Riazi Hedyeh, Madankan Fatemeh, Azin Seyed Ali, Nasiri Maliheh, Montazeri Ali
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.
Womens Midlife Health. 2021 Sep 17;7(1):8. doi: 10.1186/s40695-021-00067-2.
Sexual self-efficacy is essential for appropriate and desirable sexual function and sexual quality of life. This study aimed to compare sexual quality of life and sexual self-efficacy among women during reproductive-menopausal transition stages and postmenopause. This was a cross-sectional study of a sample of Iranian women. The sexual quality of life-female (SQOL-F) scale was used to measure sexual quality of life (SQOL) and sexual self-efficacy (SSE) was measured using the sexual self-efficacy questionnaire (SSEQ). Data were compared between the study groups using multiple linear regression. In all 340 women (170 in reproductive-menopausal transition stages and 170 postmenopause) were studied. The mean ages of reproductive-menopausal transition stages and postmenopausal women was 30.8 ± 6.55 and 56.3 ± 3.54 respectively (P < 0.001). Sexual self-efficacy and sexual quality of life were found to be significantly higher in reproductive-menopausal transition stages compared with postmenopause women (P < 0.001 and P = 0.017 respectively). Sexual and relationship satisfaction and sexual repression subscales differed significantly between the two groups (P = 0.001 and P < 0.001 respectively). Higher sexual self-efficacy contributed to higher sexual quality of life (P < 0.0001). Reproductive-menopausal transition stages women appear to enjoy higher levels of sexual self-efficacy and sexual quality of life. Given the importance of sexual quality of life, it is recommended to pay greater attention to sexual self-efficacy among postmenopausal women in order to improve sexual quality of life in this population.
性自我效能对于适当且理想的性功能及性生活质量至关重要。本研究旨在比较处于生殖-绝经过渡阶段的女性与绝经后女性的性生活质量和性自我效能。这是一项针对伊朗女性样本的横断面研究。采用女性性生活质量（SQOL-F）量表来测量性生活质量（SQOL），并使用性自我效能量表（SSEQ）来测量性自我效能（SSE）。使用多元线性回归对研究组之间的数据进行比较。共研究了340名女性（170名处于生殖-绝经过渡阶段，170名处于绝经后）。生殖-绝经过渡阶段女性和绝经后女性的平均年龄分别为30.8±6.55岁和56.3±3.54岁（P<0.001）。结果发现，与绝经后女性相比，生殖-绝经过渡阶段女性的性自我效能和性生活质量显著更高（分别为P<0.001和P=0.017）。两组之间的性与关系满意度及性压抑子量表存在显著差异（分别为P=0.001和P<0.001）。更高的性自我效能有助于提高性生活质量（P<0.0001）。生殖-绝经过渡阶段的女性似乎享有更高水平的性自我效能和性生活质量。鉴于性生活质量的重要性，建议更加关注绝经后女性的性自我效能，以改善该人群的性生活质量。
