Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
, Tehran, Iran.
BMC Womens Health. 2024 Jan 24;24(1):64. doi: 10.1186/s12905-024-02899-2.
Sexual problems and diminished sexual quality of life can adversely affect the physical, psychological, and emotional health of women. The present study was done to determine the social intermediate factors of health associated with sexual quality of life in women of reproductive age.
Systematic review and Meta-analysis.
Embase, Web of Science, PubMed/Medline (NLM), ProQuest, and CENTRAL.
Observational studies (cross-sectional, case-control, cohort) from 2010 to 2022 with no language constraints were included. The sexual quality of life, as the main variable of the study, has been evaluated using Symonds women's sexual quality of life scale (SQOL-F). The health social determinants intermediate factors based on WHO model were considered as exposure variables.
The data of included studies were extracted by two independent persons through a researcher-made checklist according to the study aims. Quality assessment of studies was done using Newcastle-Ottawa instrument. R software (Version R-4.2.1) were used for meta-analysis. Publication bias was evaluated by Egger & Begg tests. Sensitivity analysis was done through one-out remove approach.
Eventually, 15 studies were eligible to be included in this systematic review and meta-analysis. Variables of depression, quality of marital relation, body image, self-esteem, physical activity, and sexual function were among the health social intermediate factors associated with sexual quality of life. Publication bias had no effect on the obtained results; no study affecting the results was found through sensitivity analysis.
Considering the relationship between modifiable factors and sexual quality of life, it seems that identification of these factors can be an important step towards designing interventional studies to help women experience enhanced sexual quality of life.
性问题和性生活质量下降会对女性的身心健康产生不利影响。本研究旨在确定与生育期女性性生活质量相关的健康社会中间因素。
系统评价和荟萃分析。
Embase、Web of Science、PubMed/Medline（NLM）、ProQuest 和 CENTRAL。
纳入 2010 年至 2022 年发表的无语言限制的观察性研究（横断面、病例对照、队列研究）。本研究主要变量为 Symonds 女性性生活质量量表（SQOL-F）评估的性生活质量。以世界卫生组织（WHO）模型为基础的健康社会决定因素中间因素被视为暴露变量。
两名独立人员根据研究目的通过研究者制定的清单提取纳入研究的数据。使用纽卡斯尔-渥太华量表对研究质量进行评估。使用 R 软件（版本 R-4.2.1）进行荟萃分析。通过 Egger 和 Begg 检验评估发表偏倚。通过逐一剔除的方法进行敏感性分析。
最终，有 15 项研究符合本系统评价和荟萃分析的纳入标准。与性生活质量相关的健康社会中间因素包括抑郁、婚姻关系质量、身体形象、自尊、身体活动和性功能。发表偏倚对结果没有影响，通过敏感性分析没有发现影响结果的研究。
考虑到可改变因素与性生活质量之间的关系，识别这些因素似乎是设计干预性研究以帮助女性体验增强性生活质量的重要步骤。
