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 <
0.05). Multivariate logistic regression analysis found that female sexual
dysfunction correlated with less education (OR 1.379, p = 0.0346, 95% CI 1.024,
1.858), and worsening depression identified by CES-D score (OR 1.088, p <
0.0001, 95% CI 1.043, 1.135). Conclusions: Female sexual dysfunction was
associated with decreased household income, urinary incontinence, less
education, and depression.
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