CAJ | 학술논문

目的：调查北京市西城区社区居民围绝经期及绝经后期女性性生活现状及相关影响因素，为妇女性健康提供指导。方法对1958例西城区参加两癌筛查的女性采用自拟问卷调查表的形式进行调查，收集其性生活相关情况，运用单因素相关分析及多元回归模型分析性意愿下降的影响因素。结果年龄、文化程度、分娩方式、月经状况、躯体疾病、妇科疾病、萎缩性阴道炎、Greene量表评分、萎缩性阴道炎症状评分、阴道健康评分均与性意愿下降相关（ P＜0.05），其中绝经、子宫肌瘤、萎缩性阴道炎、阴道疼痛、性交痛、阴道瘙痒、心理症状群、血管舒缩性症状群对性意愿下降影响较大（ P＜0.05）。结论月经状况、萎缩性阴道炎、更年期综合征是导致性意愿下降的关键因素。
목적：조사북경시서성구사구거민위절경기급절경후기녀성성생활현상급상관영향인소，위부녀성건강제공지도。방법대1958례서성구삼가량암사사적녀성채용자의문권조사표적형식진행조사，수집기성생활상관정황，운용단인소상관분석급다원회귀모형분석성의원하강적영향인소。결과년령、문화정도、분면방식、월경상황、구체질병、부과질병、위축성음도염、Greene량표평분、위축성음도염증상평분、음도건강평분균여성의원하강상관（ P＜0.05），기중절경、자궁기류、위축성음도염、음도동통、성교통、음도소양、심리증상군、혈관서축성증상군대성의원하강영향교대（ P＜0.05）。결론월경상황、위축성음도염、경년기종합정시도치성의원하강적관건인소。
Objective To investigate sex status and related factors of perimenopausal and postmenopausal women in community of Xicheng district, to provide guidance for women's sexual health.Methods 1 958 women in Xicheng district who participated in screening for cervical cancer and breast cancer were investigated by questionnaire survey.The sex life status and related factors of women were collected.Single factor correlation analysis and multiple regression model were used to analyze the factors of sexual desire decline.Results The age, cultural degree, mode of delivery, menstrual status, physical disease, gynecological disease, atrophic vaginitis, Greene score, score of symptoms of atrophic vaginitis, score of vaginal health had impact on sexual desire decline ( P<0.05).Among them, menopausemyoma, atrophic vaginitis,vaginal pain,dyspareunia,pruritus of vagina, psychological symptoms, vasomotor symptoms had obviously impact on sexual desire decline(P<0.05).Conclusion Menstrual status, atrophic vaginitis, vmenopausal syndrome were the key factors of sexual desire decline.