在澳大利亚的难民背景的女性中,性困难,痛苦和功能障碍
Maryam Jahangirifar1, Susan R Davis2,3, Ensieh Fooladi1
1School of Nursing and Midwifery, Monash University, Melbourne, VIC, Australia.
概括
在澳大利亚的难民妇女中,性困难和痛苦是很常见的. 绝经前期,不活动,滥用和失禁是需要综合健康查的关键相关因素.
科学领域:
- 生殖健康 生殖健康
- 妇女健康 妇女健康
- 公共卫生 公共卫生
背景情况:
- 性健康是整体福祉的关键组成部分,但在难民群体中经常被忽视.
- 难民妇女面临着独特的挑战,这些挑战可能会影响她们的性健康,包括创伤,流离失所和融入文化.
- 了解这一群体中性困难和痛苦的患病率和相关因素对于有针对性的干预至关重要.
研究的目的:
- 确定澳大利亚难民妇女中性困难,性相关的个人痛苦和女性性功能障碍 (FSD) 的普遍性.
- 在这个人群中确定与性困难和性相关的个人痛苦相关的因素.
主要方法:
- 一项涉及299名澳大利亚18-63岁难民妇女的横截面研究.
- 经过验证的问卷被用于评估性困难 (女性性功能概况),痛苦 (女性性痛苦量表修订),亲密伴侣虐待 (女性虐待查工具) 和尿失禁 (布里斯托尔女性下尿道症状问卷).
- 女性性功能障碍 (FSD) 通过困难和痛苦的综合得分来定义.
主要成果:
- 性困难,性相关的个人痛苦和FSD的患病率分别为39.3%,33.2%,7.0%.
- 绝经前/绝经后状态 (aOR=2.8) 和性不活动 (aOR=0.2) 与性困难有显著的相关性.
- 亲密伴侣虐待 (aOR=5.9) 和尿失禁 (aOR=4.5) 与与性有关的个人痛苦有显著的关联.
结论:
- 绝经前/绝经后状态和性不活动与难民妇女的性困难有关.
- 亲密伴侣的虐待和尿失禁是性相关痛苦的重要贡献者.
- 在难民妇女的性健康评估期间,对心理社会和身体健康问题的综合查至关重要.
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