title: Attitudes About Sexual Activity Among Postmenopausal Women in Different Ethnic Groups: A Cross-sectional Study in Jahrom, Iran.
abstract: BACKGROUND
  Sexual function is affected by personal and interpersonal factors, familial and social traditions, culture, religion, menopause, and aging. So, ethnicity is a determining factor in sexual function. The present study aimed to investigate the prevalence of sexual dysfunction and attitudes towards sexuality in postmenopausal women among three different ethnic groups in Iran.
  
  
  METHODS
  This cross-sectional study was conducted on 746 postmenopausal women between 50 and 89 years who referred to Honoree clinic, Jahrom in 2013. Among the study participants, 42.4% were Arab, 33.5% were Persian, and 24.1% were Lor. Data were collected about women's socio-demographic characteristics, attitudes regarding sexuality and sexual function. The descriptive statistics were used for demographic variables. Moreover, ANOVA, post hoc (LSD) was used. Besides, p<0.05 was considered statistically significant.
  
  
  RESULTS
  The participants' mean age was 60.10±6.89 years and the total mean score of Female Sexual Function Index (FSFI) was 19.31±8.5. In addition, 81.5% of the women had sexual dysfunction (FSFI <26.55) and only 147 women (18.5%) had normal sexual function (FSFI >26.55). Sexual dysfunction was 75.3% in Arabs, 83.2% in Persians, and 86.1% in Lors. Besides, the most prevalent sexual dysfunction was dyspareunia in Arabs and arousal disorder in Persians and Lors.
  
  
  CONCLUSIONS
  The results of this study showed that sexual dysfunction is considerable among postmenopausal women. The most prevalent sexual dysfunction was dyspareunia in Arabs and arousal disorder in Persians and Lors.
authors.affiliation: Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Safieh
authors.initials: S
authors.lastname: Jamali
authors.affiliation: Faculty of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Shohreh
authors.initials: S
authors.lastname: Javadpour
authors.affiliation: Mental Health Department, Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Leili
authors.initials: L
authors.lastname: Mosalanejad
authors.affiliation: Faculty of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Razieh
authors.initials: R
authors.lastname: Parnian
keywords: Ethnic groups; Menopause; Sexual dysfunction; Women's attitude