title: Sexual behavior and symptoms among reproductive age Chinese women in Hong Kong.
abstract: BACKGROUND
  As sexual medicine evolves, much advancement has been achieved in understanding male sexuality and treating male sexual dysfunction. Less is known about female sexual pattern, the prevalence of sexual problems, and their correlation with confounding factors.
  
  
  OBJECTIVE
  To enhance our understanding of female sexuality and the risk factors that contributed to sexual problems in reproductive age women.
  
  
  METHODS
  A cross-sectional survey was conducted in family planning and prepregnancy checkup clinics from December 2007 to December 2009, with 2,146 sexually active Chinese women aged 21 to 40 years completed the entire questionnaire.
  
  
  METHODS
  Prevalence of sexual symptoms, coital frequency, and other sexual behavior-related activities were measured.
  
  
  RESULTS
  Overall, 59.0% of respondents had at least one sexual problem. In this sample, 31.8% of respondents reported no desire; 31.7% had arousal problems; 40% had anorgasmia, and 33.8% experienced coital pain for at least 3 months within the past 1 year. Chi-square test showed significant correlation among the four types of sexual problems(P < 0.001). Univariate regression model showed that all sexual symptoms were significantly correlated with unidirectional coitus initiation, low coital frequency, and low foreplay enjoyment. Loglinear model revealed that desire, arousal, and orgasmic problems were correlated with low foreplay enjoyment. Arousal problem was correlated with high acceptance toward pornography and history of medical disease. Coital pain was correlated with secondary education and planning to have more children. Both unidirectional coitus initiation and low coital frequency were major contributors to all four sexual symptoms.
  
  
  CONCLUSIONS
  Sexual problem is a prevalent health issue among reproductive age women. A number of risk factors are identified, which provide useful direction to the design of counseling and education materials that might help to enhance sexual performance in women.
authors.affiliation: The Family Planning Association of Hong Kong, Hong Kong SAR, China.
authors.forename: Sue Seen-Tsing
authors.initials: SS
authors.lastname: Lo
authors.forename: Wai-Ming
authors.initials: WM
authors.lastname: Kok
mesh_terms: D000328:Adult; D001143:Arousal / Q000502:physiology; D044466:Asian People / Q000208:ethnology; D016009:Chi-Square Distribution; D003075:Coitus; D003430:Cross-Sectional Studies; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior / Q000208:ethnology* / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000208:ethnology* / Q000523:psychology; D019529:Sexuality / Q000208:ethnology / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Epidemiology; Female Sexual Dysfunction; Female Sexuality; Risk Factors; Sexual Activities