影响女性性健康的因素:一项关于堕胎后避孕的随机临床试验的5年随访。

IF 3.4 3区 医学 Q1 FAMILY STUDIES
Janina Bosas, Elena Toffol, Elina Pohjoranta, Maarit J Mentula, Ritva Hurskainen, Satu Suhonen, Oskari Heikinheimo
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引用次数: 0

摘要

引言:性幸福感与总体幸福感有关。超重、不孕、焦虑和性激素等几个因素也起到了一定作用,但激素避孕的效果仍然是一个争论点。我们描述了人工流产后育龄老年妇女性健康的相关因素。方法:对一项嵌套、纵向、队列研究进行5年随访,研究常规提供宫内避孕作为堕胎护理的一部分的效果。每年使用经验证的问卷(McCoy女性性行为问卷、状态特质焦虑量表和EuroQoL),以及一般和生殖健康以及关系状况的数据,对性健康、焦虑和生活质量进行评估。742 参与试验的290名女性(39%)提供了足够的随访数据,并被纳入本研究。结果:根据5年随访中McCoy评分的轨迹,确定了两组:性健康状况稳定且较高的组(n=223,76.9%)和性健康状况下降的组(n=67,23.1%)。性健康状况恶化组中的女性在所有时间点的焦虑水平均显著较高,生活质量较低。他们还经常患有慢性病,在恋爱关系中也不那么快乐。当分类为激素与非激素,或长效与短效可逆避孕时,在避孕方法上没有发现差异。结论:较低的焦虑和较高的生活质量与稳定和较高的性幸福感有关。在育龄妇女的长期随访中,避孕方法或关系状况与性健康无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors affecting female sexual well-being: a 5-year follow-up of a randomised clinical trial on post-abortion contraception.

Introduction: Sexual well-being is associated with general well-being. Several factors, such as overweight, infertility, anxiety and sex hormones, also play a role, but the effects of hormonal contraception remain a point of debate. We characterised the factors associated with sexual well-being in fertile-aged women following induced abortion.

Methods: A 5-year follow-up of a nested, longitudinal, cohort study examining the effects of routine provision of intrauterine contraception as part of abortion care. Sexual well-being, anxiety and quality of life were assessed annually using validated questionnaires (McCoy Female Sexuality Questionnaire, State-Trait Anxiety Inventory and EuroQoL), along with data on general and reproductive health, and relationship status. Of the 742 women participating in the trial, 290 (39%) provided sufficient follow-up data and were included in this study.

Results: Based on trajectories of McCoy scores across the 5-year follow-up, two groups were identified: those with stable and higher (n=223, 76.9%) and those with declining sexual well-being (n=67, 23.1%). Women in the group of declining sexual well-being had significantly higher levels of anxiety and lower quality of life at all time points. They also had chronic diseases more often and were less happy in their relationships. No differences were found in method of contraception when classified as hormonal versus non-hormonal, or long-acting versus short-acting reversible contraception.

Conclusions: Lower anxiety and higher quality of life are associated with stable and higher sexual well-being. Method of contraception or relationship status are not associated with sexual well-being during long-term follow-up in fertile-aged women.

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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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