Prevalence and risk factors for sexual dysfunction in reproductive‐aged married women: A cross‐sectional epidemiological study

摘要

Abstract Aim We aimed (i) to evaluate the point prevalence for sexual dysfunction in a population of reproductive‐aged married women living in an urban area in Isparta, Turkey, (ii) to examine demographic and psychosocial risk factors for sexual dysfunction. Methods In a cross‐sectional design, following single‐stage cluster sampling all married women living in three representative areas ( n = 1323) were approached at their place of residence. Female sexual dysfunction, poor mental health and marital adjustment were assessed with the 9‐item Index of Female Sexual Function, the 12‐item General Health Questionnaire, and Locke‐Wallace Short Marital‐Adjustment Test, respectively. Descriptive data were presented as frequencies, percentages and mean?±?standard deviations. Chi‐square and independent samples t ‐test were used for univariate analysis. Logistic regression model was constructed to define independent risk factors for sexual dysfunction. P ??0.05 was considered statistically significant. Results Of the 1216 women included in analyses (response rate 91.9%), 45.0% experience sexual dysfunction. Poor marital adjustment and poor mental health are associated with sexual dysfunction (odds ratio = 4.06; 95% confidence interval = 2.97–5.54; odds ratio = 2.74; 95% confidence interval = 2.00–3.72, respectively). Lack of social insurance, chronic disease of the spouse, perception of deficient knowledge on sexuality‐related topics, perceived sexual problems, and increasing duration of marriage were also associated with sexual dysfunction ( P ??0.05 for all). Conclusion Screening of married women for sexual dysfunction and the risk factors revealed in the present study may permit appropriate preventive interventions.