title: Prevalence of and risk factors for sexual dysfunction in young Chinese women according to the Female Sexual Function Index: an internet-based survey.
abstract: OBJECTIVE
  Female sexual dysfunction (FSD) is a very common sexual health problem worldwide. The prevalence of FSD in Chinese women is, however, unknown. This is the first study to investigate a large number of young women throughout China via the internet, to determine the prevalence and types of FSD and to identify the risk factors for FSD.
  
  
  METHODS
  The primary endpoint was the Female Sexual Function Index (FSFI) score, with additional questions on contraception, sexual activity, relationship stability, pregnancy and other factors which may influence sexual function. The online questionnaire was completed by women from 31 of the 34 Chinese provinces.
  
  
  RESULTS
  A total of 1618 completed questionnaires were received, and 1010 were included in the analyses after screening (62.4%). The mean age of the respondents was 25.1 ± 4.5 years. The mean total FSFI score was 24.99 ± 4.60. According to FSFI definitions (cut-off score 26.55), 60.2% of women were at risk of FSD. Based on domain scores, 52 were considered at high risk of dysfunction for pain (5.1%), 35 for orgasm (3.5%), 33 for desire (3.3%), 20 for arousal (2.0%), 6 for satisfaction (0.6%) and 2 for lubrication (0.2%).
  
  
  CONCLUSIONS
  The prevalence of FSFI scores indicating risk of sexual dysfunction was about 60% in Chinese women. An unstable relationship, pressure to become pregnant, non-use of contraception, negative self-evaluation of appearance and increasing age were significantly associated with FSD in young Chinese women.
authors.affiliation: a Department of Gynecological Endocrinology , Beijing Obstetrics and Gynecology Hospital, Capital Medical University , Beijing , People's Republic of China ;
authors.forename: Juan
authors.initials: J
authors.lastname: Du
authors.affiliation: a Department of Gynecological Endocrinology , Beijing Obstetrics and Gynecology Hospital, Capital Medical University , Beijing , People's Republic of China ;|b Section of Endocrinology and Menopause, Department of Women's Health , University of Tübingen , Tübingen , Germany ;
authors.forename: Xiangyan
authors.initials: X
authors.lastname: Ruan
authors.affiliation: a Department of Gynecological Endocrinology , Beijing Obstetrics and Gynecology Hospital, Capital Medical University , Beijing , People's Republic of China ;
authors.forename: Muqing
authors.initials: M
authors.lastname: Gu
authors.affiliation: c University Women's Hospital , Basel , Switzerland.
authors.forename: Johannes
authors.initials: J
authors.lastname: Bitzer
authors.affiliation: a Department of Gynecological Endocrinology , Beijing Obstetrics and Gynecology Hospital, Capital Medical University , Beijing , People's Republic of China ;|b Section of Endocrinology and Menopause, Department of Women's Health , University of Tübingen , Tübingen , Germany ;
authors.forename: Alfred O
authors.initials: AO
authors.lastname: Mueck
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D002681:China / Q000453:epidemiology; D004414:Dyspareunia / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D020407:Internet; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: China; FSFI; female sexual dysfunction; prevalence; risk factors