COMPARISON OF FUNCTIONING BETWEEN BRAZILIAN WOMEN WITH AND WITHOUT SEXUAL DYSFUNCTION: A cross-sectional study
Physiological Sexual Dysfunctions. Sexuality. Women. ICF
Introduction: Human sexuality is multifactorial and depends on the integration of psychological, biological, relational and sociocultural determinants. Thus, sexual dysfunction and the factors related to it can impact the functioning of women of reproductive age. Objective: To compare functionality among Brazilian women of reproductive age, with and without sexual dysfunction. For qualification purposes, 2 articles were created with the following objectives: ARTICLE 1 - to analyze the association between the self-perceived presence of sexual dysfunctions and the IFSI results, as well as between the age groups (18 to 30 years old and 31 to 49 years old) and sexual dysfunctions self-reported by Brazilian women of reproductive age. ARTICLE 2 - to identify the prevalence of sexual dysfunctions and to compare the functioning between Northeastern women with and without sexual dysfunction. Methodology: Cross-sectional analytical study in progress that will end in August 2023. The final sample will consist of 622 participants, divided into Control Group (CG) and Study Group (SG), who meet the following inclusion criteria: be between 18 and 49 years old; being sexually active for at least 4 weeks; identify as cisgender and heterosexual women and have access to the internet. The survey protocol is self-applicable and online (Google Forms). It consists of a Characterization Form, the Female Sexual Function Index (IFSF) and the WHO Disability Assessment Schedule (WHODAS 2.0). The storage and statistical treatment of the data will be carried out using SPSS (version 20.0, IBM). The bootstrapping technique will be used to adapt the quantitative variables to the assumption of parametric distribution. Measures of central tendency and dispersion, Student's T test with Welch correction for independent samples, Chi-square test (X2) and Logistic Regression will be used. For the analyses, the following will be presented: Odds Ration (OR), confidence interval, effect size and significance level. A p<0.05 will be adopted. Preliminary and expected results: ARTICLE 1 (n=285) - Mean age at first menstruation was 12.35±1.43 years and mean age at first sexual intercourse was 17.84±3.16 years. There was a moderate association (Cramer's V = 0.59) between the self-perceived presence of sexual dysfunction and the diagnosis generated by the application of the IFSF (χ2(2) = 91.50; p<0.001). There was an association between age group and painful dysfunction (χ2(1) = 13.48; p<0.001; OR=0.38; 95%CI=0.22 to 0.64) and orgasm (χ2(1) = 6.88; p=0.009; OR=0.39; 95%CI=0.19 to 0.80). It was observed that women aged 31 to 49 years old are 62% and 61% less likely to have painful and orgasmic dysfunctions, respectively, compared to those aged 18 to 30 years old. ARTICLE 2 (n=262) - Regarding the prevalence and types of disorders, the most recurrent were: hypoactive desire (27.1%), changes in arousal (23.7%), dysorgasmia (21.8%) and dyspareunia (18.7%). It was observed that women with sexual dysfunction have a greater impact on functioning when compared to those without dysfunction (p=0.001; 95%CI [7.50 to 14.77]). There are significant differences in all WHODAS 2.0 domains, highlighting, by the measures of effect, “getting along”, “cognition” and “participation”. With the completion of this study, it is expected to contribute to the scientific literature on the subject in question, providing relevant information to help clinicians to think about health promotion and disease prevention strategies, considering the aspects researched in this study, to encourage the use of of the ICF and instruments related to classification for the assessment of women with different health conditions, including those with sexual dysfunction, to identify how sexual dysfunctions are related to biopsychosocial aspects of female life of reproductive age, establishing a relationship with physical therapy performance, to present works and publish abstracts at national and international events, produce an e-book on female sexual function for the non-academic audience and organize and produce an online event with an interprofessional approach to disseminate the results of this research among the target audience, clinicians and researchers.