Alidost Farzane, Pakzad Reza, Dolatian Mahrokh, Abdi Fatemeh
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Epidemiology, Faculty of Heath, Ilam University of Medical Sciences, Ilam, Iran.
Int J Reprod Biomed. 2021 Jun 23;19(5):421-432. doi: 10.18502/ijrm.v19i5.9251. eCollection 2021 May.
Available statistics show a high prevalence of sexual dysfunction (SD) among women worldwide. Various factors affect SD among women of reproductive age.
To evaluate studies on the prevalence and determinants of SD in different parts of the world.
MEDLINE, EMBASE, Web of Science, Scopus and ProQuest databases were systematically reviewed during 2000-2019. All original articles were reviewed. The STROBE checklist was used to evaluate the quality of the papers. I was calculated to determine heterogeneity. Fixed effects and/or random-effects models were applied to estimate the pooled prevalence. Meta-regression analysis was also performed to identify the sources of heterogeneity.
Based on the results of the meta-analysis (21 eligible studies), the pooled prevalence with 95% confidence interval of SD was estimated at 50.75% (41.73-59.78). The prevalence of pain and disorders in arousal, sexual desire, lubrication, orgasm, and sexual satisfaction were calculated (39.08%, 48.21%, 50.70%, 37.60%, 40.16%, and 35.02%, respectively). Also, age, depression, low education level, increased duration of the marriage, and the presence of chronic diseases were the highest risk factors for SD.
The prevalence of SD in women of reproductive age varies in different countries. Considering the importance of female SD, further studies are needed to facilitate the development of relevant educational interventions.
现有统计数据显示，全球女性性功能障碍（SD）的患病率很高。各种因素影响育龄女性的性功能障碍。
评估世界各地关于性功能障碍患病率及其决定因素的研究。
对2000年至2019年期间的MEDLINE、EMBASE、科学网、Scopus和ProQuest数据库进行系统综述。对所有原创文章进行了审查。使用STROBE清单评估论文质量。计算I值以确定异质性。应用固定效应和/或随机效应模型来估计合并患病率。还进行了Meta回归分析以确定异质性的来源。
基于Meta分析结果（21项符合条件的研究），性功能障碍的合并患病率及其95%置信区间估计为50.75%（41.73 - 59.78）。计算了疼痛以及性唤起、性欲、润滑、性高潮和性满意度方面障碍的患病率（分别为39.08%、48.21%、50.70%、37.60%、40.16%和35.02%）。此外，年龄、抑郁、低教育水平、婚姻持续时间增加以及慢性病的存在是性功能障碍的最高风险因素。
不同国家育龄女性性功能障碍的患病率有所不同。考虑到女性性功能障碍的重要性，需要进一步开展研究以促进相关教育干预措施的发展。
