摘要
目的：探讨城市女性性生活质量的相关因素。方法：采用女性性生活质量问卷，对1529名城市已婚女性进行调查。以问卷的6个因子（性满意度、性交流、性焦虑、性反应、性态度、性体像）得分的10百分位数作为分界点，因子分≤10百分位数的为低分组，〉10百分位数的为对照组，进行单因素和多因素Logistic逐步回归分析。结果：性生活质量问卷总均分为106．9±17．2，性满意度因子均分为24．1±4．9，性交流因子均分为17．7±5．1，性焦虑因子均分为26．0±3．9，性反应因子均分为16．2±3．9，性态度因子均分为13．0±3．0，性体像因子均分为10．0±1．9。多因素Logistic逐步回归分析显示，高年龄组（OR=1．25～16．72，P〈0．01）的女性，出现性满意度低、性交流少、性反应能力低、不接纳手淫的风险性高；汉族（OR=0．53，P〈0．05）、教育程度高（OR=0．40，P〈0．01）的女性，出现性焦虑的风险小；每月收入高的女性（OR=0．35～0．64，P〈0．01），其性生活质量低的风险小；有子女的女性易于出现对形象的不自信（OR=1．63—2．91，P〈0．01），但性满意度低的风险小（OR=0．46，P〈0．05）；绝经状态的女性（OR=1．54—2．32，P〈0．05或0．01）出现性满意度低、性焦虑多、性反应能力低、对自我形象不自信的风险性增大；夫妻关系不和睦（OR=3．25～8．87，P〈0．01）是性满意度、性交流，性焦虑的不利因素；丈夫有性功能障碍（OR=3．50～11．40，P〈0．01）是女性性满意度、性反应的不利因素；丈夫有躯体疾病（OR=2．17～3．13，P〈0．05或0．01）的女性易于表现为性满意度低、性焦虑多。结论：社会心理因素对女性性生活质量的各方面都会产生影响。
Objective： To explore the factors affecting sexual quality of life in Chinese urban women. Methods： A total of 1529 married urban women was administered with the Sexual Quality of Life Questionnaire for Women （SQOL-W） including six domains： sexual satisfaction, sexual communication, sexual anxiety, sexual response, sexual attitude and sexual image. Ten percentile of each domain score was regarded as cut-off score. Women whose domain scores were less than or equal to 10 percentile were in low score group, while women whose domain scores were more than 10 percentile were in control group. Results： The scores of the total scale and six domains were as follows （ mean ＋ SD） ： 106. 9 ± 17.2 for the total scale, 24. 1 ±4. 9 for sexual satisfaction, 17.7 ±5.1 for sexual communication, 26. 0 ±3.9 for sexual anxiety, 16. 2 ±3.9for sexual response, 13.0 ±3.0 for sexual attitude and 10. 0 ± 1.9 for sexual image. Multivariate Logistic stepwise regression analysis showed that the old age group （ OR = 1.25 -16. 72, P 〈 0. 01 ） had a high risk of lower sexual satisfaction, less sexual communication, lower sexual response and the more conservative sexual attitude. Women in Han nationality （ OR = 0. 53, P 〈 0. 05 ） or with high level education （ OR = 0, 40, P 〈 0. 01 ）had a low risk of sexual anxiety. Women with high income of per month had high sexual quality of life （ OR = 0. 35- 0. 64, P 〈 0. 01 ） . Confidence about self-image was low in women with children （ OR = 1.63 - 2. 91, P 〈 0. 01 ）, but sexual satisfaction was high （ OR = 0. 46, P 〈 0. 05 ） . Menopause （ OR = 1.54 - 2, 32, P〈 0.05 or 0. 01 ） adversely affected sexual satisfaction, sexual response, sexual self-image and sexual anxiety. Bad relationship （ OR = 3.25 - 8. 87, P 〈0. 01 ） was a adverse factor of sexual satisfaction, sexual communication and sexual anxiety. Women whose partners with sexual dysfunction （ OR = 3.50 -11.40, P 〈 0. 01 ） or with physical disease （OR - 2. 17 -3. 13, P 〈0. 05 or0. 01） had less satisfaction in sexual life. Conclusion： Psychosocial factors can affect every aspect of sexual quality of life in urban women.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2008年第10期732-738,共7页
Chinese Mental Health Journal
基金
国家“985工程”二期(985-2-027-39)
关键词
城市
女性
性生活质量
横断面调查
urban
women
sexual quality of life
cross-sectional study
作者简介
通信作者
