Sexual difficulties, distress and dysfunction among women with refugee background in Australia.

IF 3.2 4区医学 Q1 OBSTETRICS & GYNECOLOGY

Climacteric Pub Date : 2025-08-07 DOI:10.1080/13697137.2025.2537973

Maryam Jahangirifar, Susan R Davis, Ensieh Fooladi, Rakibul M Islam

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引用次数: 0

Abstract

Objective: This study aimed to document the prevalence of sexual difficulties, sexually-related personal distress, sexual dysfunction and associated factors among refugee women in Australia.

Method: The cross-sectional study included refugee women aged 18-63 years. Sexual difficulties were defined as selecting 'always' or 'very often' on the Profile of Female Sexual Function, while distress was a score of at least 11 on the Female Sexual Distress Scale - Revised. Female sexual dysfunction (FSD) combined these scores. Participants also completed the Woman Abuse Screening Tool and the Bristol Female Lower Urinary Tract Symptoms questionnaire.

Results: Among 299 participants (median age 41 years), sexual difficulties, sexually-related personal distress and FSD were present in 39.3%, 33.2% and 7.0%, respectively. Perimenopausal/postmenopausal status (adjusted odds ratio [aOR] = 2.8, 95% confidence interval [CI]: 1.4-5.6, p = 0.003) and sexual activity (aOR = 0.2, 95% CI: 0.1-0.4, p < 0.001) predicted sexual difficulties. Intimate partner abuse (aOR = 5.9, 95% CI: 2.4-14.5, p < 0.001) and urinary incontinence (aOR = 4.5, 95% CI: 1.5-13.0, p = 0.006) were associated with sexually-related personal distress.

Conclusion: Perimenopausal/postmenopausal status and sexual inactivity were associated with sexual difficulties, while intimate partner abuse and urinary incontinence were associated with sexually-related distress, highlighting the importance of proactive screening for psychosocial and physical health issues in sexual health assessments among refugee women.

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澳大利亚难民背景妇女的性困难、苦恼和性功能障碍。

目的：本研究旨在记录澳大利亚难民妇女的性困难、性相关的个人困扰、性功能障碍及其相关因素的普遍程度。方法：横断面研究纳入18-63岁的难民妇女。性困难被定义为在女性性功能概况中选择“总是”或“经常”，而在女性性困扰量表-修订中至少得分为11分。女性性功能障碍（FSD）综合这些分数。参与者还完成了女性虐待筛查工具和布里斯托尔女性下尿路症状问卷调查。结果：299名参与者（中位年龄41岁）中，性困难、性相关的个人困扰和消防处分别占39.3%、33.2%和7.0%。围绝经期/绝经后状态（调整优势比[aOR] = 2.8, 95%可信区间[CI]: 1.4-5.6, p = 0.003）和性活动（aOR = 0.2, 95% CI: 0.1-0.4, p = 0.006）与性相关的个人困扰相关。结论：围绝经期/绝经后状态和性不活跃与性困难有关，而亲密伴侣虐待和尿失禁与性相关的痛苦有关，这突出了在难民妇女性健康评估中主动筛查社会心理和身体健康问题的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Climacteric 医学-妇产科学

CiteScore

1.70

自引率

7.10%

发文量

审稿时长

1 months

期刊介绍： Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.