Dimtu Primary Hospital, Tiru Afeta District, Ethiopia.
Jimma University, Department of Population and Family Health, Ethiopia.
Ethiop J Health Sci. 2023 Jul;33(4):657-670. doi: 10.4314/ejhs.v33i4.12.
Sexual satisfaction is directly related to marital sustainability and quality of life. This study assessed the magnitude of sexual satisfaction and associated factors among married women.
A community-based cross-sectional study was conducted from May 18 to June 8/2021 using mixed data collection methods. The sample was calculated using single population proportion formula for the quantitative part while data saturation was applied for the qualitative part. Simple random and purposive sampling techniques were used to get participants for the quantitative and the qualitative parts respectively. The quantitative data were analyzed using Statistical Package for Social Science (SPSS) version 25, and the qualitative data were analyzed manually. Ordinal logistic regression was applied to explore the model. P-value <0.05 and AOR with a 95%CI were used to identify the statistical significance of the association.
About 398 married women participated in the study, making a response rate of 94.3% and 44.7% of them were moderately satisfied with their sexual life. Sexual satisfaction among the married women was significantly associated negatively with attending elementary education 99.9% [AOR=0.1, 95%CI:0.0,0.4)], positively with having social responsibility 19[AOR=19.3, 95%CI: 1.8, 28.3], and negatively with having poor sexual attitude 97%[AOR=0.1, 95%CI: 0.0, 0.3]. The qualitative finding showed that the majority of women engage in sexual intercourse for the satisfaction of their partners, without their needs.
Sexual satisfaction among married women was low in the study area. Comprehensive sexual and reproductive health awareness and strengthening of the prevention of harmful traditional practices are recommended.
性满意度与婚姻的可持续性和生活质量直接相关。本研究评估了已婚女性的性满意度及其相关因素的程度。
采用混合数据收集方法，于 2021 年 5 月 18 日至 6 月 8 日进行了一项基于社区的横断面研究。定量部分使用单一总体比例公式计算样本量，定性部分则应用数据饱和法。简单随机和目的抽样技术分别用于获得定量和定性部分的参与者。使用社会科学统计软件包（SPSS）版本 25 分析定量数据，手动分析定性数据。应用有序逻辑回归探索模型。P 值<0.05 和 95%CI 的 AOR 用于确定关联的统计学意义。
约 398 名已婚妇女参加了研究，应答率为 94.3%，其中 44.7%对她们的性生活中度满意。已婚妇女的性满意度与参加小学教育 99.9%呈显著负相关[AOR=0.1, 95%CI:0.0,0.4)]，与具有社会责任感 19[AOR=19.3, 95%CI: 1.8, 28.3]呈正相关，与性态度差 97%[AOR=0.1, 95%CI: 0.0, 0.3]呈负相关。定性结果表明，大多数女性为了满足伴侣的需求而进行性行为，而不是为了满足自己的需求。
研究地区已婚女性的性满意度较低。建议加强全面的性与生殖健康意识，并加强对有害传统习俗的预防。
