摘要
目的通过对40~60岁中老年女性性生活不适感的调查,探讨中老年女性性生活不适感的患病率以及绝经症状等因素的影响。方法收集2015年6月至2016年6月于上海交通大学附属第六人民医院健康体检中心参加健康体检的40~60岁女性,采用问卷方式调查人口学特征,采用Kupperman评分量表评估绝经症状,以无、轻、中、重4个等级评估性生活不适感,资料采用SPSS 20.0软件进行统计分析。结果共纳入2 374名研究对象,性生活不适感的患病率为37.5%,且以轻度(30.4%)为主;绝经后妇女性生活不适感患病率(48.7%)显著高于围绝经期(31.5%)和绝经前(8.3%)妇女(P<0.01)。随着绝经症状程度加重,性生活不适感的患病率增高(P<0.01),潮热出汗、感觉异常、失眠、情绪波动、眩晕、心悸、高文化程度、糖尿病、绝经状态是其危险因素(P<0.01);而工作状态(在职vs.退休)、较高经济水平与性生活不适感呈负相关(P<0.01)。结论中老年女性性生活不适感患病率高,与绝经状态、绝经症状、文化程度、经济状况、工作状态、糖尿病密切相关。社会应关注中老年女性性健康问题,医护人员应给予及时的指导帮助,以提高中老年女性的性满意度及生活质量。
Objective： To explore the prevalence and associated factors of sexual discomfort in middle-old aged women through a survey for sexual discomfort of women aged 40-60 years old.Methods： The women aged 40-60 years old who received physical examination in the sixth people＇s hospital affiliated to Shanghai Jiao Tong University from Jun.2015 to Jun.2016 were enrolled in this study.They were investigated with a general questionnaire,Kupperman Index（KMI）and the sexual condition scale.All date were analyzed by SPSS 20.0.Results： A total of 2 374 women were included for analysis.The prevalence of sexual discomfort was37.5% and the most of sexual discomfort was mild（30.4%）.The prevalence in postmenopause women（48.7%）was significantly higher than that in perimenopausal women（31.5%）and premenopausal women（8.3%）（P 0.01）.With the increasing degree of menopausal symptoms,the prevalence of sexual discomfort was gradually increased（P0.01）.Hot flashes,paresthesia,insomnia,nervousness,vertigo,palpitation,high educational level,diabetes,menopausal status were the risk factors for sexual discomfort（P0.01）;and the working state（employment vs.retirement）,high income was negatively associated with sexual discomfort（P0.01）.Conclusions： The prevalence of sexual discomfort was high in middle-old aged women,and it is closely related to menopausal status,menopausal symptoms,educational level,income,working status and diabetes.It should pay more attention to sexual health for middle-old aged women.The health care providers should give appropriate guidance to them for improving their sexual satisfaction and life quality.
出处
《生殖医学杂志》
CAS
2017年第12期1171-1176,共6页
Journal of Reproductive Medicine
基金
上海市卫计委基金(GWIV-15)
上海市科委基金(15411950202)
关键词
性生活不适
绝经
绝经症状
影响因素
Sexual discomfort
Menopause
Climacteric symptoms
Influencing factors
