成都市女性性功能障碍的调查与相关因素的探析

目的:对成都市区FSD的患病情况进行调查,并探寻可能对其造成影响的相关因素。方法:以2015年7月至12月于四川大学华西医院健康体检中心进行体检的女性作为调查对象,应用中文版女性性功能指数量表(CVFSFI)及Beck抑郁问卷第二版(BDⅠ-Ⅱ)进行问卷调查,应用SPSS19.0建立数据库进行统计分析。结果:本次研究共发放问卷1237份,回收完整填写问卷1116份(回收率为90.2%)。女性性功能障碍(FSD)的发生率为26.1%,6个维度出现问题的比例由高到低依次为:性交疼痛23.4%,性满意度低22.6%,性高潮障碍21.5%,阴道润滑困难19.1%,性欲低下17.2%,性唤起困难15.9%。总体CVFSFI平均总分为(25.756±3.878)分。CVFSFI总分及6个维度的得分随着年龄的增长而减小。各个年龄组FSD发生率分别为:20~29岁组16.7%;30~39岁组21.9%;40~49岁组24.6%;≥50岁组64.7%。不同年龄组间,FSD发生率及各维度出现问题的比例差异均有统计学意义(P均<0.001),且随着年龄的增长有明显的增加。多因素Logistics回归分析显示,受教育(OR=0.654)是FSD的保护因素;年龄(OR=1.042)、BMI(OR=1.073)、绝经(OR=3.498)以及抑郁(OR=1.033)为FSD的危险因素。结论:成都市女性发生性功能障碍的比例约为26.1%,其中性交疼痛和性满意度低为主要表现。分析得出女性发生性功能障碍可能与年龄、BMI较大,受教育水平较低,以及处于绝经、抑郁状态有关。

Investigation on the prevalence and risk factors of female sexual dysfunction (FSD) among Chinese urban women in Chengdu

Objectives:To investigate the prevalence and risk factors of female sexual dysfunction (FSD) among urban women in Chengdu.Methods:Women who had check-up in health promotion center of West China Hospital from July to December 2015 were investigated with questionnaires of the Chinese version of the female sexual function index (CVFSFI) and the second version of Beck Depression Inventory (BDI-Ⅱ).All data were analyzed by SPSS 19.0.Results:A total of 1237 questionnaires was granted and 1116 questionnaires were completed.The recovery rate was 90.2％.The overall prevalence of FSD was 26.1％,and the proportion of six dimension problems from high to low was 23.4％,22.6％,21.5％,19.1％,17.2％ and 15.9％,concerning sexual pain,sexual satisfaction disorder,orgasm disorder,vaginal lubrication disorder,sexual desire disorder,sexual arousal disorder respectively.The average total score of FSFI was (25.756 ± 3.878),and it decreased with the increase of age.The incidence of FSD in each age group were:16.7％ in 20-29 years old group,21.9％ in 30-39 years old group,24.6％ in 40-49 years old group,and 64.7％ in ≥50 years old group respectively.In different age groups,there was a significant difference in the incidence of FSD and the proportion of problems in each dimension (P ＜ 0.001).With the increase of age,there was a significant increase.In addition,Logistics regression analysis showed that education (OR =0.654) was the protective factor for FSD,while age (OR =1.042),BMI (OR =1.073),menopause (OR =3.498) and depression (OR =1.033) were the risk tactors for FSD.Conclusion:The prevalence of FSD among urban women in Chengdu is 26.1％,with the sexual intercourse pain and low sexual satisfaction as the main symptoms.Age,BMI,low education level,and the status of menopause and depression may be related with FSD.