Jahangirifar Maryam, Davis Susan R, Fooladi Ensieh, Islam Rakibul M
School of Nursing and Midwifery, Monash University, Melbourne, VIC, Australia.
Women's Health Research Program, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Climacteric. 2025 Aug 7:1-10. doi: 10.1080/13697137.2025.2537973.
This study aimed to document the prevalence of sexual difficulties, sexually-related personal distress, sexual dysfunction and associated factors among refugee women in Australia.
The cross-sectional study included refugee women aged 18-63 years. Sexual difficulties were defined as selecting 'always' or 'very often' on the Profile of Female Sexual Function, while distress was a score of at least 11 on the Female Sexual Distress Scale - Revised. Female sexual dysfunction (FSD) combined these scores. Participants also completed the Woman Abuse Screening Tool and the Bristol Female Lower Urinary Tract Symptoms questionnaire.
Among 299 participants (median age 41 years), sexual difficulties, sexually-related personal distress and FSD were present in 39.3%, 33.2% and 7.0%, respectively. Perimenopausal/postmenopausal status (adjusted odds ratio [aOR] = 2.8, 95% confidence interval [CI]: 1.4-5.6, = 0.003) and sexual activity (aOR = 0.2, 95% CI: 0.1-0.4, < 0.001) predicted sexual difficulties. Intimate partner abuse (aOR = 5.9, 95% CI: 2.4-14.5, < 0.001) and urinary incontinence (aOR = 4.5, 95% CI: 1.5-13.0, = 0.006) were associated with sexually-related personal distress.
Perimenopausal/postmenopausal status and sexual inactivity were associated with sexual difficulties, while intimate partner abuse and urinary incontinence were associated with sexually-related distress, highlighting the importance of proactive screening for psychosocial and physical health issues in sexual health assessments among refugee women.
本研究旨在记录澳大利亚难民妇女中性功能障碍、性相关个人困扰、性功能障碍及相关因素的患病率。
这项横断面研究纳入了年龄在18 - 63岁的难民妇女。性功能障碍被定义为在女性性功能量表上选择“总是”或“非常频繁”，而困扰则是在修订后的女性性困扰量表上得分至少为11分。女性性功能障碍（FSD）综合了这些得分。参与者还完成了妇女虐待筛查工具和布里斯托尔女性下尿路症状问卷。
在299名参与者（中位年龄41岁）中，性功能障碍、性相关个人困扰和FSD的发生率分别为39.3%、33.2%和7.0%。围绝经期/绝经后状态（调整后的优势比[aOR]=2.8，95%置信区间[CI]：1.4 - 5.6，P = 0.003）和性活动（aOR = 0.2，95% CI：0.1 - 0.4，P < 0.001）可预测性功能障碍。亲密伴侣虐待（aOR = 5.9，95% CI：2.4 - 14.5，P < 0.001）和尿失禁（aOR = 4.5，95% CI：1.5 - 13.0，P = 0.006）与性相关个人困扰有关。
围绝经期/绝经后状态和性活动不活跃与性功能障碍有关，而亲密伴侣虐待和尿失禁与性相关困扰有关，这凸显了在难民女性性健康评估中积极筛查心理社会和身体健康问题的重要性。
