Socioeconomic Variables Effecting Female Sexual Function in an Urban, Community Setting  

作　　者：Krista L. Neal Stephanie Teng Mazvita Nyamukapa Victoria Greenberg Alexis Braverman Brett Worly 

机构地区：[1]Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, USA [2]Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, USA

出　　处：《Open Journal of Obstetrics and Gynecology》2015年第4期195-202,共8页妇产科期刊（英文）

摘　　要：Introduction: Female sexual dysfunction is a common problem affecting 12% - 63% of the population, and its relationship with demographic factors, depression, and urinary incontinence needs to be more clearly identified. Aims: To determine demographic and clinical conditions associated with female sexual dysfunction in an urban population of women seeking routine gynecologic care. Methods: A cross-sectional, IRB approved study with a convenience sample was performed of 238 sexually-active, non-pregnant women reporting to two urban gynecology clinics: a private practice (n = 168) and a publicly funded ambulatory clinic (n = 70). Main Outcome Measures: The participants completed informed consent and a demographic questionnaire, plus validated questionnaires that measured sexual function with the Female Sexual Function Index (FSFI), depression with the Center for Epidemiologic Studies Depression Scale (CES-D), and urinary incontinence with the Questionnaire for Urinary Incontinence Diagnosis (QUID). Results: The mean FSFI score for those with public insurance and private insurance was 29.5 ± 4.2 and 27.8 ± 5.1 (OR 0.746, p = 0.0005, 95% CI 0.633, 0.881) respectively. In comparing “private” and “public” patient groups, age, weight, race, education, employment, exercise, household income, smoking, alcohol frequency,?and sex frequency were all significantly different (p < 0.05). Multivariate logistic regression analysis?found that female sexual dysfunction correlated with less education (OR 1.379, p = 0.0346, 95% CI 1.024, 1.858), and worsening depression identified by CES-D score (OR 1.088, p < 0.0001, 95% CI 1.043, 1.135). Conclusions: Female sexual dysfunction was associated with decreased household income, urinary incontinence, less education, and depression.Introduction: Female sexual dysfunction is a common problem affecting 12% - 63% of the population, and its relationship with demographic factors, depression, and urinary incontinence needs to be more clearly identified. Aims: To determine demographic and clinical conditions associated with female sexual dysfunction in an urban population of women seeking routine gynecologic care. Methods: A cross-sectional, IRB approved study with a convenience sample was performed of 238 sexually-active, non-pregnant women reporting to two urban gynecology clinics: a private practice (n = 168) and a publicly funded ambulatory clinic (n = 70). Main Outcome Measures: The participants completed informed consent and a demographic questionnaire, plus validated questionnaires that measured sexual function with the Female Sexual Function Index (FSFI), depression with the Center for Epidemiologic Studies Depression Scale (CES-D), and urinary incontinence with the Questionnaire for Urinary Incontinence Diagnosis (QUID). Results: The mean FSFI score for those with public insurance and private insurance was 29.5 ± 4.2 and 27.8 ± 5.1 (OR 0.746, p = 0.0005, 95% CI 0.633, 0.881) respectively. In comparing “private” and “public” patient groups, age, weight, race, education, employment, exercise, household income, smoking, alcohol frequency,?and sex frequency were all significantly different (p < 0.05). Multivariate logistic regression analysis?found that female sexual dysfunction correlated with less education (OR 1.379, p = 0.0346, 95% CI 1.024, 1.858), and worsening depression identified by CES-D score (OR 1.088, p < 0.0001, 95% CI 1.043, 1.135). Conclusions: Female sexual dysfunction was associated with decreased household income, urinary incontinence, less education, and depression.

关 键 词：Sexual DYSFUNCTION SOCIOECONOMIC Factors DEPRESSION Education URINARY INCONTINENCE 

分 类 号：R73[医药卫生—肿瘤]