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女性性功能障碍的患病率:对一家妇科门诊329名女性的调查研究结果

Prevalence of sexual dysfunction in women: results of a survey study of 329 women in an outpatient gynecological clinic.

作者信息

Rosen R C, Taylor J F, Leiblum S R, Bachmann G A

机构信息

Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School, Piscataway 08854.

出版信息

J Sex Marital Ther. 1993 Fall;19(3):171-88. doi: 10.1080/00926239308404902.

Abstract

Few studies have investigated the prevalence of sexual dysfunction in nonclinical samples. In the present study, a standardized sexual function questionnaire was administered to 329 healthy women, aged 18-73 years, all of whom were enrolled in a Women's Wellness Center. About two-thirds of the sample were married or living with a partner, and most women were employed outside of the home. A broad range of sexual behavior frequencies were observed, with 48.5% reporting at least weekly intercourse, compared to 28.4% who were not sexually active at the time of study. Among the most common sexual problems reported were anxiety or inhibition during sexual activity (38.1%), lack of sexual pleasure (16.3%), and difficulty in achieving orgasm (15.4%). Other common problems were lack of lubrication (13.6%) and painful intercourse (11.3%), each of which was significantly more prevalent in the postmenopausal group. Despite these difficulties, 68.6% of the sample rated their overall sexual relationship as satisfactory. Age and relationship status were significant predictors of sexual satisfaction, with older women and singles reporting a higher incidence of sexual problems. Educational level, religious affiliation, and employment status were not predictive of sexual dysfunction in the present study.

摘要

很少有研究调查非临床样本中性功能障碍的患病率。在本研究中,对329名年龄在18至73岁之间的健康女性进行了标准化性功能问卷调查,她们均登记在一家女性健康中心。样本中约三分之二已婚或与伴侣同居,大多数女性在外工作。观察到性行为频率范围广泛,48.5%的人报告至少每周有一次性交,相比之下,在研究时没有性活动的人占28.4%。报告的最常见性问题包括性活动期间的焦虑或抑制(38.1%)、缺乏性快感(16.3%)和难以达到性高潮(15.4%)。其他常见问题包括缺乏润滑(13.6%)和性交疼痛(11.3%),每一项在绝经后组中都明显更为普遍。尽管存在这些困难,68.6%的样本对她们的整体性关系评价为满意。年龄和关系状况是性满意度的重要预测因素,年龄较大的女性和单身者报告的性问题发生率较高。在本研究中,教育水平、宗教信仰和就业状况不能预测性功能障碍。

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