Richters Juliet, Yeung Anna, Rissel Chris, McGeechan Kevin, Caruana Theresa, de Visser Richard
Kirby Institute, University of New South Wales, Sydney, NSW, 2052, Australia.
MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, ON, Canada.
Arch Sex Behav. 2022 Apr;51(3):1435-1446. doi: 10.1007/s10508-021-02244-w. Epub 2022 Feb 10.
The Australian Study of Health and Relationships is a large national population-representative survey of sexual behavior and attitudes conducted every decade. We describe experiences of sexual difficulties lasting at least a month among Australians surveyed in 2012-2013 and identify changes since the previous survey in 2001-2002. Computer-assisted telephone interviews were completed by 20,091 people aged 16-69 years (participation rate 66%) of whom 16,897 people had had sex with a partner in the previous year. We asked how long each difficulty lasted, whether it was a problem, and whether they sought treatment. Half (48%) the men and 68% of women reported at least one difficulty. Lack of interest in having sex was common (28% men, 52% women); 21% of men reported coming to orgasm "too quickly" and women reported inability to reach orgasm (25%) and trouble with vaginal dryness (22%). Women were more likely than men not to find sex pleasurable and to have physical pain during intercourse. Some differences by age group were also apparent. Many difficulties were not seen as problems, especially lacking interest and reaching orgasm too quickly. People with erection/dryness problems, or with pain in intercourse, were more likely to seek treatment, as were people with multiple difficulties. Between 2001-2002 and 2012-2013, there was little change for men, but among women rates of all sexual difficulties fell by 4-10 percentage points. This change accompanied a drop in frequency of sex among people in ongoing relationships and an increase in masturbation and use of pornography. One explanation might be that, over time, fewer women were agreeing to "service sex" when they were not in the mood. Overall, the drop in prevalence of women's sexual difficulties since a decade earlier suggests a change towards more egalitarian sexual relations.
《澳大利亚健康与关系研究》是一项具有全国人口代表性的大型调查，每十年进行一次，内容涉及性行为和性态度。我们描述了在2012年至2013年接受调查的澳大利亚人中持续至少一个月的性困难经历，并确定自上一次2001年至2002年的调查以来的变化。20091名年龄在16至69岁之间的人完成了计算机辅助电话访谈（参与率为66%），其中16897人在过去一年与伴侣发生过性行为。我们询问了每种困难持续了多长时间、是否是个问题以及他们是否寻求过治疗。一半（48%）的男性和68%的女性报告至少有一个困难。对性行为缺乏兴趣很常见（男性为28%，女性为52%）；21%的男性报告射精“过快”，女性报告无法达到性高潮（25%）以及阴道干涩问题（22%）。女性比男性更有可能觉得性行为不愉快，并且在性交过程中感到身体疼痛。不同年龄组之间也存在一些差异。许多困难不被视为问题，尤其是缺乏兴趣和射精过快。有勃起/干涩问题或性交疼痛的人，以及有多种困难的人，更有可能寻求治疗。在2001年至2002年和2012年至2013年之间，男性变化不大，但女性所有性困难的发生率下降了4至10个百分点。这一变化伴随着处于恋爱关系中的人性交频率的下降以及自慰和使用色情制品的增加。一种解释可能是，随着时间的推移，越来越少的女性在没有性趣时同意“进行性服务”。总体而言，自十年前以来女性性困难患病率的下降表明向更加平等的性关系转变。
