Correlates of sexual function among multi-ethnic middle-aged women: results from the Study of Women's Health Across the Nation (SWAN)

Avis, Nancy E.; Zhao, Xinhua; Johannes, Catherine B.; Ory, Marcia G.; Brockwell, Sarah; Greendale, Gail A.

doi:10.1097/01.gme.0000151656.92317.a9

Cited by 221 publications

(171 citation statements)

References 46 publications

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“…In our study one of the effective factors impacting sexual desire is sexual satisfaction. Sexual desire was 88% higher in women who had sexual satisfaction than in other women, a condition confirmed by other studies (5,20). Because menopause and its symptoms depend on steroids, which in turn is dependent on FSH.…”

Section: Discussionsupporting

confidence: 76%

Evaluation of Factors Affecting Sexual Desire During Menopausal Transition and Post Menopause

Rabiei¹,

Nasirie²,

Zafarqandie³

2014

Women's Health Bull

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Background:One of the most common problems of women especially during transient menopause and post menopause is reduction in sexual desire which affects their social and psychological health. Objectives: The present study attempted to evaluate the impact of some personal and social factors, common age-related complaints, and follicular stimulating hormone and estradiol on sexual desire. Patients and Methods:This cross-sectional study was conducted on 201 females, aged 45-60 years old, without any history of psychological illness, and not receiving any hormone therapy including estrogen-progesterone. They filled three questionnaires; menopausal rating scale (MRS), symptom checklist 90 and their sexual interests and demographic characteristics. The data were analyzed using Pearson Chisquare tests and logistic regression (using SPSS 18). Results: A deceasing sexual desire was observed in 34.7% of the cases. A statistically significant relationship was found between reduced sexual desire and physical complaints and mood changes including anxiety and depression. Women who were widowed or divorced exhibited a significantly higher reduction in sexual desire. There was a significant correlation between sexual satisfaction and sexual desire. However, no significant relationship was observed between sexual desire and hot flashes, dyspareunia and level of estradiol and FSH. Conclusions: Mental and physical health of women and their sexual satisfaction play a more effective role in predicting sexual desire, regardless of age and hormonal changes during this period.

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Section: Discussionsupporting

confidence: 76%

Evaluation of Factors Affecting Sexual Desire During Menopausal Transition and Post Menopause

Rabiei¹,

Nasirie²,

Zafarqandie³

2014

Women's Health Bull

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“…25,26 Variables assessing sleep problems and sexuality have been previously described. [27][28][29] Briefly, sleep was assessed by self-report on a three-question scale. Frequency of trouble falling asleep (difficulty with sleep initiation), several nighttime awakenings (difficulty with sleep maintenance), and waking earlier than planned with inability to fall asleep again (early morning awakening) in each of the last 2 weeks was measured as none, < 1 time per week, 1-2 times per week, 3-4 times per week; or ‡ 5 times per week.…”

Section: Methodsmentioning

confidence: 99%

“…27 The questionnaire was derived from several sources: The Massachusetts Women's' Health Study, The National Health and Social Life Survey, the National Survey of Family Growth, and the Women's Health Initiative Daily Life Form. 27,28 Items of interest for this study were five questions comprising a sexual function subset asking about desire, arousal, satisfaction, orgasm, and vaginal dryness. The remaining items from the questionnaire, assessing sexual practices and importance of sex, were not evaluated.…”

Section: Methodsmentioning

confidence: 99%

Symptoms of Depressed Mood, Disturbed Sleep, and Sexual Problems in Midlife Women: Cross-Sectional Data from the Study of Women's Health Across the Nation

Prairie

Wisniewski

Luther

et al. 2015

Journal of Women's Health

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Background: Women report many nonvasomotor symptoms across the menopausal transition, including sleep disturbances, depressed mood, and sexual problems. The co-occurrence of these three symptoms may represent a specific menopausal symptom triad. We sought to evaluate the interrelatedness of disturbed sleep, depressed mood, and sexual problems in the Study of Women's Health Across the Nation (SWAN) and determine the characteristics of women exhibiting this symptom triad. Methods: SWAN is a multisite, multiethnic observational cohort study of the menopausal transition in the United States. Sleep disturbance, sexual problems, and depressed mood were determined based on self-report. Women who reported all three symptoms simultaneously were compared to those who did not. Logistic regression models estimated the association of demographic, psychosocial, and clinical characteristics with the symptom triad. Results: Study participants (n = 1716) were 49.8 years old on average and primarily in very good or excellent health. Sixteen and a half percent had depressed mood, 36.6% had a sleep problem, and 42.2% had any sexual problem. Five percent of women (n = 90) experienced all three symptoms. Women with the symptom triad compared with those without had lower household incomes, less education, were surgically postmenopausal or late perimenopausal, rated their general health as fair or poor, and had more stressful life events and lower social support. Conclusions: The symptom triad of sleep disturbance, depressed mood, and sexual problems occurred in only 5% of women, and occurred most often among women with lower socioeconomic status, greater psychosocial distress, and who were surgically menopausal or in the late perimenopause.

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“…For example, studies have revealed substantial differences between cultures in how aging and menopause influence women's sexuality and in how the societal role of women influences the impact of aging on their sexuality (Avis et al, 2005;Laumann et al, 2005). The meaning and interpretation of physical changes associated with aging and therefore their impact on sexual functioning are influenced by social values (DeLamater, 2012).…”

Section: Socio-cultural Aspects Of Sexuality In Older Agementioning

confidence: 99%

Sexuality in Older Adults (65+)—An Overview of The Recent Literature, Part 2: Body Image and Sexual Satisfaction

Træen

Carvalheira

Kvalem

et al. 2016

International Journal of Sexual Health

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Aim: the aim of the paper is to provide an overview of the literature published 2005-2015 on sexual satisfaction and body image in older adults. Method:A narrative literature search using the PsycINFO database was conducted.Results: Although women in general seem less satisfied with their bodies than men, particularly in sexual contexts, older women appear to be less vulnerable to body-related dissatisfaction than younger women. Despite the age-specific dynamics of sexual satisfaction and sexual well-being, which parallel age-related decrease in the frequency of sexual activity, research findings from ACCEPTED MANUSCRIPT ACCEPTED MANUSCRIPT 3 different countries show that substantial proportions of aging men and women are satisfied with their sex life. There is some limited evidence that this proportion may be increasing across cohorts. Gender differences in factors that influence sexual satisfaction among older adults appear marginal. Conclusion:Older age can affect sexual satisfaction on individual, interpersonal, and culturerelated levels. Future research in older adults' sexuality should focus on sexual well-being in women who are without partners, sexual satisfaction among aging LGBT individuals and couples, the relationship between religiosity and sexual satisfaction, and employ a comparative, cross-cultural approach.

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Correlates of sexual function among multi-ethnic middle-aged women: results from the Study of Women's Health Across the Nation (SWAN)

Abstract: Relationship variables, attitudes toward sex and aging, vaginal dryness, and cultural background have a greater impact on most aspects of sexual function than the transition to early perimenopause.

Cited by 221 publications

References 46 publications

Evaluation of Factors Affecting Sexual Desire During Menopausal Transition and Post Menopause

Evaluation of Factors Affecting Sexual Desire During Menopausal Transition and Post Menopause

Symptoms of Depressed Mood, Disturbed Sleep, and Sexual Problems in Midlife Women: Cross-Sectional Data from the Study of Women's Health Across the Nation

Sexuality in Older Adults (65+)—An Overview of The Recent Literature, Part 2: Body Image and Sexual Satisfaction

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