听力残疾者的性满意度及相关因素分析

Sexual satisfaction and its associated factors among individuals with hearing disability

目的:了解听力残疾者的性满意度(SS)及SS下降的相关因素。方法:439例听力残疾者完成一般情况问卷、流调中心用抑郁量表、社会支持评定量表和SS自评。用有序因变量多元Logistic回归筛选SS下降的相关因素。结果:76例(17.3%)的听力残疾者不满意自己目前的性生活。SS下降与单身(包括未婚、离异、丧偶)(OR=1.72)、一级和二级残疾(OR=1.78)、患有躯体疾病(OR=2.46)、抑郁症状(OR=6.61)和主观社会支持不足(OR=3.28)显著相关。结论:听力残疾者SS低,治疗躯体疾病、改善心理健康和提供社会心理支持可能有助于改善听力残疾者的SS。

Objective： To investigate sexual satisfaction （SS） and the factors associated with decreased SS among individuals with hearing disability. Methods： We conducted an investigation on SS among 439 individuals （268 males and 171 females, aged 〉i 18 yr） with hearing disability using a general information questionnaire, Center for Epidemiologic Studies Depression Scale, Social Support Rating Scale, and a self-report on SS. We identified the factors of decreased SS by multivariate ordinal logistic regression analysis. Results ： Totally 76 （ 17.3% ） of the heating-disability individuals investigated were dissatisfied with their sexual life. SS reduction was significantly correlated with the status of being single （ OR = 1.72 ）, graded or -2 disability （ OR = 1.78）, physical dis- eases （ OR = 2.46）, depression （ OR = 6.61 ）, or inadequate subjective social support （ OR = 3.28 ）. Conclusion ： SS of hearing- disability persons is relatively low, which can be improved by treating physical diseases, promoting mental health, and providing psy- cho-social support.