García-Pérez H, Harlow SD

Language: Spanish
References: 28
Page: 148-155
PDF size: 130.93 Kb.

ABSTRACT

Objective. To determine the prevalence of dyspareunia among women aged 25-54 and its associated risk factors. Material and methods. A cross-sectional populationbased study was carried out in the city of Hermosillo, Sonora and data from 1 183 sexually active women were analyzed. A multiple logistic regression was computed to analyze the association between dyspareunia and sociodemographic characteristics, medical conditions and sexual violence. Results. The 12-month prevalence of dyspareunia was estimated to be 12.3% (95% CI 10.5, 14.4). After adjustment for working conditions, dyspareunia was associated with younger ages (25-34 years), history of sexually transmitted diseases/pelvic inflammatory disease, chronic urinary tract infections, colitis and history of sexual violence. Conclusion. Increased attention to this condition by reproductive health programs and primary care services is urgently needed in Mexico.

REFERENCES

1. Cottingham J, Myntti C. Reproductive Health: Conceptual Mapping and Evidence. In: Sen G, George A, Ostlin P, eds. Engendering International Health: The Challenge of Equity. Massachusetts: Institute of Technology, 2002:85-109.

2. Salles V, Tuirán R. El discurso de la salud reproductiva: ¿un nuevo dogma? In: Stern C, Figueroa JG, eds. Sexualidad y salud reproductiva. Avances y retos para la investigación. Ciudad de México: El Colegio de México, 2001:93-113.

3. CONAPO. Cuadernos de Salud Reproductiva, República Mexicana. DF: Consejo Nacional de Población, 2000.

4. Rojas-Poceros G, Bustos López HH, Oviedo-Ortega JG, González-Cofrades J, Ibarrola-Buen Abad E. Perspectiva y alcances de la endoscopía ginecológica en el hospital ABC: revisión de 10 años. Perinatol Reprod Human 2001;15(4):229-237.

5. Sánchez-Bravo C, Carreño-Meléndez J, Martínez-Ramírez S, Gómez- López ME. Disfunciones sexuales femeninas y masculinas: comparación de género en una muestra de la Ciudad de México. Salud Mental 2005;28(4):74-80.

6. Sánchez-Bravo C, Morales-Carmona F, Carreño-Meléndez J, Martínez-Ramírez S. Disfunción sexual femenina: su relación con el rol de género y la asertividad. Perinatología y reproducción humana 2005;19(3-4):152-160.

7. García-Pérez MH. The Impact of Gynecological Morbidity on Women’s Quality of Life in Northern Region of Mexico (Tesis). Ann Arbor: University of Michigan, 2006:146.

8. Latthe P, Mignini L, Gray R, Hills R, Khan K. Factors predisposing women to chronic pelvic pain: systematic review. Bmj 2006;332(7544):749-755.

9. Rosen RC. Prevalence and risk factors of sexual dysfunction in men and women. Curr Psychiatry Rep 2000;2(3):189-195.

10. Heim LJ. Evaluation and differential diagnosis of dyspareunia. Am Fam Physician 2001;63(8):1535-1544.

11. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999;281(6):537-544.

12. Zondervan KT, Yudkin PL, Vessey MP, Jenkinson CP, Dawes MG, Barlow DH, et al. Chronic pelvic pain in the community--symptoms, investigations, and diagnoses. Am J Obstet Gynecol 2001;184(6):1149-1155.

13. Osborn M, Hawton K, Gath D. Sexual dysfunction among middle aged women in the community. Br Med J (Clin Res Ed) 1988;296(6627):959-962.

14. WHO. WHO Multy-Country Study on Women’s Health and Domestic Violence Against Women. Geneva: World Health Organization, 2003.

15. Golding JM, Wilsnack SC, Learman LA. Prevalence of sexual assault history among women with common gynecologic symptoms. Am J Obstet Gynecol 1998;179(4):1013-1019.

16. Chapman JD. A longitudinal study of sexuality and gynecologic health in abused women. J Am Osteopath Assoc 1989;89(5):619-624.

17. Rivera-Rivera L, Allen B, Chavez-Ayala R, Avila-Burgos L. [Physical and sexual abuse during childhood and revictimization during adulthood in Mexican women]. Salud Publica Mex 2006;48 Suppl 2:S268-S278.

18. Silverman JG, Decker MR, Saggurti N, Balaiah D, Raj A. Intimate partner violence and HIV infection among married Indian women. Jama 2008;300(6):703-710.

19. Weiss HA, Patel V, West B, Peeling RW, Kirkwood BR, Mabey D. Spousal sexual violence and poverty are risk factors for sexually transmitted infections in women: a longitudinal study of women in Goa, India. Sex Transm Infect 2008;84(2):133-139.

20. Plante AF, Kamm MA. Life events in patients with vulvodynia. Bjog 2008;115(4):509-514.

21. Jamieson DJ, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol 1996;87(1):55-58.

22. Mathias S, Kuppermann M, Liberman R, Lipschutz R, Steege J. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol 1996;87(3):321-327.

23. WHO. Education and treatment in human sexuality: the training of health professionals. Geneva: World Health Organization; 1975. Report No.: 572.

24. Elzevier HW, Voorham-van der Zalm PJ, Pelger RC. How reliable is a self-administered questionnaire in detecting sexual abuse: a retrospective study in patients with pelvic-floor complaints and a review of literature. J Sex Med 2007;4(4 Pt 1):956-963.

25. Glasier A, Gulmezoglu AM, Schmid GP, Moreno CG, Van Look PF. Sexual and reproductive health: a matter of life and death. Lancet 2006;368(9547):1595-1607.

26. Salonia A, Zanni G, Nappi RE, Briganti A, Deho F, Fabbri F, et al. Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. Eur Urol 2004;45(5):642-648.

27. Zondervan KT, Yudkin PL, Vessey MP, Jenkinson CP, Dawes MG, Barlow DH, et al. The community prevalence of chronic pelvic pain in women and associated illness behaviour. Br J Gen Pract 2001;51(468):541-547.

28. Davila YR. The social construction and conceptualization of sexual health among Mexican American women. Res Theory Nurs Pract 2005;19(4):357-368.