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伊朗女性代表性样本中的身体意象与性欲减退障碍的关系

Body Image and Hypoactive Sexual Desire Disorder Relationship in a Representative Sample of Iranian Women.

作者信息

Hamzehgardeshi Zeinab, Malary Mina, Moosazadeh Mahmood, Khani Soghra, Pourasghar Mehdi

机构信息

Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

出版信息

J Family Reprod Health. 2020 Jun;14(2):88-94. doi: 10.18502/jfrh.v14i2.4350.

Abstract

Hypoactive Sexual Desire Disorder (HSDD) among women is a complicated one which is created by various factors playing roles. One of the potential concerns related to Body Image (BI) is lack of sexual appeal in women. Body Image is often described as what a person perceives of their body encompassing the biological, psychological and social factors. The present research pursues the goal to investigate the association between BI and HSDD among the reproductive age women in Iran. The current study is a cross-sectional (descriptive -analytical) research done on 1000 reproductive age included woman (15-49 years), performed by systematic random sampling method. The data collection tool includes the socio-demographics and the sexual desire scale in addition to the revised sexual distress scale to measure HSDD completed as self-report by the samples. Univariate and multivariate regression tests have been used in order to analyze the data. The mean ± SD age of the women participating in the study was 32.09 ± 7.33. Having adjusted the confounder variables' effect by logistic regression multivariate analysis; the odd ratio for HSDD has been analyzed. The findings suggested that the odd ratio for HSDD in those not satisfied or slightly feeling fulfilled with their BI has been OR: 4.2 (95% CI: 1.98-9.05) and OR: 3.9 (95% CI: 2.29-6.65), respectively, times more than the ones highly satisfied with their body image. The present study results indicate that being dissatisfied with BI is a determinant factor of HSDD that is more probable in the people with negative image of their body structure and feeling lack of bodily appeal. Thus it is imperative to pay attention to this factor when analyzing HSDD.

摘要

女性性欲减退障碍(HSDD)是一种复杂的病症,由多种因素共同作用导致。与身体意象(BI)相关的一个潜在问题是女性缺乏性吸引力。身体意象通常被描述为一个人对自己身体的认知,包括生物、心理和社会因素。本研究旨在调查伊朗育龄妇女中身体意象与HSDD之间的关联。本研究是一项横断面(描述性 - 分析性)研究,对1000名年龄在15 - 49岁的育龄女性进行,采用系统随机抽样方法。数据收集工具包括社会人口统计学信息、性欲量表以及修订后的性困扰量表,用于测量HSDD,由样本以自我报告的方式完成。为了分析数据,使用了单变量和多变量回归测试。参与研究的女性的平均年龄±标准差为32.09 ± 7.33。通过逻辑回归多变量分析调整混杂变量的影响后,分析了HSDD的比值比。研究结果表明,对自己的身体意象不满意或略有满足感的女性患HSDD的比值比分别为OR:4.2(95% CI:1.98 - 9.05)和OR:3.9(95% CI:2.29 - 6.65),分别是对自己身体意象高度满意的女性的4.2倍和3.9倍。本研究结果表明,对身体意象不满意是HSDD的一个决定因素,在那些对自己身体结构有负面认知且感觉缺乏身体吸引力的人群中更有可能出现。因此,在分析HSDD时必须关注这一因素。

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