title: Prevalence and potential risk factors of female sexual difficulties: an urban Iranian population-based study.
abstract: BACKGROUND
  Female sexual dysfunction is common, a multifactorial phenomenon with a potential to cause marital strain, impaired fertility, and poor quality of life. Epidemiologic data are scarce and little is known about the prevalence of sexual difficulties and the exact role of putative risk factors in Iran.
  
  
  OBJECTIVE
  To determine the prevalence of female sexual difficulties and the potential risk factors in an urban Iranian population.
  
  
  METHODS
  A cross-sectional study was performed in the province of Kohgilooyeh-Boyerahmad (KB) in the southwest of Iran and involved sexually active urban women aged 15 years and over, selected via a quota-based cluster sampling method. The study used an ad hoc questionnaire covering the demographic and reproductive variables as well as the data related to sexual difficulties. Data were analyzed using multiple logistic regression models. The main outcome measures were the prevalence rates and the predictors of sexual difficulties.
  
  
  METHODS
  The prevalence of female sexual difficulties and the associated risk factors.
  
  
  RESULTS
  One thousand four hundred fifty-six sexually active women living in the urban areas of KB province in 2005 were selected. The mean age of the sample was 34.04 +/- 9.2 (16-71) years and the mean number of completed grades was 7.18 (+/-4.8). More than 52% of the participants had experienced at least one type of sexual difficulty. The greatest and smallest frequencies were observed for orgasm difficulty (21.3%, confidence interval[CI](0.95) = 19.2-23.4%) and lubrication difficulty (11.9%, CI(0.95) = 10.2-13.6%). Age, education, contraceptive modality, and obstetric/gynecologic procedures were all associated with at least one type of sexual dysfunction.
  
  
  CONCLUSIONS
  Similar to previous studies, we found a relatively high prevalence of sexual difficulties in this urban population of low socioeconomic status. However, our results concerning the role of some demographic and reproductive variables in producing sexual difficulties were different from those reported by other researchers.
authors.affiliation: Iranian Institute for Health Sciences Research, ACECR, No. 51, Nazari Street, South Palestine Street, Enghelab Avenue, Tehran, Iran. Goshtasebi@modares.ac.ir
authors.forename: Azita
authors.initials: A
authors.lastname: Goshtasebi
authors.forename: Mariam
authors.initials: M
authors.lastname: Vahdaninia
authors.forename: Abbas
authors.initials: A
authors.lastname: Rahimi Foroshani
mesh_terms: D000328:Adult; D000367:Age Factors; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006306:Health Surveys; D006801:Humans; D007492:Iran / Q000453:epidemiology; D016015:Logistic Models; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology* / Q000209:etiology; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult