Fabricio Amanda Magdalena Feroldi, Sato Tatiana Oliveira, Gomes da Silva Stéfany, Poli Giovana Garçoni, de Araujo Silva Clara Maria, Padovez Roberta de Fátima Carreira Moreira, Rodrigues de Souza Daiana Priscila, Driusso Patricia, Beleza Ana Carolina Sartorato
University of West Paulista (UNOESTE), Jaú, São Paulo, Brazil.
Federal University of São Carlos (UFSCar), Rod. Washington Luís km 235 -SP-310, São Carlos, SP, Brazil.
Int Urogynecol J. 2023 Oct;34(10):2507-2511. doi: 10.1007/s00192-023-05562-w. Epub 2023 May 24.
Changes in the mechanisms that modulate sexual response can contribute to the development of female sexual dysfunction (FSD). Although the prevalence of FSD in Brazil has been established, its associated risk factors have not been thoroughly examined. This study aimed to determine the prevalence of FSD in Brazilian women and identify any factors that may be associated with its presence.
This study used a cross-sectional design and included women aged 18 years or older who had engaged in sexual activity within the past four weeks. Participants completed the Female Sexual Function Index (FSFI) and a sociodemographic and health questionnaire. Two groups were created based on FSFI scores: those with risk for FSD (score >26.55) and those without. The study used t-tests for independent samples to compare quantitative variables between the groups, and the chi-squared test, to compare categorical variables. Binomial logistic regression was used to test the association between sociodemographic and health variables and FSD.
FSD had a prevalence of 31.7% (95% CI: 28.2%-35.5%). The results indicated that practice of physical activity was inversely associated with FSD (OR: 0.64, 95% CI: 0.45-0.92), whereas urinary incontinence (OR: 2.55, 95% CI: 1.68-3.87) and post-menopause (OR: 4.69, 95% CI: 1.66-13.3) were directly associated with FSD.
A high prevalence of FSD was observed among Brazilian women in this study. Physically active women are less likely to have FSD. Menopause and the presence of urinary incontinence can negatively impact female sexual function.
调节性反应的机制变化可能导致女性性功能障碍（FSD）的发生。尽管巴西FSD的患病率已得到确定，但其相关危险因素尚未得到充分研究。本研究旨在确定巴西女性中FSD的患病率，并识别可能与其存在相关的任何因素。
本研究采用横断面设计，纳入了年龄在18岁及以上、在过去四周内有过性活动的女性。参与者完成了女性性功能指数（FSFI）以及一份社会人口统计学和健康问卷。根据FSFI评分创建了两组：有FSD风险的女性（评分>26.55）和无FSD风险的女性。本研究使用独立样本t检验来比较两组之间的定量变量，并使用卡方检验来比较分类变量。采用二项逻辑回归来检验社会人口统计学和健康变量与FSD之间的关联。
FSD的患病率为31.7%（95%置信区间：28.2%-35.5%）。结果表明，体育锻炼与FSD呈负相关（比值比：0.64，95%置信区间：0.45-0.92），而尿失禁（比值比：2.55，95%置信区间：1.68-3.87）和绝经后（比值比：4.69，95%置信区间：1.66-13.3）与FSD呈正相关。
本研究中观察到巴西女性中FSD的患病率较高。进行体育锻炼的女性患FSD的可能性较小。绝经和尿失禁的存在会对女性性功能产生负面影响。
