Introduction: Sexual function (SF) is an important issue in women’s health from the beginning of sexual life. SF can be modified by several factors, and the presence of sexual dysfunction may negatively affect the quality of life of these women. Objective: This study aimed to investigate the sexual function, its associated factors and the association with the functioning in women in reproductive age. Method: A cross-sectional observational study with 172 women that attended 6 Family Health Facilities in the northeast region of Brazil. The evaluation tool consisted of (i) sociodemographic, obstetrical and gynecological issues, and questions about habits and health conditions, (ii) female sexual quotient (FSQ), and (iii) World Health Organization Assessment Schedule 2.0 (WHODAS 2.0). Prevalence of sexual dysfunction was calculated, and bivariate analysis was used to estimate the association of independent variables with the outcome of sexual dysfunction. Results: The prevalence of sexual dysfunction was 37.2%, and 39.5% of the sample considered their sexual health as fair to good. In total, 26.2% of women never think of sex spontaneously, they do not remember or imagine themselves during sexual intercourse, and 38.4% think about it sometimes. No association was found between the investigated variables and sexual dysfunction; however, the latter showed an association on interpersonal relationships of women (p = 0.016). Conclusions: There is a considerable prevalence of sexual dysfunction between women in reproductive age. Thus, results emphasize the relevance of investigations about female sexual function among women in reproductive age that are not in the pregnancy and postpartum period.
Background
The present study aims to analyse if dysmenorrhea is associated with activity limitations and participation restrictions in experencied by adult women.
Methods
This is a cross-sectional study carried out with adult women recruited from primary health services in Brazil between 2016 and 2017. Dysmenorrhea was measured via a self-report and the activity limitation and participation restrictions was assessed by the World Health Disability Assessment Schedule (WHODAS2.0). Pain and level of physical activity were assessed, respectively, by the numerical pain rating scale and International Physical Activity Questionnaire (IPAQ), short version. Associations between groups, dysmenorrhea and without dysmenorrhea (WD), were analysed by the median difference, Mann Whitney test, effect size measures and 95 % confidence interval. Statistical significance was p <0.05.
Results
The prevalence of dysmenorrhea was 54 %. The pain lasted an average of three days or more (66 %). The average pain intensity, in the crisis period, was 6.1 ± 2.6, women who presented severe pain complaints were associated with considerable difficulties in their domains of mobility (p = 0.003; 2 = 0.115), participation (p = 0.030; 2 = 0.063) and total score (p = 0.012; 2 = 0.086), with a moderate effect size for all variables.
Conclusions
Severe dysmenorrhea was associated with higher scores of disabilities assessed by the WHODAS 2.0, especially in mobility, and participation domains.
Introdução: A preocupação com a beleza e o corpo em busca de um ideal estético, que preconiza a silhueta magra tem sido alvo de muitas pesquisas atualmente. Objetivo: caracterizar o perfil sócio demográfico e clínico das mulheres que buscaram o serviço de Fisioterapia Dermato Funcional, e avaliar as contribuições do tratamento fisioterapêutico na satisfação corporal dessas mulheres. Materiais e métodos: Estudo do tipo quase-experimental, com comparação antes e depois. Foram incluídas 28 mulheres atendidas por um serviço escola de Fisioterapia Dermato Funcional na cidade de Santa Cruz RN. A coleta de ados envolveu questionário clínico, Body Shape Questionnaire (BSQ), escala de silhueta e auto relato sobre satisfação corporal. Os dados foram analisados por meio de estatística descritiva e inferencial. Resultados: A maioria das mulheres apresentaram idade entre 30 e 40 anos (71,4%) a alteração mais prevalente foi o fibroedema geloide (92,9%), a maioria apontou como silhueta ideal imagens que representavam silhuetas mais magras comparadas com a silhueta atual (92,9%). Após o tratamento fisioterapêutico, mais mulheres relataram estar satisfeitas com o corpo (p=0,036) e observou-se diminuição nos escores do BSQ das pacientes (p=0,004). Conclusão: Um protocolo de tratamento fisioterapêutico dermato funcional, que envolveu técnicas específicas e educação em saúde contribuiu para a melhora na satisfação corporal das mulheres.
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