title: Sexuality in Brazilian women aged 40 to 65 years with 11 years or more of formal education: associated factors.
abstract: OBJECTIVE
  To evaluate factors associated with the sexuality of middle-aged women.
  
  
  METHODS
  Cross-sectional, population-based survey using an anonymous self-response questionnaire. A total of 276 Brazilian-born women, 40 to 65 years old with at least 11 years of formal education, participated in the study. The evaluation instrument was based on the Short Personal Experiences Questionnaire. Seven components were analyzed: satisfaction in sexual activities, orgasm, intensity of desire, self-classification of sexual life, frequency of arousal, sexual activity, and sexual fantasies. Sociodemographic, clinical, behavioral, and reproductive factors were evaluated. Data were analyzed using the chi and Fisher exact tests and Poisson multiple regression analysis. Prevalence ratios (PRs) and their 95% CIs were calculated.
  
  
  RESULTS
  The median sexuality score was 9 (range, 2.45-13.77). Bivariate analysis indicated that being 50 years of age or older; in the menopausal transition or postmenopause; not having a sexual partner; reporting hot flushes, insomnia, depression, nervousness, sedentary lifestyle, arterial hypertension, or urinary incontinence; and poor self-perception of health were significantly associated with a below median sexuality score. Multiple regression analysis showed that the prevalence of below median scores was higher in older women (prevalence ratio [PR] = 1.03, 95% CI: 1.01-1.05) and in those with insomnia (PR = 1.46, 95% CI: 1.08-1.96). Having a sexual partner (PR = 0.68, 95% CI: 0.50-0.92) and feeling well (PR = 0.73, 95% CI: 0.57-0.94) was associated with a protective effect against a below median sexuality score.
  
  
  CONCLUSIONS
  Older women and those with insomnia were more likely to have a low sexuality score, whereas those with a sexual partner and who felt well were less likely to have a low sexuality score.
authors.affiliation: Department of Gynecology and Obstetrics, Universidade Estadual de Campinas, Campinas, Brazil.
authors.forename: Ana L
authors.initials: AL
authors.lastname: Valadares
authors.forename: Aarão M
authors.initials: AM
authors.lastname: Pinto-Neto
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Osis
authors.forename: Délio M
authors.initials: DM
authors.lastname: Conde
authors.forename: Maria H
authors.initials: MH
authors.lastname: Sousa
authors.forename: Lúcia
authors.initials: L
authors.lastname: Costa-Paiva
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D047648:Perimenopause / Q000502:physiology*; D012725:Sexual Behavior / Q000502:physiology / Q000706:statistics & numerical data*; D012747:Sexual Partners; D019529:Sexuality / Q000502:physiology* / Q000706:statistics & numerical data; D007319:Sleep Initiation and Maintenance Disorders; D016387:Women's Health