title: Social determinants of sexual satisfaction in Spain considered from the gender perspective.
abstract: OBJECTIVE
  To describe gender- and social class-related inequalities in sexual satisfaction and analyze their relationship with self-perceived health status.
  
  
  METHODS
  This population-based, cross-sectional study included 7384 sexually active people aged 16 years and over residing in Spain in 2009 (3951 men and 3433 women). The explanatory variables were gender, age, social class, share in performing domestic tasks, spend time looking after oneself, collaborate economically in supporting the family, caring for children, self-perceived health status, and the desire to increase or decrease frequency of having sexual relations. Bivariate and multivariate logistic regression models were fitted.
  
  
  RESULTS
  Among women, sexual satisfaction declines progressively after age 45. Sexual satisfaction is 1.7 times higher among women who look after themselves and who feel good compared with those who do not. The odds of wanting to increase sex is 3.3 times higher for women who are satisfied compared with women who desire a lower frequency of sexual intercourses; and good perceived health was associated with sexual satisfaction. In satisfied men, the corresponding odds is 1.9 times that of men desiring to reduce their frequency of sex.
  
  
  CONCLUSIONS
  Gender and social class inequalities are found in sexual satisfaction. This is associated with perceived health status, adding evidence in support of the World Health Organization definition of sexual health.
authors: Department of Public Health, University of Alicante, Alicante, Spain.
authors: Esther
authors: E
authors: Castellanos-Torres
authors: Carlos
authors: C
authors: Álvarez-Dardet
authors: Dolores
authors: D
authors: Ruiz-Muñoz
authors: Gloria
authors: G
authors: Pérez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003075:Coitus / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D060728:Reproductive Health; D012649:Self Concept; D012737:Sex Factors; D012959:Socioeconomic Factors; D055815:Young Adult