Added: Azim Garnett - Date: 23.10.2021 17:41 - Views: 21494 - Clicks: 9367
Prevalence and characterisation of sexual dysfunctions in women, in 12 colombian cities, To determine the prevalence and characterisation of sexual dysfunctions in a population of sexually active women with ages ranging between 18 and 72 years, in 12 Colombian cities. Descriptive cross-sectional study that included women 18 years of age and older, sexually active within the past six weeks, living in Colombia.
Excluded were illiterate and pregnant women, women in the first 6 months postpartum, women with a psychiatric disease or neurological deficit, and women with a history of cancer. A consecutive sampling method was used. Sociodemographic variables, a history of sexual and reproductive health, sexual behaviour, and frequency of overall sexual dysfunction and by type of dysfunction assessed were measured. A descriptive analysis of the data was performed using absolute and relative measurements. A stratified description was made by age under or over 40 years.
Mean age was The prevalence of sexual dysfunction in the study group was The score on the FSFI in the affected women was Issues were found with libido in Median sexual dysfunction per woman was 2, found in Among Colombian women, a prevalence of sexual dysfunction is found in close to one-third of the population, characterised mainly by issues with libido and orgasm. Interventions are required in order to establish an immediate diagnostic and therapeutic plan.
Estudio de corte transversal descriptivo. De un total de Sexual health has been defined as "the experience of a continuous process of physical, psychological and sociocultural wellbeing, respecting, recognising and securing the right to sexual pleasure, emotional sexual expression, information based on scientific knowledge, comprehensive sexual education and sexual healthcare" 1.
A sexual dysfunction is defined as an impairment during any stage of normal sexual activity experience by an individual or a couple during at least 6 months 2 , and which could have a negative effect on sexuality and quality of life. Sexual dysfunctions cover four areas of sexual challenges or disorders: orgasm, libido, arousal and pain 3. In the woman, sexual problems are associated with marital difficulties, anxiety and depression 4 , which have negative repercussions on quality of life, considering that sexual activity is important for the general health and wellbeing of the individual 5 as well as for marital harmony.
In the world literature, the prevalence of sexual dysfunction has a wide variation. The frequency of sexual dysfunction varies according to age, the presence of morbid conditions, a history of sexual violence, interpersonal problems, among other things, and it is considered a multifactorial phenomenon.
The risk factors shown to have a ificant association include low frequency of intercourse, low level of education, unemployment, age over 40 years, poor communication with the couple, marriage of 10 years or more, menopause, presence of an underlying medical disease, having a partner with sexual dysfunction, and being a housewife 14 - The latter has been the most widely used in research worldwide and has been translated into Spanish and validated in different countries, including Colombia 20 - The main value of this index is its specific de for assessing female sexual health and detecting sexual dysfunctions in women.
The FSFI is used not only because of its high reliability, but also because of its psychometric properties and its excellent performance internal consistency, test-retest reliability and discriminating validity. Added to this, it may be self-administered, brief, fast, simple and reliable when used over a wide age range, and complies with the classification of the International Consensus Development Conference on Female Sexual Dysfunctions 14 , 20 , 22 , For all these reasons, it has become the favourite tool for assessing female sexual function.
There are limitations to the valid and accurate determination of female sexual dysfunctions because of the use of various definitions of what is "normal" or "abnormal" sexual function, and due to the selection of samples with a different population base 16 , 17 , 22 , In Colombia, publications on the prevalence of sexual dysfunction in women have limitations in terms of coverage and the type of population included 22 , 23 ; for this reason, the objective of this study is to estimate the prevalence of sexual dysfunction and characterise the affected domain libido, arousal, lubrication, orgasm, satisfaction and coital pain in a broad sample of Colombian women.
De and population. Descriptive cross-sectional study that included women 18 years of age and older who reported having had sexual activity over the past six weeks and who ed the informed consent to participate in the study. Excluded were pregnant women or women in the first 6 months postpartum, with a low level of schooling, psychiatric diseases or neurologic deficit, mental retardation or with a history of cancer.
The women were seen in gynaecology outpatient clinics of 12 high-complexity private institutions during the time period between June 01, , and December 31, These institutions receive patients affiliated to both the contributive and as well as the subsidised health insurance regimes.
Consecutive convenience sampling was used with the intent to include the entire sample of women who responded the survey. The women who attended the gynaecology outpatient clinics in the participating institutions were assessed by a registered nurse in order to determine if they met the eligibility criteria of the study. If the criteria were met, the woman was informed about the objectives of the research and the purpose of the , was assured of the confidentiality of the information, and was asked to the informed consent.
Once the consent was obtained, the d practical nurses in charge of collecting the standardised tool instructed each of the women to complete the FSFI questionnaire on their own, in a private setting. The Females Sexual Function Index FSFI is a tool comprising 19 questions deed to assess 6 domains: libido items 1 and 2 , arousal items 3 to 6 , lubrication items 7 to 10 , orgasm items 11 to 13 , satisfaction items 14 to 16 and pain during intercourse items 17 to Response is measured according to the following scores: 0 No sexual activity; 1 Hardly never; 2 Less than half of the time; 3 Half of the time; 4 More than half of the time; 5 Almost always.
The score for each domain is multiplied by a factor between 0. The research team was formed by the principal investigator who led the teams in each city. In each of the institutions, the teams consisted of three trained practical nurses under the coordination of a registered nurse trained in clinical sexology; they were all experts in the completion of the FSFI and fully conversant with the aims of the research.
Variables measured. Sociodemographic age, race, schooling, socioeconomic bracket, marital status, affiliation to the general social security system in health, relationship with a partner, spiritual or religious condition, area of residence ; sexual and reproductive health variables parity, age at menopause, smoking, alcohol intake, use of hormonal contraception, personal and family history of depression or sexual dysfunction, use of hormonal replacement therapy ; sexual behaviour variables sexual preference, age of first intercourse, masturbation, coitus -vaginal or anal- average frequency of intercourse per week, frequency of orgasm, of sexual partners, time living with the partner, history of sexual abuse or sexual violence in the marriage, partner with sexual dysfunction, and infidelity.
The questions of the domains in the FSFI survey were also asked; additionally, analysis by age subgroups was considered younger and older than 40 years in order to make a final comparison of the behaviour of the prevalence of sexual dysfunctions in the women in these two periods in percentage terms. Statistical analysis. Qualitative variables were expressed as absolute and relative frequencies percentages , and quantitative variables were expressed as means and standard deviations SD.
The are grouped for the total population. The prevalence of sexual dysfunction is presented in global terms and by domains. Ethical considerations. The research was approved by the Health Service Scientific Ethics Committee in each institution; informed consents were ed before enrolment in the study; and confidentiality of the information of the women who agreed to participate was guaranteed. A total of 72, women were invited to take part in the study and, of them, 3, 5.
The remaining 69, women were asked to complete the FSFI, but a total of 12, This left 57, surveys, of which 6, 8. Consequently, a total of 50, Figure 1 Flowchart of the study population. Regarding the sociodemographic characteristics of the population of women surveyed, mean age was Regarding socioeconomic bracket, Additionally, Age at menopause was In terms of sexual and reproductive health, median parity was 3 children 2 vaginal deliveries and 1 cesarean section per woman with a range of 0 to 9 children.
A total of 40, Of the women, A high proportion of the women used contraceptive methods On the other hand, 3, women 6. The overall prevalence of abortions was In terms of sexual behaviours, the median of sexual partners was 12, with a range between 1 and 18; Table 1 shows the general characteristics of the patients. Sexual preference is predominantly heterosexual Regarding the initiation of sexual activity, mean age is The most frequent sexual practice is vaginal coitus and the least frequent is anal coitus To the question of "how many times did you have intercourse last week?
Table 1 Sociodemographic and sexual and reproductive health characteristics of the women surveyed on sexual function in 12 Colombian cities. Of the women surveyed, 8. The overall FSFI score for the total of 50, women was The most frequent sexual dysfunction was impaired libido in 16, cases It was found that 8.
Table 2 describes the detailed scoring for each FSFI domain in the population of women with sexual dysfunction. Regarding altered orgasm, To the question about the frequency of reaching orgasm, A total of 4. Table 2 Females sexual function index in Colombian women with sexual dysfunctions. The analysis of the population of women with sexual dysfunction by age under and over 40 years shows an overall prevalence of sexual dysfunctions of In women under 40 years of age, the prevalence of altered libido was In women over 40 years of age, the observed prevalence was Regarding scores by domain, lower values are found among women over 40, both in the domains as well as the final FSFI score The prevalence of sexual dysfunctions found in the study in Colombian women was The study also found that the most prevalent sexual dysfunction was altered libido Likewise, the presence of a single sexual dysfunction was unusual 8.
When comparing the prevalence of sexual dysfunction, similar figures were found to those of other studies conducted in Colombia by Espitia in the coffee region with When comparing our with those of other authors In Latin America who also used the FSFI, our are found to be lower than the The difference between the obtained in our research and those of other authors could be attributed to the type of population selected 25 , 26 , unequal age groups 27 , and racial differences Regarding the FSFI domains, sexual libido was the most commonly reported dysfunction, similar to reported in other publications in different countries 14 , 29 - However, they are much lower than the reported by Ojomu et al.
These authors consider that the high frequency could be associated with poor conjugal communication, absence of foreplay, and muslim religion in that country. This study points to the importance of religious or cultural acts regarding sexual function. The prevalence of sexual arousal and lubrication disorders is similar in percentage terms to that reported by other authors 13 , The finding of coital pain 7. High scores in the satisfaction domain were associated with orgasmic consistency as well as with a higher frequency of intercourse.
The latter is subject to the influence of multiple aspects of female sexual function, which is consistent with what other studies have documented 12 , 13 , 41 - As far as our findings are concerned, there is a higher prevalence of sexual dysfunctions Similar prevalences of altered libido have been reported in Colombian women, ranging between On the other hand, it was found that the frequency of sexual activity declined with older age, with activity being more frequent among women under 40 than among women over 40, just as is described in the reviewed literature 12 , 44 , In terms of the limitations of this research, the questionnaire used requires a certain level of education for adequate understanding and interpretation of the questions and domains, and it is not considered appropriate for use with an illiterate population or in women with a low level of schooling.Sex with Columbia women
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