Macedo Ana, Capela Eunice, Peixoto Manuela
Faculdade de Medicina e Ciências Biomédicas, Universidade do Algarve, 8005-139 Faro, Portugal.
Algarve Biomedical Center, 8005-139 Faro, Portugal.
Healthcare (Basel). 2023 Jun 7;11(12):1680. doi: 10.3390/healthcare11121680.
Sexual satisfaction is a complex, multifaceted, and broad concept that is influenced by several factors. The minority stress theory posits that sexual and gender minorities are at a particular risk for stress due to stigma and discrimination at the structural, interpersonal, and individual levels. The aim of this systematic review and meta-analysis was to evaluate and compare the sexual satisfaction between lesbian (LW) and heterosexual (HSW) cisgender women.
A systematic review and meta-analysis were conducted. We searched the PubMed, Scopus, Science Direct, Websci, Proquest, and Wiley online databases from 1 January 2013 to 10 March 2023 to identify the published observational studies on sexual satisfaction in women according to their sexual orientation. The risk of bias in the selected studies was assessed using the JBI critical appraisal checklist for the analytical cross-sectional studies.
A total of 11 studies and 44,939 women were included. LW reported having orgasms during a sexual relationship more frequently than HSW, OR = 1.98 (95% CI 1.73, 2.27). In the same direction, the frequency of women reporting "no or rarely" for having orgasms during their sexual relationships was significantly lower in the LW than the HSW, OR = 0.55 (95% CI 0.45, 0.66). The percentage of the LW who reported having sexual intercourse at least once a week was significantly lower than that of the HSW, OR = 0.57 for LW (95% CI 0.49, 0.67).
Our review showed that cisgender lesbian women reached orgasm during sexual relations more often than cisgender heterosexual women. These findings have implications for gender and sexual minority health and healthcare optimization.
性满意度是一个复杂、多方面且宽泛的概念，受到多种因素影响。少数群体压力理论认为，由于在结构、人际和个体层面存在污名化和歧视，性少数群体和性别少数群体面临着特殊的压力风险。本系统评价和荟萃分析的目的是评估和比较女同性恋（LW）和顺性别异性恋（HSW）女性之间的性满意度。
进行了一项系统评价和荟萃分析。我们检索了2013年1月1日至2023年3月10日期间的PubMed、Scopus、Science Direct、Websci、Proquest和Wiley在线数据库，以识别已发表的根据女性性取向进行的关于性满意度的观察性研究。使用JBI分析性横断面研究的关键评价清单评估所选研究的偏倚风险。
共纳入11项研究和44939名女性。女同性恋者报告在性关系中达到性高潮的频率高于异性恋者，比值比（OR）=1.98（95%置信区间[CI]1.73，2.27）。同样，报告在性关系中“没有或很少”达到性高潮的女性频率，女同性恋者显著低于异性恋者，OR=0.55（95%CI 0.45，0.66）。报告每周至少进行一次性交的女同性恋者百分比显著低于异性恋者，女同性恋者的OR=0.57（95%CI 0.49，0.67）。
我们的评价表明，顺性别女同性恋者在性关系中达到性高潮的频率高于顺性别异性恋女性。这些发现对性少数群体和性别少数群体的健康及医疗保健优化具有启示意义。
