Sexual Problems of Urban Women in Croatia: Prevalence and Correlates in a Community Sample

Štulhofer, Aleksandar; Gregurović, Margareta; Pikić, Aleksandra; Galić, Ivana
February 2005
Croatian Medical Journal;2005, Vol. 46 Issue 1, p45
Academic Journal
Aim: To asses the prevalence and correlates of female sexual problems in a community sample in the Croatian capital of Zagreb. Method: The study was based on a self-administered postal survey of 1,170 women 20-60 years old, living in Zagreb. The return rate was 48% (n=547). Participants not sexually active in the last month (n=119), and those who self-identified as homosexual or bisexual (n=31), were excluded from the analyses. The final sample consisted of 384 women. The average age of participants was 38.2 years. Four categories of sexual problems were addressed: inhibited sexual desire, inhibited sexual arousal, inhibited orgasm, and sexual pain disorders. Results: Of the heterosexual women sexually active in the last month, 33.8% experienced sexual problems, with inhibited orgasm being the most frequent problem. Comorbidity was recorded among 10.7% of the participants. Older age was positively related to inhibited desire (β=0.11, P=0.05) and inhibited arousal (β=0.25, P=0.002), whereas it was negatively related to inhibited orgasm and sexual pain disorders (β=-3.73, P=0.001 and β=-6.98, P 0.01, respectively). Length of relationship was positively related to inhibited desire (β=1.17, P=0.016). Religious morality was positively related to inhibited desire, inhibited arousal, and sexual pain disorders (β=0.43, P=0.001, β=0.52, P=0.001, and β=0.11, P=0.044, respectively). Intimate communication was negatively related to inhibited desire, inhibited arousal, and inhibited orgasm (β=-2.18, P=0.001, β=-2.67, P=0.001, and β-0.21, P=0.003, respectively); and body image was negatively related to inhibited arousal and sexual pain disorders (β=-1.17, P=0.026 and β=-0.38, P=0.042, respectively). Conclusion: Sexual health disturbances among urban Croatian women are frequent. Their prevalence calls for incorporating sexual health issues in the national public health agenda. Multifaceted character of sexual...


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