背景:怀孕与身体有关,心理,荷尔蒙,以及可能对性功能和心理健康产生有害影响的社会变化。这项研究旨在与未怀孕的孕妇进行比较,以检查索马里孕妇的性功能和社会心理健康。
方法:我们在一夫一妻制婚姻中连续招募了487名女性。数据包括产妇年龄,gravida,奇偶校验,孕周,妻子和丈夫的教育状况,和居住区。参与者完成了女性性功能指数(FSFI)和简短症状清单-18(BSI-18)。
结果:在487名女性中,241怀孕了,246人没有怀孕。性功能障碍的总发生率为57.7%,孕妇为64.0%,非孕妇为51.6%(p=0.010)。孕妇在欲望上表现出明显较低的FSFI分数,唤醒,润滑,和高潮,和显着更高的总BSI,焦虑,抑郁和躯体化评分。性功能障碍发生率为57.9%,45.9%,第一次为78.9%,第二,第三个三个月,分别(p=0.0001)。与前三个月和后三个月相比,和非怀孕,妊娠晚期与FSFI总评分显著降低和欲望水平显著降低相关,唤醒,润滑,和高潮,以及显著较高的总BSI评分和显著增加的焦虑水平。在回归分析中,怀孕与欲望的性功能参数成反比,唤醒,润滑,和高潮,根据抑郁症的BSI参数,焦虑和躯体化。
结论:我们的研究结果表明,与未怀孕的孕妇相比,孕妇经历了相当大的性和心理社会恶化。
BACKGROUND: Pregnancy is associated with physical, psychological, hormonal, and social alterations that may lead to detrimental effects on sexual function and psychological well-being. This study sought to examine sexual function and psychosocial well-being of pregnant women in Somalia in comparison with their non-pregnant counterparts.
METHODS: We enrolled 487 consecutive women in monogamous marriages. Data included maternal age, gravida, parity, gestational week, education status of wives and husbands, and residence area. The participants completed the Female Sexual Function Index (FSFI) and the Brief Symptom Inventory-18 (BSI-18).
RESULTS: Of 487 women, 241 were pregnant, and 246 were non-pregnant. The overall incidence of sexual dysfunction was 57.7%, being 64.0% for pregnant and 51.6% for non-pregnant women (p = 0.010). Pregnant women exhibited significantly lower FSFI scores on desire, arousal, lubrication, and orgasm, and significantly higher total BSI, anxiety, depression and somatization scores. The frequencies of sexual dysfunction were 57.9%, 45.9%, and 78.9% during the first, second, and third trimesters, respectively (p = 0.0001). As compared with the first and second trimesters, and non-pregnancy, the third trimester of pregnancy was associated with a significantly lower total FSFI score and significantly decreased levels of desire, arousal, lubrication, and orgasm, as well as a significantly higher total BSI score and a significantly increased level of anxiety. In regression analysis, pregnancy was inversely associated with sexual function parameters of desire, arousal, lubrication, and orgasm, and with BSI parameters of depression, anxiety and somatization.
CONCLUSIONS: Our findings suggest that pregnant women experience considerable sexual and psychosocial deterioration as compared with their non-pregnant counterparts.