Incidence and risk factors of female sexual dysfunction in urban and rural China: a 4-year prospective cohort study.
10.1007/s11684-024-1096-0
- Author:
Haiyu PANG
1
;
Mingyu SI
2
;
Tao XU
3
;
Zhaoai LI
4
;
Jian GONG
5
;
Qing LIU
6
;
Yuling WANG
7
;
Juntao WANG
8
;
Zhijun XIA
9
;
Lan ZHU
10
Author Information
1. Institute of Clinical Medicine, National Infrastructures for Translational Medicine, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.
2. School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.
3. Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, 100005, China.
4. Department of Gynecology and Obstetrics, Children's Hospital of Shanxi Province, Taiyuan, 030013, China.
5. Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Wuxi, Wuxi, 214001, China.
6. Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Gansu Province, Lanzhou, 730050, China.
7. Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Foshan, Foshan, 528000, China.
8. Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Guiyang, Guiyang, 550001, China.
9. Department of Gynecology and Obstetrics, Shengjing Hospital of China Medical University, Shenyang, 110004, China.
10. Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China. zhu_julie@vip.sina.com.
- Publication Type:Journal Article
- Keywords:
China;
female sexual dysfunction;
incidence;
risk factor;
rural;
urban
- MeSH:
Humans;
Female;
China/epidemiology*;
Prospective Studies;
Risk Factors;
Adult;
Incidence;
Rural Population/statistics & numerical data*;
Middle Aged;
Urban Population/statistics & numerical data*;
Sexual Dysfunction, Physiological/epidemiology*;
Sexual Dysfunctions, Psychological/epidemiology*;
Surveys and Questionnaires;
Young Adult
- From:
Frontiers of Medicine
2024;18(6):1002-1012
- CountryChina
- Language:English
-
Abstract:
This study aimed to investigate the incidence and risk factors for female sexual dysfunction (FSD) in urban and rural China. A prospective cohort study was conducted from February 2014 to January 2016, with follow-up from June to December 2018. Women aged ≽20 years were recruited from urban and rural areas in six provinces of China using a multistage, stratified, cluster sampling method. Sexual function was assessed using the Female Sexual Function Index questionnaire. A total of 16 827 women without sexual dysfunction at baseline participated in this study, 9489 of them (urban, 5321; rural, 4168) who had complete information from baseline to follow-up were included in the final analysis. The rate of follow-up was 68.81%, and the median follow-up time was 4.13 years. The 4-year incidence of FSD was 43.07%, with an incidence density of 12.02 per 100 person-years. In particular, the 4-year incidence and incidence density of FSD were 41.03% and 11.88 per 100 person-years in the urban group and 45.68% and 12.17 per 100 person-years in the rural group. Among women with sexual dysfunction, difficulties in sexual desire, satisfaction, and arousal were the main symptoms. In urban women, the risk factors for FSD included age ≽45 years (adjusted relative risk 1.69, 95% confidence interval 1.57-1.81), hypertension (1.31, 1.14-1.49), previous delivery (1.26, 1.13-1.41), post-menopausal status (1.20, 1.10-1.32), pelvic inflammatory disease (1.13, 1.05-1.21), and multiparity (1.11, 1.03-1.19). In the rural group, the risk factors significantly associated with FSD were age ≽45 years (1.50, 1.40-1.61), previous delivery (1.39, 1.17-1.65), hypertension (1.18, 1.06-1.30), multiparity (1.16, 1.07-1.27), and post-menopausal status (1.15, 1.07-1.23). FSD is a hidden epidemic condition in China, and the development of prevention strategies should consider the distinct risk factors present in rural and urban areas.
