巴西青春期和青年女性的性功能：一项横断面研究。
Sexual function in Brazilian female adolescents and young adults: a cross-sectional study.
机构信息
Universidade Federal de São Paulo, Paulista School of Medicine, Department of Obstetrics - São Paulo (SP), Brazil.
Universidade Federal de São Paulo, Paulista School of Medicine, Department of Internal Medicine - São Paulo (SP), Brazil.
出版信息
Rev Assoc Med Bras (1992). 2022 Sep;68(9):1210-1215. doi: 10.1590/1806-9282.20220232.
OBJECTIVE
The aim of this study was to investigate and compare the sexual function of Brazilian adolescents and young women who were using popular contraceptive methods.
METHODS
This cross-sectional study took place in 2012-2014 in a free family planning clinic of a tertiary teaching hospital in Brazil. Participants were female adolescents (10-19 years) and young adults (20-24 years) who were using barrier (condom) or hormonal contraceptive methods. The Female Sexual Function Index questionnaire was used to assess the sexual function in the last 4 weeks.
RESULTS
A total of 199 women (128 adolescents and 71 young adults) were included. There were no significant differences in the mean total Female Sexual Function Index scores of adolescents and young adults (26.6±5.7 versus 27.6±6.2, respectively, p=0.264). Compared to young adults, adolescents had significantly lower mean scores for orgasm (3.9±1.5 versus 4.4±1.4, p=0.020) and dyspareunia (4.4±1.6 versus 5.2±1.5, p=0.001; lower scores indicate more dyspareunia). There were no significant differences in the proportion of adolescents versus adults classified as being at risk for sexual dysfunction (38.3 versus 42.3%, p=0.651) or at risk of low desire (18.0 versus 21.1%, p=0.579).
CONCLUSION
Nearly 40% of Brazilian female adolescents and young adults are at risk for sexual dysfunctional symptoms and 19% have low desire, without significant differences between the two age groups.
目的
本研究旨在调查和比较使用流行避孕方法的巴西青少年和年轻女性的性功能。
方法
这是一项 2012-2014 年在巴西一家三级教学医院的免费计划生育诊所进行的横断面研究。参与者为使用屏障（避孕套）或激素避孕方法的女性青少年（10-19 岁）和年轻女性（20-24 岁）。使用女性性功能指数问卷评估过去 4 周的性功能。
结果
共纳入 199 名女性（128 名青少年和 71 名年轻女性）。青少年和年轻女性的平均总女性性功能指数评分无显著差异（分别为 26.6±5.7 和 27.6±6.2，p=0.264）。与年轻女性相比，青少年的性高潮（3.9±1.5 对 4.4±1.4，p=0.020）和性交痛（4.4±1.6 对 5.2±1.5，p=0.001；分数越低表示性交痛越严重）的平均得分明显较低。在被归类为有性功能障碍风险的青少年与成年女性的比例（38.3%对 42.3%，p=0.651）或有低欲望风险的比例（18.0%对 21.1%，p=0.579）方面，两组之间无显著差异。
结论
近 40%的巴西青少年和年轻女性有性功能障碍症状的风险，19%有低欲望，两组之间无显著差异。
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