RELATIONSHIP BETWEEN FUNCTIONING AND SEXUAL DYSFUNCTION IN NULIPARA AND PRIMIPAROUS WOMEN: AN ANALYSIS BASED ON THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH
Female Sexual Function; International Classification of Functioning, Disability and Health; quality of life; functioning.
Introduction: Human sexuality is described as an important component in health, which involves physical, cultural and social aspects, which can negatively impact the quality of life and functioning of subjects, especially in women of reproductive age. Objective: to analyze the relationship between functioning and sexual dysfunction in nulliparous and multiparous women. Results: The participants (n=296) had a mean age of 30.41±8.18 years and: impaired sexual function (26.59±7.03), mild level of activity limitation and participation restriction (11 .23±15.92), used contraceptive methods (55.1%), had completed higher education (62.5%), partnered (89.5%), considered good sexual and general health (41.6% and 42.9%, respectively). Nulliparous women with sexual dysfunction have greater activity limitation and participation restriction (p<0.002; ES>0.16). In terms of Personal Factors, there was a weak association between education, general self-perception of sexual health and the presence of sexual dysfunction (p=0.01 and p=0.02, respectively). In the group of multiparous women, in relation to Activity and Participation, a worsening of this component was also observed in women with dysfunction. However, the impact seems to be smaller than in nulliparous women (effect size=0.53). Among the Personal Factors, only general self-perception of sexual health was significantly associated with the presence of dysfunction (p=0.02). Conclusion: The results of this study suggest that both multiparous and nulliparous women with sexual dysfunction have a greater impact on functionality when compared to those without dysfunction. However, this impact seems to be more significant in multiparous women.