Department of Gynecology, Obstetrics and Gynecological Oncology, University Clinical Hospital, Medical University of Silesia, 40-752 Katowice, Poland.
Int J Environ Res Public Health. 2022 Apr 1;19(7):4207. doi: 10.3390/ijerph19074207.
Maintaining sexual life in older women might be perceived as a measure of healthy and successful aging. This study aimed to establish the prevalence of female sexual dysfunction (FSD) based on the DSM-5 criteria and predictors of sexual performance in older women.
A total of 185 women between 55 and 79 years old were included in the study. Validated scales were used to assess sexual function (Changes in Sexual Function Questionnaire (CSFQ)), the propensity for sexual excitation/inhibition (Sexual Excitation/Sexual Inhibition Inventory for Women), and sexual anxiety/avoidance (Body Exposure during Sexual Activity Questionnaire (BESAQ)). Multiple regression was used to assess the factors affecting sexual function and the prevalence of FDS.
Sexual distress was diagnosed in 14.1% of women, and FSD in 16.2% ( = 53), whereas sexual problems (CSFQ) were diagnosed in 33.3% of women, and distressing sexual concerns in 35.1%. Women with a lower number of male sexual partners (β = -0.22), a better attitude toward sex (β = 0.25), higher importance of sex (β = 0.31), a higher level of sexual excitation (β = 0.34), and that were sexually active (β = 0.39) had better sexual function, as evaluated by CSFQ.
Most older women remain sexually active. The diversity of sexual activity in later life should be affirmed to encourage women to be sexually active and to strengthen the response to sexual stimuli.
维持老年女性的性生活可能被视为健康和成功衰老的一种衡量标准。本研究旨在根据 DSM-5 标准确定女性性功能障碍（FSD）的患病率，并确定老年女性性表现的预测因素。
共纳入 185 名 55 至 79 岁的女性。采用经过验证的量表评估性功能（性功能变化问卷（CSFQ））、性兴奋/抑制倾向（女性性兴奋/性抑制量表）和性焦虑/回避（性活动期间身体暴露问卷（BESAQ））。多元回归用于评估影响性功能的因素和 FSD 的患病率。
14.1%的女性被诊断为性困扰，16.2%（=53）的女性被诊断为 FSD，33.3%的女性被诊断为性问题（CSFQ），35.1%的女性有困扰性的性问题。性伴侣较少的女性（β=-0.22）、对性态度较好的女性（β=0.25）、性重要性较高的女性（β=0.31）、性兴奋水平较高的女性（β=0.34）和性活跃的女性（β=0.39）的 CSFQ 评分更高，性功能更好。
大多数老年女性仍保持着性活跃。应该肯定晚年多样化的性活动，鼓励女性保持性活跃，并加强对性刺激的反应。
