Department of Midwifery, Chalous Branch, Islamic Azad University, Chalous, Iran.
Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali-Asr Avenue, Cross of Vali-Asr and H Highway, Opposite to Rajaee Heart Hospital, 1996835119, Tehran, Iran.
BMC Womens Health. 2021 Dec 7;21(1):403. doi: 10.1186/s12905-021-01549-1.
Postmenopause physiological changes may alter body image (BI) during the postmenopausal period of life. Body image dissatisfaction may have negative effects on the sexual function of women. The present study aims to assess the relationship between body image and sexual function during the postmenopausal period.
This cross-sectional study was performed on 231 postmenopausal women who were menopausal during the recent 5 years, aged > 40 years old, and referring to health centers in Tehran-Iran. The participants were recruited using a multi-stage sampling method. Data were collected using 3 questionnaires including socio-demographic, Fisher's Body Image, and female sexual function index (FSFI). Data were analyzed using SPSS 24 and multiple regression, Mann-Whitey, Pearson, and Spearman correlation tests.
Two hundred thirty-one postmenopausal women aged 52.53 ± 5.32 (mean ± SD) years old participated in the study. The mean and standard deviation of FSFI and BI of the women were respectively 19.59 ± 11.11(ranges 1.2-36) and 155.43 ± 37.09 (ranges from 46 to 230). According to FSFI, 62.8% of female sexual dysfunction (FSD) was reported. There were significant correlations between scores of total and all domains of FSFI with scores of total and all dimensions of BI. There was also a positive correlation between education and family income of the women and a negative correlation between age of husband and duration of menopause with their sexual function. Significant relationships were also shown between the women's and the husbands' jobs with the total score of women's sexual function. According to the multiple linear regression model, BI was a significant predictor of sexual function in postmenopausal women.
Body image is effective on the sexual function of postmenopausal women. Therefore, body image is necessary to be considered in future postmenopausal health promotion programs.
绝经后生理变化可能会改变女性绝经后时期的身体意象（BI）。身体意象不满可能会对女性的性功能产生负面影响。本研究旨在评估绝经后身体意象与性功能之间的关系。
本横断面研究共纳入 231 名绝经后 5 年内、年龄>40 岁、来自伊朗德黑兰健康中心的女性。采用多阶段抽样法招募参与者。使用包括社会人口统计学、Fisher 身体意象和女性性功能指数（FSFI）在内的 3 份问卷收集数据。采用 SPSS 24 及多元回归、Mann-Whitey、Pearson 和 Spearman 相关检验对数据进行分析。
共有 231 名 52.53±5.32 岁（均数±标准差）的绝经后女性参与了研究。女性 FSFI 和 BI 的均数和标准差分别为 19.59±11.11（范围 1.2-36）和 155.43±37.09（范围 46-230）。根据 FSFI，62.8%的女性存在性功能障碍（FSD）。FSFI 总分和所有领域的评分与 BI 总分和所有维度的评分均呈显著相关。女性的受教育程度和家庭收入与丈夫的年龄和绝经持续时间与性功能呈负相关。女性和丈夫的工作也与女性性功能总分显著相关。根据多元线性回归模型，BI 是绝经后女性性功能的一个重要预测因子。
身体意象对绝经后女性的性功能有影响。因此，在未来的绝经后健康促进计划中，有必要考虑身体意象。
