TITLE:
Socioeconomic Variables Effecting Female Sexual Function in an Urban, Community Setting
AUTHORS:
Krista L. Neal, Stephanie Teng, Mazvita Nyamukapa, Victoria Greenberg, Alexis Braverman, Brett Worly
KEYWORDS:
Sexual Dysfunction, Socioeconomic Factors, Depression, Education, Urinary Incontinence
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.4,
March
31,
2015
ABSTRACT: Introduction: Female sexual
dysfunction is a common problem affecting 12% - 63% of the population, and its
relationship with demographic factors, depression, and urinary incontinence
needs to be more clearly identified. Aims: To determine demographic and
clinical conditions associated with female sexual dysfunction in an urban
population of women seeking routine gynecologic care. Methods: A
cross-sectional, IRB approved study with a convenience sample was performed of
238 sexually-active, non-pregnant women reporting to two urban gynecology
clinics: a private practice (n = 168) and a publicly funded ambulatory clinic (n
= 70). Main Outcome Measures: The participants completed informed consent and a
demographic questionnaire, plus validated questionnaires that measured sexual
function with the Female Sexual Function Index (FSFI), depression with the
Center for Epidemiologic Studies Depression Scale (CES-D), and urinary
incontinence with the Questionnaire for Urinary Incontinence Diagnosis (QUID).
Results: The mean FSFI score for those with public insurance and private
insurance was 29.5 ± 4.2 and 27.8 ± 5.1 (OR 0.746, p = 0.0005, 95% CI 0.633,
0.881) respectively. In comparing “private” and “public” patient groups, age,
weight, race, education, employment, exercise, household income, smoking,
alcohol frequency,and sex frequency were all significantly different (p