Banca de DEFESA: POLIANNE ANGELLA OLIVEIRA FIGUEIREDO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : POLIANNE ANGELLA OLIVEIRA FIGUEIREDO
DATE: 28/04/2023
TIME: 09:00
LOCAL: Plataforma virtual Google Meet
TITLE:

COMPARISON OF FUNCTIONING BETWEEN BRAZILIAN WOMEN WITH AND WITHOUT SEXUAL DYSFUNCTION: A cross-sectional study

KEY WORDS:

Physiological Sexual Dysfunctions. Sexuality. Women. ICF

PAGES: 110
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Human sexuality is multifactorial and depends on the integration of psychological, biological, relational and sociocultural determinants. Thus, sexual dysfunction and factors related to it can impact the functionality of women of reproductive age. Objective: To compare functionality among adult Brazilian women of reproductive age, cisgender and heterosexual with and without sexual dysfunction. For the purpose of presenting the dissertation, 3 articles were constructed with the following objectives: ARTICLE 1 - to analyze the association between the self-perceived presence of sexual dysfunctions and the results of the FSFI, as well as between chronological age and sexual function in Brazilian cisgender women and heterosexuals of reproductive age. ARTICLE 2 - Identify the prevalence of sexual dysfunctions, compare functionality among Brazilian women with and without sexual dysfunction and analyze the association between changes in functionality and the presence of sexual dysfunction (SD) ARTICLE 3 - Estimate the chance of occurrence of changes in functionality, considering the presence of sexual dysfunction, self-perception about the quality of sexual life, knowledge about female sexual response, information about sexual dysfunction and age. Methodology: Cross-sectional analytical study. The research protocol was self-administered and online (Google Forms), consisting of a characterization form, the Female Sexual Function Index (FSFI) and the WHO Disability Assessment Schedule (WHODAS 2.0). The women who met the following inclusion criteria participated in the study: being between 18 and 49 years old; being sexually active for at least 4 weeks; identify themselves as cisgender and heterosexual women and have access to the internet. Statistical data storage and treatment was performed using SPSS (version 20.0, IBM). The bootstrapping technique was used to adjust the quantitative variables to the assumption of parametric distribution and the significance level adopted was p<0.05. ARTICLE 1 – 285 women participated. For data analysis, the following tests were used: Chi-square test of independence (χ²) to analyze the association between self-perceived presence of sexual dysfunction (SD) and presence of SD, according to the FSFI. Pearson's correlation test was used to investigate the relationship between age and sexual function (FSFI). ARTICLE 2 - The final sample consisted of 285 participants, divided into Control Group (CG, without sexual dysfunction, n=168) and Study Group (SG, with sexual dysfunction, n=117). Student's t test for independent samples with Welch correction and Chi-square test (χ²) were used. ARTICLE 3 – The sample consisted of 307 women divided into a Control Group (CG, without sexual dysfunction, n= 186 ) and a Study Group (SG, with sexual dysfunction, n= 121). For data analysis, Student 's T Test was used for independent samples with Welch correction to compare functioning between women with and without sexual dysfunction, then a binary logistic regression was performed, with the Enter method, to analyze which variables, related to sexual function could predict changes in functionality. Results: ARTICLE 1 (n=285) - Women with an average age of 29.57±7.11 years participated in this research. A moderate association (Cramer 's V = 0.59) was obtained between the self-perceived presence of sexual dysfunction and the diagnosis generated by the application of the FSFI (χ²(2)=91.50; p<0.001). There was a weak, negative and statistically significant correlation between age and the desire domain of the FSFI (r= -0.12; p=0.03; r ² =1.44). ARTICLE 2 (n=285) - Regarding the prevalence and types of disorders, the most recurrent were: hypoactive desire (27%), changes in arousal (22.8%), dysorgasmia (21.1%) and dyspareunia (18.6%). 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 domains of WHODAS 2.0, with emphasis on “interpersonal relationships”, “cognition” and “participation”. ARTICLE 3 (n= 307 ) – Women with and without sexual dysfunction have a mild impact on functionality. However, those with sexual dysfunction had higher WHODAS scores (overall and by domain) when compared to those without sexual dysfunction (p= 0.001; [CI95%: 7.02 to 14.04]). The prediction model for changes in functionality in the participants was statistically significant (X²(4)=28.25; p<0.001), being able to adequately predict 62.2% of cases. Women with a good self-assessment of QOL are 27% less likely to have changes in functionality compared to those with a poor self-assessment of their sexual life (Exp(B)=0.27 [ CI95 %= 0.15 to 0.48]). Conclusion: ARTICLE 1 -Women who self-perceived the presence of sexual dysfunction (SD) are 68% more likely to actually have SD when evaluated by the FSFI. It was observed that, with advancing age, there is a decrease in sexual function, with regard to the desire phase. ARTICLE 2 - When compared to women without SD, those with dysfunction have a greater impact on general functionality, with emphasis on interpersonal relationships, cognition and participation. We found a weak association between changes in general functionality (and by domain) and the presence of sexual dysfunction. However, it was observed that women with sexual dysfunction are 43% to 78% more likely to have changes in functionality compared to those without dysfunction. ARTICLE 3 - Women with a good self-assessment of Quality of Sexual Life are 27% less likely to have changes in functionality compared to those with a poor self-assessment of their sexual life, regardless of marital status, knowledge about sexual dysfunction and female sexual response.

COMMITTEE MEMBERS:
Presidente - 1032531 - ALINE BRAGA GALVAO SILVEIRA FERNANDES
Interna - 1242804 - ADRIANA GOMES MAGALHAES
Externa à Instituição - ISABELLE EUNICE DE ALBUQUERQUE PONTES MELO LEITE