Salwa Rosli, Haizlene Abd Halim, Mazapuspavina Md Yasin, Suddin Leny Suzana
MD, Department of Primary Care Medicine, Faculty of Medicine Universiti Teknologi Mara (UiTM), Jalan Hospital, Sungai Buloh, Selangor, Malaysia.
MBBChBAO, BMedSc, MMed (Fam Med), Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi Mara (UiTM), Jalan Hospital, Sungai Buloh, Selangor Malaysia.
Malays Fam Physician. 2025 Jul 29;20:55. doi: 10.51866/oa.883. eCollection 2025.
Sexual health is integral to quality of life, and female sexual dysfunction (FSD) is a significant public health concern recognised by the World Health Organization. Its prevalence is rising globally, with limited data among primary care practitioners (PCPs). Multifactorial issues such as high work burden in PCPs, coupled with low help-seeking behaviours, contribute to the likelihood of FSD and poor quality of life. This study aimed to determine the prevalence and associated factors of FSD among PCPs in Malaysia.
This cross-sectional study was conducted using a self-administered online questionnaire for 6 months duration in Malaysia. Sociodemographic, marital and clinical data were collected, and two validated questionnaires namely the Malay Version of the Female Sexual Function Index (MVFSFI) and the Depression, Anxiety and Stress Scale (DASS-21) were utilised. Data analysis included descriptive statistics and logistic regression.
The study included 382 participants. The prevalence of FSD was 14.7% (95% confidence interval [CI] : 11.1, 18.2) among the participants, and the most affected domain was desire disorder (25.4%). Significant associations were observed between sexual activity two or fewer times per month (adjusted odds ratio [aOR]: 4.880; 95% CI: 2.522, 9.442; P<0.001), depression (aOR: 3.450; 95% CI: 1.653, 7.204; P<0.001) and degree-level education (aOR: 2.659; 95% CI: 1.338, 5.285; P=0.005) and FSD.
This study identifies FSD as a prevalent issue among Malaysian PCPs, emphasising its biopsychosocial complex and the need for a holistic approach. Understanding the cultural determinants of FSD is important to tailor screening and intervention strategies.
性健康是生活质量的重要组成部分，女性性功能障碍（FSD）是世界卫生组织认可的一个重大公共卫生问题。其在全球的患病率正在上升，而初级保健医生（PCP）中相关数据有限。初级保健医生工作负担重等多因素问题，再加上求助行为少，增加了女性性功能障碍的可能性和生活质量低下的风险。本研究旨在确定马来西亚初级保健医生中女性性功能障碍的患病率及相关因素。
本横断面研究在马来西亚使用自行填写的在线问卷进行，为期6个月。收集了社会人口学、婚姻和临床数据，并使用了两份经过验证的问卷，即马来语版女性性功能指数（MVFSFI）和抑郁、焦虑和压力量表（DASS - 21）。数据分析包括描述性统计和逻辑回归。
该研究纳入了382名参与者。参与者中女性性功能障碍的患病率为14.7%（95%置信区间[CI]：11.1，18.2），受影响最严重的领域是性欲障碍（25.4%）。每月性行为两次或更少（调整后的优势比[aOR]：4.880；95% CI：2.522，9.442；P<0.001）、抑郁（aOR：3.450；95% CI：1.653，7.204；P<0.001）以及学历为本科及以上（aOR：2.659；95% CI：1.338，5.285；P = 0.005）与女性性功能障碍之间存在显著关联。
本研究确定女性性功能障碍是马来西亚初级保健医生中的一个普遍问题，强调了其生物心理社会复杂性以及采取整体方法的必要性。了解女性性功能障碍的文化决定因素对于制定筛查和干预策略很重要。
