Ramírez-Santos Javier, Cristóbal-Cañadas Delia, Parron-Carreño Tesifón, Lozano-Paniagua David, Nievas-Soriano Bruno José
Cruz de Caravaca Health Center, Andalusian Health Service, Almeria, 04008, Spain.
Paediatric Intensive Care Unit, Torrecárdenas University Hospital, Almeria, 04009, Spain.
Sex Med Rev. 2024 Mar 26;12(2):116-126. doi: 10.1093/sxmrev/qead058.
Sexuality is an integral part of human health, and sexual dysfunctions are prevalent issues that affect men and women. While reviews on sexual dysfunctions in various diseases have been conducted, overall data are scarce.
To update the overall prevalence of sexual dysfunctions from available prevalence studies on both sexes.
We used a 2-phase selection process to include cross-sectional studies that were conducted on the adult population and published between 2017 and 2022. The extracted data were prevalence, methodology, sample size, and location. Sensitivity and subgroup analyses were conducted to assess heterogeneity.
This review analyzed 4407 studies. Twenty-three met the established criteria: 9 on the male population and 14 on the female population. The meta-analysis included 7 articles on males and 13 on females. The prevalence of sexual dysfunction was 31% in men and 41% in women, with significant heterogeneity among the studies. Sociocultural differences and use of varying measurement methods were identified as the main factors contributing to heterogeneity. Subgroup analysis revealed decreased heterogeneity among studies that used the Female Sexual Function Index as a diagnostic tool for females.
The review highlights the notable variability in results due to methodological and geographic variations. Therefore, enhancing the training of professionals and standardizing the recording of patient data-through the Female Sexual Function Index and Male Sexual Health Questionnaire or by developing new ones for this purpose-could improve the consistency of research on sexual health.
性是人类健康的一个组成部分，性功能障碍是影响男性和女性的普遍问题。虽然已经对各种疾病中的性功能障碍进行了综述，但总体数据仍然匮乏。
根据现有的关于两性的患病率研究，更新性功能障碍的总体患病率。
我们采用两阶段筛选过程，纳入2017年至2022年期间对成年人群进行的横断面研究。提取的数据包括患病率、方法、样本量和地点。进行敏感性和亚组分析以评估异质性。
本综述分析了4407项研究。其中23项符合既定标准：9项针对男性人群，14项针对女性人群。荟萃分析包括7篇关于男性的文章和13篇关于女性的文章。男性性功能障碍的患病率为31%，女性为41%，各研究之间存在显著异质性。社会文化差异和测量方法的不同被确定为导致异质性的主要因素。亚组分析显示，使用女性性功能指数作为女性诊断工具的研究之间异质性降低。
该综述强调了由于方法和地域差异导致的结果显著变异性。因此，通过女性性功能指数和男性性健康问卷或为此目的开发新的问卷来加强专业人员培训并规范患者数据记录，可能会提高性健康研究的一致性。
