Adebusoye L A, Ogunbode O, Owonokoko K M, Ogunbode A M, Aimakhu C
Department of Family Medicine, University College Hospital, Ibadan, Nigeria.
Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Nigeria.
Ann Ib Postgrad Med. 2020 Jun;18(1):9-17.
Sexual dysfunction is a common but under-reported problem of public health importance among female adults in Nigeria. Empirical evidence on sexual dysfunction among female Nigerians is scarce.
To determine the prevalence and risk factors associated with sexual dysfunction among female patients presenting at the General Outpatient Clinic (GOPC), University College Hospital (UCH), Ibadan, Nigeria.
This was a cross-sectional study of 480 married female patients who presented consecutively at the GOPC, UCH, Ibadan, Nigeria. The 28-item Sexual Function Questionnaire (SFQ-28) was used to determine sexual dysfunction. Information on their sociodemographic characteristics, obstetric and gynecological history were obtained. Bivariate and multivariate analyses were carried out and alpha was set at 0.05.
Point prevalence of sexual dysfunction was 80.0%. The most common sexual dysfunction was problems with sexual desire (99.4%), while the least common was problems with arousal cognition (5.8%). There was a significant association between the prevalence of sexual dysfunction and age, years of relationship, number of children alive, parity, level of education, age at coitarche and family dysfunction. Age (OR=0.893; 95% CI=0.821-0.972, p=0.008), parity (OR=3.093; 95% CI=1.174- 8.151, p=0.022), having family dysfunction (OR=2.096; 95% CI= 1.129-3.891, p=0.019) and having ≥10 years of formal education (OR=4.808; 95% CI= 2.604-8.928, p<0.0001) were found to be the predictors of sexual dysfunction.
Sexual dysfunction among female married adults in our setting was high. We propose that modifiable factors such as socio-demographic and gynaecological variables should be evaluated during the consultation of female patients at first contact.
性功能障碍是尼日利亚成年女性中一个常见但报告不足的具有公共卫生重要性的问题。关于尼日利亚女性性功能障碍的实证证据很少。
确定在尼日利亚伊巴丹大学学院医院综合门诊就诊的女性患者中性功能障碍的患病率及相关危险因素。
这是一项对480名已婚女性患者的横断面研究，这些患者连续在尼日利亚伊巴丹大学学院医院综合门诊就诊。采用28项性功能问卷（SFQ - 28）来确定性功能障碍。获取了她们的社会人口学特征、产科和妇科病史信息。进行了双变量和多变量分析，设定α为0.05。
性功能障碍的点患病率为80.0%。最常见的性功能障碍是性欲问题（99.4%），而最不常见的是性唤起认知问题（5.8%）。性功能障碍患病率与年龄、恋爱年限、存活子女数、产次、教育程度、初潮年龄和家庭功能障碍之间存在显著关联。年龄（OR = 0.893；95%CI = 0.821 - 0.972，p = 0.008）、产次（OR = 3.093；95%CI = 1.174 - 8.151，p = 0.022）、存在家庭功能障碍（OR = 2.096；95%CI = 1.129 - 3.891，p = 0.019）以及接受≥10年正规教育（OR = 4.808；95%CI = 2.604 - 8.928，p < 0.0001）被发现是性功能障碍的预测因素。
我们所研究环境中已婚成年女性的性功能障碍发生率很高。我们建议在首次接触女性患者进行咨询时，应评估社会人口学和妇科等可改变因素。
