Prevalence of and factors associated with female sexual dysfunction among women using hormonal and non-hormonal contraception at the AGA Khan University Hospital Nairobi
| Autor: | Gulnaz Mohamoud, Jacob Shabani, Abraham Mwaniki Mukaindo, Momin R Butt, Valentino Manase Lema |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis prevalence Female sexual dysfunction lcsh:Medicine Logistic regression Miscarriage 03 medical and health sciences 0302 clinical medicine Risk Factors Weight loss Surveys and Questionnaires medicine Humans Sexual Dysfunctions Psychological 030212 general & internal medicine Original Research Libido non-hormonal business.industry Obstetrics lcsh:Public aspects of medicine 030503 health policy & services lcsh:R Public Health Environmental and Occupational Health lcsh:RA1-1270 General Medicine Middle Aged medicine.disease Kenya hormonal Discontinuation Sexual Dysfunction Physiological Contraception Cross-Sectional Studies contraception female sexual dysfunction Hormonal contraception Multivariate Analysis Female medicine.symptom 0305 other medical science Family Practice business |
| Zdroj: | African Journal of Primary Health Care & Family Medicine African Journal of Primary Health Care & Family Medicine, Vol 11, Iss 1, Pp e1-e9 (2019) African Journal of Primary Health Care & Family Medicine, Volume: 11, Issue: 1, Pages: 1-9, Published: 2019 |
| ISSN: | 2071-2936 2071-2928 |
| DOI: | 10.4102/phcfm.v11i1.1955 |
| Popis: | Background: Female sexual function (FSD) is a complex phenomenon. It integrates all body systems and is influenced by a variety of factors. Contraceptives have shown to have variable effects on FSD. In Kenya, the majority of women use hormonal contraception with high rates of discontinuation of use, attributed to related side effects such as weight loss and loss of libido. Aim: To determine the prevalence of and the factors affecting FSD among women using contraception in our setting. Setting: The study was carried out at the Aga Khan University Hospital, Nairobi, at various clinical sites. Methods: A cross-sectional study was conducted. Consecutive sampling of women of reproductive age using either hormonal or non-hormonal contraception was conducted. Two questionnaires were completed after obtaining informed consent. Independent associations of factors with the outcome variables were assessed using the chi-square test of association, and variables with a p < 0.25 were used in the multivariate analysis. Factors associated with FSD were determined using binary logistic regression. Results: A total of 566 participants were included. The prevalence of FSD among those using hormonal and those using non-hormonal contraception was 51.5% and 29.6%, respectively ( p < 0.0001). We found that the factors associated with FSD were presence of chronic illness and use of chronic medication, being self-employed or unemployed, alcohol intake and history of miscarriage(s). Conclusion: There was a high prevalence of and a strong association between hormonal contraception and FSD. More studies on this topic in different settings are recommended to investigate the effect of each type of hormonal method on FSD. |
| Databáze: | OpenAIRE |
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