甘肃省女性性功能障碍影响因素分析  

Analysis on influencing factors of female sexual dysfunction in Gansu Province

作　　者：李致远[1] 党云[1] 雷骏 王惠玲[1] 蒲巍林[1] 刘青[1] 朱兰[2] LI Zhiyuan;DANG Yun;LEI Jun;WANG Huiling;PU Weilin;LIU Qing;ZHU Lan(Department of Gynaecology,Gansu Province Maternity&Child Care Hospital,Lanzhou 730050,Gansu,China;Department of Gynaecology,Peking Union Med-ical College Hospital,Peking Union Medical College/Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]甘肃省妇幼保健院妇科,兰州730050 [2]中国医学科学院北京协和医院妇科,北京100730

出　　处：《中国性科学》2021年第3期23-26,共4页Chinese Journal of Human Sexuality

基　　金：科技部国家科技支撑计划项目(2014BAI05B02);甘肃省重点研发计划项目(17YF1FA109)。

摘　　要：目的探究甘肃省女性性功能障碍(FSD)的流行病学现状及影响因素。方法根据甘肃省地理特征及社会经济发展状况,于2014年2月至2015年10月采用分层整群抽样方法选取6个地区25个社区村镇的5 870名女性作为研究对象。采用女性性功能指数(FSFI)量表汉化版(CV-FSFI)对研究对象的性功能进行评价,并采用Logistic回归分析影响女性性功能的相关因素。结果不同年龄、受教育程度、职业性质、家庭人均月收入、体重指数(BMI)、月经状态、分娩次数,以及糖尿病、高血压、盆腔手术史的女性FSD患病率比较,差异具有统计学意义(P<0.05)。分娩次数≥3[OR 1.897,95%CI(1.294,2.864)]、年龄>45岁[OR 1.893,95%CI(1.653,2.284)]或年龄>55岁[OR 3.862,95%CI(2.913,5.503)]、绝经[OR 2.315,95%CI(1.812,3.418)]均是FSD的危险因素;受教育程度为高中[OR 0.726,95%CI(0.614,0.939)]或大学及以上[OR 0.589,95%CI(0.426,0.836)]是FSD的保护因素。结论甘肃省女性FSD的危险因素为分娩次数≥3、年龄>45岁、绝经,保护因素为受教育程度在高中及以上。Objective To investigate the epidemiological status and influencing factors of female sexual dysfunction(FSD)in Gansu Province.Methods According to the geographical characteristics and socioeconomic development of Gansu Province,a stratified cluster sampling method was adopted to select 5870 women from 25 communities and towns in 6 regions from February 2014 to October 2015 as research objects.The Chinese version of female sexual function index(CV-FSFI)was used to evaluate the sexual function of the subjects,and Logistic re-gression was used to analyze the related factors affecting the female sexual function.Results There were statistical-ly significant differences in the prevalence of FSD among women of different ages,education level,occupation,fam-ily per capita monthly income,body mass index(BMI),menstrual status,number of deliveries,diabetes mellitus,hypertension and pelvic surgery history(P<0.05).The frequency of delivery≥3[OR 1.897,95%CI(1.294,2.864)],age>45 years[OR 1.893,95%CI(1.653,2.284)]or age>55 years[OR 3.862,95%CI(2.913,5.503)]and menopause[OR 2.315,95%CI(1.812,3.418)]were risk factors for FSD.High school education level[OR 0.726,95%CI(0.614,0.939)]or college education level[OR 0.589,95%CI(0.426,0.836)]was a protective factor for FSD.Conclusions The risk factors of FSD were≥3 times of delivery,age>45 years old,menopause,and the protective factors were education level of high school or above.

关 键 词：女性性功能障碍 影响因素 LOGISTIC回归 

分 类 号：R711.5[医药卫生—妇产科学]