title: Female sexual dysfunction in patients with substance-related disorders.
abstract: OBJECTIVE
  To estimate the prevalence of female sexual dysfunction symptoms and the associated risk factors in a sample of patients with substance-related disorders admitted to a specialized in-patient care unit.
  
  
  METHODS
  This study used a cross-section design, with eight months of data collection, conducted with substance-dependent women using structured questionnaires to collect socio-demographic data and identify their drug of choice. The Drug Abuse Screening Test, Short Alcohol Dependence Data questionnaire, Fagerstrom Test for Nicotine Dependence, and Arizona Sexual Experience Scale were also administered.
  
  
  RESULTS
  The sample consisted of 105 women who had a mean age of 34.8 years (SD = 12.1, range = 18-65) and were predominantly heterosexual (74.3%), single (47.6%), Caucasian (50.5%), catholic (36.2%), and educated only to the level of primary education (40%), with a monthly family income of up to one minimum salary (37.5%). In 42.9% of the patients, crack was the drug of choice; 47.6% of the sample qualified for the Drug Abuse Screening Test (substantial problems related to drugs), 43.8% exhibited Short Alcohol Dependence Data (moderate or severe dependency), 47.6% exhibited Fagerstrom Test for Nicotine Dependence (high or very high nicotine dependence). The prevalence of sexual dysfunction symptoms was 34.2% (95% CI = [25.3, 44.1]), and a high level of nicotine dependence and low income increased the chances of having sexual dysfunction by 2.72-fold and 2.54 fold, respectively. An association was also observed between female sexual dysfunction symptoms and schooling and levels of drug dependence.
  
  
  CONCLUSIONS
  Female sexual dysfunction symptoms were common among this sample and primarily associated with high levels of nicotine use.
authors.affiliation: National Institute of Alcohol and Drugs Policy, Alcohol and Drug Research Unit, Psychiatry Department, Federal University of São Paulo, Sao Paulo, SP, Brazil. alediehl@terra.com.br
authors.forename: Alessandra
authors.initials: A
authors.lastname: Diehl
authors.forename: Rosiane Lopes da
authors.initials: RL
authors.lastname: Silva
authors.forename: Ronaldo
authors.initials: R
authors.lastname: Laranjeira
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D012735:Sexual Dysfunction, Physiological / Q000139:chemically induced / Q000453:epidemiology*; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology*; D055815:Young Adult