Jalali Tahereh, Bostani Khalesi Zahra, Jafarzadeh-Kenarsari Fatemeh
Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran.
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
J Menopausal Med. 2021 Aug;27(2):87-93. doi: 10.6118/jmm.21006.
The present study aimed to determine the association between sexual self-efficacy (SSE) and quality of life (QOL) among menopausal women.
In this analytical cross-sectional study, 558 menopausal women were enrolled. Consecutive and available sampling was performed for the sample collection. The instruments used for data collection included a three-part questionnaire consisting of demographic information, Menopausal-Specific Quality of Life Questionnaire (MENQOL), and SSE questionnaire.
Overall, the maximum and minimum scores of SSE were related to sexual desire (2.88 ± 0.60) and orgasm (0.85 ± 0.17). The highest and lowest scores of QOL were related to psychosocial (4.14 ± 1.24) and sexual activity (3.03 ± 1.74) domains. A significant correlation was observed between the QOL and the domains of SSE ( < 0.001). The maximum and minimum correlation of QOL were related to sexual desire ( < 0.001, r = 0.030) and orgasm ( < 0.001, r = 0.108), respectively. Furthermore, a significant correlation was observed between the SSE score and all domains of QOL except for the vasomotor domain. With regard to the SSE score, the maximum association was found with the sexual activity score ( < 0.001, r = 0.466).
Based on the findings of this study, a significant direct correlation was observed between the QOL and SSE of menopausal women. Thus, further research and developing education and consultation as intervention programs for enhancing SSE can promote the QOL among women.
本研究旨在确定绝经后女性的性自我效能感（SSE）与生活质量（QOL）之间的关联。
在这项分析性横断面研究中，招募了558名绝经后女性。采用连续和便利抽样进行样本收集。用于数据收集的工具包括一份由三部分组成的问卷，内容涵盖人口统计学信息、绝经特异性生活质量问卷（MENQOL）和SSE问卷。
总体而言，SSE的最高和最低得分分别与性欲（2.88±0.60）和性高潮（0.85±0.17）相关。生活质量的最高和最低得分分别与心理社会领域（4.14±1.24）和性活动领域（3.03±1.74）相关。观察到生活质量与SSE各领域之间存在显著相关性（<0.001）。生活质量的最大和最小相关性分别与性欲（<0.001，r = 0.030）和性高潮（<0.001，r = 0.108）相关。此外，除血管舒缩领域外，观察到SSE得分与生活质量的所有领域之间存在显著相关性。就SSE得分而言，与性活动得分的关联最大（<0.001，r = 0.466）。
基于本研究的结果，观察到绝经后女性的生活质量与性自我效能感之间存在显著的直接相关性。因此，进一步开展研究以及开发教育和咨询作为增强性自我效能感的干预项目，可以提高女性的生活质量。
