Abstract：
UNASSIGNED: Obesity is thought to be a negative predictor of sexual function, but the relationship between body mass index (BMI) and sexual function has been inconsistent. Other factors such as body image and self-esteem may mediate this relationship. This study examined the association of BMI, body image and self-esteem with sexual function in young women.
UNASSIGNED: A total of 514 sexually active women aged 21 to 35 years completed an anonymised online questionnaire that used 3 scales to assess body image, self-esteem and female sexual function: Body Image States Scale (BISS), Rosenberg Self-Esteem Scale (RSES) and Female Sexual Function Index (FSFI). Higher scores for BISS, RSES and FSFI indicate more positive body image, higher self-esteem and better sexual function, respectively. Spearman correlation assessed the association among BMI, BISS and RSES scores, and with FSFI scores. Linear and multivariable logistic regression identified risk factors associated with sexual dysfunction (FSFI <26.55).
UNASSIGNED: BISS and RSES scores significantly correlated with FSFI scores (r=0.27 and r=0.32, respectively; both P<0.001), indicating that better body image and self-esteem were associated with better sexual function. Risk factors for sexual dysfunction were lower BISS and RSES scores, being married (odds ratio [OR] 1.52; 95% confidence interval [CI] 1.07-2.15), having 1 child (OR 2.45; 95% CI 1.26-4.77) and having a perceived mental condition (OR 3.02; 95% CI 1.44-6.33). Factors in lack of sexual dysfunction include being of Malay ethnicity (OR 0.38; 95% CI 0.21-0.71) and being overweight (OR 0.46; 95% CI 0.27-0.78).
UNASSIGNED: Women with poorer body image and lower self-esteem were more likely to have sexual dysfunction. These perceptions and states did not correlate with being overweight, and were better predictors over BMI to identify the population at-risk.
UNASSIGNED: A total of 514 sexually active women aged 21 to 35 years completed an anonymised online questionnaire that used 3 scales to assess body image, self-esteem and female sexual function: Body Image States Scale (BISS), Rosenberg Self-Esteem Scale (RSES) and Female Sexual Function Index (FSFI). Higher scores for BISS, RSES and FSFI indicate more positive body image, higher self-esteem and better sexual function, respectively. Spearman correlation assessed the association among BMI, BISS and RSES scores, and with FSFI scores. Linear and multivariable logistic regression identified risk factors associated with sexual dysfunction (FSFI <26.55).
UNASSIGNED: BISS and RSES scores significantly correlated with FSFI scores (r=0.27 and r=0.32, respectively; both P<0.001), indicating that better body image and self-esteem were associated with better sexual function. Risk factors for sexual dysfunction were lower BISS and RSES scores, being married (odds ratio [OR] 1.52; 95% confidence interval [CI] 1.07-2.15), having 1 child (OR 2.45; 95% CI 1.26-4.77) and having a perceived mental condition (OR 3.02; 95% CI 1.44-6.33). Factors in lack of sexual dysfunction include being of Malay ethnicity (OR 0.38; 95% CI 0.21-0.71) and being overweight (OR 0.46; 95% CI 0.27-0.78).
UNASSIGNED: Women with poorer body image and lower self-esteem were more likely to have sexual dysfunction. These perceptions and states did not correlate with being overweight, and were better predictors over BMI to identify the population at-risk.
摘要：
■肥胖被认为是性功能的负面预测因子，但是体重指数（BMI）与性功能之间的关系一直不一致。身体形象和自尊等其他因素可能会调解这种关系。这项研究检查了BMI的关联，年轻女性的身体形象和自尊与性功能。
共有514名年龄在21至35岁之间的性活跃女性完成了一份匿名的在线问卷，该问卷使用3个量表来评估身体形象，自尊与女性性功能：身体形象状态量表(BISS)，罗森博格自尊量表(RSES)与女性性功能指数(FSFI)BISS的分数更高，RSES和FSFI表示更积极的身体形象，更高的自尊和更好的性功能，分别。Spearman相关性评估了BMI之间的关联，BISS和RSES评分,和FSFI分数。线性和多变量逻辑回归确定了与性功能障碍相关的危险因素(FSFI<26.55)。
■BISS和RSES得分与FSFI得分显着相关（分别为r=0.27和r=0.32；均P<0.001），表明更好的身体形象和自尊与更好的性功能有关。性功能障碍的危险因素是较低的BISS和RSES评分，已婚(赔率比[OR]1.52；95%置信区间[CI]1.07-2.15)，有1个孩子(OR2.45；95%CI1.26-4.77)，并有明显的精神状态(OR3.02；95%CI1.44-6.33)。缺乏性功能障碍的因素包括马来人（OR0.38;95％CI0.21-0.71）和超重（OR0.46;95％CI0.27-0.78）。
■身体形象较差、自尊心较低的女性更容易出现性功能障碍。这些看法和状态与超重无关，和更好的预测BMI来识别人群的风险。
共有514名年龄在21至35岁之间的性活跃女性完成了一份匿名的在线问卷，该问卷使用3个量表来评估身体形象，自尊与女性性功能：身体形象状态量表(BISS)，罗森博格自尊量表(RSES)与女性性功能指数(FSFI)BISS的分数更高，RSES和FSFI表示更积极的身体形象，更高的自尊和更好的性功能，分别。Spearman相关性评估了BMI之间的关联，BISS和RSES评分,和FSFI分数。线性和多变量逻辑回归确定了与性功能障碍相关的危险因素(FSFI<26.55)。
■BISS和RSES得分与FSFI得分显着相关（分别为r=0.27和r=0.32；均P<0.001），表明更好的身体形象和自尊与更好的性功能有关。性功能障碍的危险因素是较低的BISS和RSES评分，已婚(赔率比[OR]1.52；95%置信区间[CI]1.07-2.15)，有1个孩子(OR2.45；95%CI1.26-4.77)，并有明显的精神状态(OR3.02；95%CI1.44-6.33)。缺乏性功能障碍的因素包括马来人（OR0.38;95％CI0.21-0.71）和超重（OR0.46;95％CI0.27-0.78）。
■身体形象较差、自尊心较低的女性更容易出现性功能障碍。这些看法和状态与超重无关，和更好的预测BMI来识别人群的风险。
