Comparação da funcionalidade entre mulheres adultas brasileiras com e sem disfunção sexual: um estudo transversal
Introduction: Human sexuality is multifactorial and depends on the integration of psychological, biological, relational and sociocultural determinants. Thus, sexual dysfunction and factors related to it can impact the functionality of women of reproductive age. Objective : To compare functionality...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/54823 |
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| Resumo: | Introduction: Human sexuality is multifactorial and depends on the integration of psychological,
biological, relational and sociocultural determinants. Thus, sexual dysfunction and factors related to it
can impact the functionality of women of reproductive age. Objective : To compare functionality
among adult Brazilian women of reproductive age, cisgender and heterosexual with and without
sexual dysfunction (SD). For the purpose of presenting the dissertation, 3 articles were constructed
with the following objectives: ARTICLE 1 - to analyze the association between the self-perceived
presence of SD and the results of the Female Sexual Function Index (FSFI), as well as between
chronological age and sexual function of Brazilian, cisgender and heterosexual women of
reproductive age. ARTICLE 2 - identify the prevalence of SD, compare functionality among Brazilian
women with and without sexual dysfunction and analyze the association between changes in
functionality and the presence of SD. ARTICLE 3 - Comparing functionality between women with
and without sexual dysfunction and estimating the chance of occurrence of changes in functionality,
considering marital status, knowledge about SD, knowledge about female sexual response and selfassessment of quality of sexual life (QSL). Methodology: Analytical cross-sectional study following
the guidelines of Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).
The research protocol was self-administered and online (Google Forms), consisting of the
characterization form, the FSFI and the WHO Disability Assessment Schedule (WHODAS 2.0). The
women who met the following inclusion criteria participated in the study: being between 18 and 49
years old; being sexually active for at least four weeks; identify themselves as cisgender and
heterosexual women and have access to the internet. Statistical data storage and treatment was
performed using SPSS (version 20.0, IBM). The bootstrapping technique was used to adjust the
quantitative variables to the assumption of parametric distribution and the significance level adopted
was p<0.05. ARTICLE 1 – 285 women participated . For data analysis, the following tests were used:
Chi -square test of independence (χ 2) to analyze the association between self-perceived presence of
SD and presence of dysfunction, according to FSFI. Pearson's correlation test was used to investigate
the relationship between age and sexual function (FSFI). ARTICLE 2 - The final sample consisted of
285 participants, divided into Control Group (CG, without sexual dysfunction, n= 168) and Study
Group (EG, with sexual dysfunction, n= 117). Student 's t t and t for independent samples with Welch
correction and Chi -square test (χ 2
) were used. ARTICLE 3 – The sample consisted of 308 women
divided into a Control Group (GC, without SD, n= 186) and a Study Group (EG, with SD, n= 122).
For data analysis, Student 's T test was used for independent samples with Welch correction and
binary logistic regression, with the Enter method. Results: ARTICLE 1 (n=285) - Women with an
average age of 29.57±7.11 years participated in this research. A moderate association (Cramer's V =
0.59) was obtained between the self-perceived presence of SD and the diagnosis generated by the
application of the FSFI (χ 2 (2) = 91.50; p<0.001). There was a weak, negative and statistically
significant correlation between age and the desire domain of the FSFI (r= -0.12; p=0.03; r 2 =1.44.
ARTICLE 2 (n=285) - Regarding the prevalence and types of disorders, the most recurrent were:
hypoactive desire (27%), changes in arousal (22.8%), dysorgasmia (21.1%) and dyspareunia (18 .6%).
It was observed that women with SD have a greater impact on functionality when compared to those
without dysfunction (p=0.001; 95%CI [7.50 to 14.77]). There are significant differences in all
domains of WHODAS 2.0, with emphasis on “interpersonal relationships”, “cognition” and
“participation”. ARTICLE 3 (n= 308) – it was observed that women with SD had higher WHODAS
scores when compared to those without sexual dysfunction (p= 0.001; [95% CI: 7.02 to 14.04]).
Interpersonal relationships, cognition and participation stood out for the effect measures. The
prediction for change in functionality was significant (X 2 (4)= 28.25; p<0.001), predicting 62.2% of
cases and that the self-assessment factor of QOL had an impact on functionality regardless of marital
status and knowledge about DS and, on female sexual response. Conclusion : ARTICLE 1 - Women
who self-perceived the presence of sexual dysfunction are 68% more likely to actually have SD when
evaluated by the FSFI. It was observed that, with advancing age, there is a decrease in sexual function, with regard to the desire phase. ARTICLE 2 - When compared to women without SD, those with
dysfunction have a greater impact on general functionality, with emphasis on interpersonal
relationships, cognition and participation. We found a weak association between changes in general
functionality (and by domain) and the presence of sexual dysfunction. However, it was observed that
women with SD are 43% to 78% more likely to have alterations in functionality compared to those
without dysfunction. ARTICLE 3 - Women with SD have a greater change in overall functionality and
by domain when compared to those without sexual dysfunction, with emphasis on interpersonal
relationships, cognition and participation. The predictive model for functionality change had an
accuracy rate of 62.2%. Women with a good self-assessment of QOL are 27% less likely to have
changes in functionality compared to those with a poor self-assessment of their sexual life, regardless
of marital status, knowledge about sexual dysfunction and female sexual response. |
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