Tey Yin Yee, Ching Siew Mooi, Maharajan Mari Kannan, Lee Kai Wei, Chow Zhen Yee, Chua Pei Wen, Tan Chin Xuan, Lim Shi Nie, Tan Chun Han, Thew Hui Zhu, Ramachandran Vasudevan, Hoo Fan Kee
MD, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
MMedFamMed, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Malays Fam Physician. 2022 Mar 17;17(2):56-63. doi: 10.51866/oa.86. eCollection 2022 Jul 24.
This study aimed to determine the prevalence and factors associated with female sexual dysfunction in an outpatient clinic in Malaysia.
The study was conducted among female patients aged 50 years and older who attended the outpatient clinic of a public hospital in Malaysia. A self-administered questionnaire was used that was based on the Malay version of the Female Sexual Function Index questionnaire. The predictors of female sexual dysfunction were identified using multivariate logistic regression analysis.
A total of 263 females were recruited in this study, with a mean age of 60.6 ± 6.7 years. The distribution of the respondents' ethnicities was mostly Malay (42.2%), followed by Chinese (41.8%) and Indian (16.0%). The prevalence of female sexual dysfunction among participants was 68.8%. The prevalence of the subscales of female sexual dysfunction was as follows: desire (85.2%), satisfaction (74.9%), arousal (71.1%), lubrication (66.9%), pain (61.2%), and orgasm (60.8%). According to multivariate logistic regression, patients of Indian ethnicity had an increased risk of female sexual dysfunction (0R=16.60, 95% CI=2.54-108.63), and a higher frequency of sexual intercourse was correlated with a lower risk of female sexual dysfunction (0R=0.13, 95% CI=0.08-0.24).
Seven-tenths of the middle-aged female patients attending the outpatient clinic suffered from female sexual dysfunction. Indian ethnicity and having a lower frequency of sexual intercourse were predictors of female sexual dysfunction. Future intervention studies are needed to address this problem.
本研究旨在确定马来西亚一家门诊诊所中女性性功能障碍的患病率及相关因素。
该研究在马来西亚一家公立医院门诊就诊的50岁及以上女性患者中进行。使用了一份基于马来语版女性性功能指数问卷的自填式问卷。通过多因素逻辑回归分析确定女性性功能障碍的预测因素。
本研究共招募了263名女性，平均年龄为60.6±6.7岁。受访者的种族分布主要为马来人（42.2%），其次是华人（41.8%）和印度人（16.0%）。参与者中女性性功能障碍的患病率为68.8%。女性性功能障碍各子量表的患病率如下：性欲（85.2%）、满意度（74.9%）、性唤起（71.1%）、润滑（66.9%）、疼痛（61.2%）和性高潮（60.8%）。根据多因素逻辑回归分析，印度族裔患者发生女性性功能障碍的风险增加（OR=16.60，95%CI=2.54-108.63），而较高的性交频率与较低的女性性功能障碍风险相关（OR=0.13，95%CI=0.08-0.24）。
在该门诊就诊的中年女性患者中，十分之七患有女性性功能障碍。印度族裔和较低的性交频率是女性性功能障碍的预测因素。未来需要进行干预研究以解决这一问题。
