。
这项基于人群的观察性研究旨在确定瑞典年轻成年人性功能障碍的患病率及预测因素，并比较男性和女性的性功能。
通过瑞典人口登记处确定了19至40岁的普通人群随机样本，并通过邮寄调查与之联系。共有819人参与，其中493名女性（回复率51%）和326名男性（回复率34%）。通过多变量逻辑二元回归分析确定性功能障碍的预测因素。
使用患者报告结局测量信息系统性功能和满意度量表2.0版评估性功能和满意度。
在女性中，53%报告至少有一种性功能障碍；男性的相应数字为31%。女性中最常见的性功能障碍是性兴趣低下（32%报告），而男性中对性生活满意度低是最常见的功能障碍（17%报告）。男性报告的性兴趣和性高潮能力水平高于女性，而女性报告的性高潮快感水平高于男性。回归模型显示，在女性和男性中，有伴侣与性生活满意度和性高潮快感领域功能障碍风险较低相关。有孩子与女性对性的低兴趣相关，而与男性对性生活的不满相关。在瑞典境外出生预测了女性和男性的性功能障碍，焦虑和抑郁症状也是如此。
性功能障碍在年轻成年人中很常见，尤其是在女性中。性功能障碍的风险因素包括没有伴侣、有孩子、是移民以及报告焦虑和抑郁症状。Ljungman L, Lampic C, Wettergren L等。瑞典年轻成年人的性功能障碍——一项基于人群的观察性研究。性医学2020；8：631 - 642。
