维吾尔族青年男性新婚性交障碍的心理与社会因素分析
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摘要
目的:探讨维吾尔族青年男性新婚性交障碍的心理与社会因素。方法:对维吾尔族青年男性有新婚性生活障碍史的186例[年龄17~30(23.4±2.9)岁]与无相关史的186例健康男性[年龄18~34(24.0±3.1)岁]进行配对研究,对可能的心理与社会原因进行Logistic回归分析。结果:Logistic回归分析显示:性格(OR=0.271,95%CI:0.176~0.420),收入(OR=0.391,95%CI:0.264~0.580),自慰行为史(OR=0.824,95%CI:0.710~0.956),婚前性交史(OR=0.757,95%CI:0.677~0.847),任务感(OR=1.756,95%CI:1.157~2.693),门当户对(OR=0.574,95%CI:0.435~0.756),爱惜爱人的程度(OR=1.605,95%CI:1.268~2.032),女方心理性原因(OR=2.832,95%CI:1.221~6.569),宗教意识(OR=0.643,95%CI:0.427~0.967)与维吾尔族青年男性新婚性生活的失败显著相关(P均<0.05)。结论:维吾尔族青年男性新婚性交障碍与多种心理与社会因素相关,应对青年男性,尤其是新婚夫妇进行性生活方面的教育及心理指导。
Objective: To study the psycho-social risk factors of sexual failure among newly married young males in the Uyghur population. Methods: We conducted a paired case control study of 186 newly married Uyghur young males( aged 17- 30 [23. 4 ±2. 9] yr) with sexual failure and another 186( aged 18- 34 [24. 0 ± 3. 1] yr) with no such problem as controls. We performed a logistic regression analysis on the possible psycho-social risk factors of this condition. Results: Logistic regression analysis showed that the risk factors of sexual failure among the newly married men included personality( OR = 0. 271,95% CI 0. 176- 0. 420),income(OR = 0. 391,95% CI 0. 264- 0. 580),history of masturbation(OR = 0. 824,95% CI 0. 710- 0. 956),premarital sex(OR =0. 757,95% CI 0. 677- 0. 847),sense of obligation( OR = 1. 756,95% CI 1. 157- 2. 693),equality of the social status( OR =0. 574,95% CI 0. 435- 0. 756),degree of mutual care( OR = 1. 605,95% CI 1. 268- 2. 032),female 's psychological obstacle(OR = 2. 832,95% CI 1. 221- 6. 569),and religion(OR = 0. 643,95% CI 0. 472- 0. 967). There was a statistical significance in the correlation between these factors and sexual failure in the newly married males( all P < 0. 05). Conclusion: Sexual failure of newly married Uyghur young males are associated with many psycho-social factors,which necessitates sexual education among young males and particularly pre-marriage sexual education and psychological guide among both males and females.
Objective: To study the psycho-social risk factors of sexual failure among newly married young males in the Uyghur population. Methods: We conducted a paired case control study of 186 newly married Uyghur young males( aged 17- 30 [23. 4 ±2. 9] yr) with sexual failure and another 186( aged 18- 34 [24. 0 ± 3. 1] yr) with no such problem as controls. We performed a logistic regression analysis on the possible psycho-social risk factors of this condition. Results: Logistic regression analysis showed that the risk factors of sexual failure among the newly married men included personality( OR = 0. 271,95% CI 0. 176- 0. 420),income(OR = 0. 391,95% CI 0. 264- 0. 580),history of masturbation(OR = 0. 824,95% CI 0. 710- 0. 956),premarital sex(OR =0. 757,95% CI 0. 677- 0. 847),sense of obligation( OR = 1. 756,95% CI 1. 157- 2. 693),equality of the social status( OR =0. 574,95% CI 0. 435- 0. 756),degree of mutual care( OR = 1. 605,95% CI 1. 268- 2. 032),female 's psychological obstacle(OR = 2. 832,95% CI 1. 221- 6. 569),and religion(OR = 0. 643,95% CI 0. 472- 0. 967). There was a statistical significance in the correlation between these factors and sexual failure in the newly married males( all P < 0. 05). Conclusion: Sexual failure of newly married Uyghur young males are associated with many psycho-social factors,which necessitates sexual education among young males and particularly pre-marriage sexual education and psychological guide among both males and females.
引文
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[8]李银河.李银河性学心得.长春:时代文艺出版社,2008.240-243.
[9]刘德风,姜辉,洪锴,等.我国现阶段人群中自慰行为的状况及相关分析.中国男科学杂志,2010,24(5):26-29.
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[12]El-Meliegy A.A retrospective study of 418 patients with honeymoon impotence in an andrology clinic in Jeddah,Saudi Arabia.Eur J Sex,2004,13:1-4.
[13]Ozdemir O,Simsek F,Ozkardes S,et al.The unconsummated marriage:Its frequency and clinical characteristics in a sexual dysfunction clinic.J Sex Marital Ther,2008,34(3):268-279.
[14]李芃,朱贵升,许蓬,等.心理行为干预在早泄治疗中的作用.中华男科学杂志,2006,12(8):717-719.
[15]Ponholzer A,Temml C,Mock K,et al.Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire.Eur Urol,2005,47(1):80-86.
[2]Badran W,Moamen N,Fahmy I,et al.Etiological factors of unconsummated marriage.Int J Impot Res,2006,18(5):458-463.
[3]张培海,曲晓伟,潘俊杰,等.心理性勃起功能障碍与脑区功能相关性的研究.中国男科学杂志,2015,29(1):60-62.
[4]杨吉伟,张孝斌,葛名欢,等.40例心因性勃起功能障碍的治疗.中华男科学杂志,2006,12(5):456-457.
[5]赵勇,平萍.他达拉非治疗新婚性功能障碍2例报告.中华男科学杂志,2012,18(4):379-380.
[6]Duddle M.Etiological factors in the unconsummated marriage.J Psychsom Res,1977,21(2):157-160.
[7]Addar MH.The unconsummated marriage:Causes and management.Clin Exp Obstet Gynecol,2004,31(4):279-281.
[8]李银河.李银河性学心得.长春:时代文艺出版社,2008.240-243.
[9]刘德风,姜辉,洪锴,等.我国现阶段人群中自慰行为的状况及相关分析.中国男科学杂志,2010,24(5):26-29.
[10]Usta MF,Erdogru T,Tefekli A,et al.Honeymoon impotence:Psychogenic or organic in origin?Urology,2001,57(4):758-762.
[11]Zargooshi J.Male sexual dysfunction in unconsummated marriage:Long-term outcome in 417 patients.J Sexl Med,2008,5(12):2895-2903.
[12]El-Meliegy A.A retrospective study of 418 patients with honeymoon impotence in an andrology clinic in Jeddah,Saudi Arabia.Eur J Sex,2004,13:1-4.
[13]Ozdemir O,Simsek F,Ozkardes S,et al.The unconsummated marriage:Its frequency and clinical characteristics in a sexual dysfunction clinic.J Sex Marital Ther,2008,34(3):268-279.
[14]李芃,朱贵升,许蓬,等.心理行为干预在早泄治疗中的作用.中华男科学杂志,2006,12(8):717-719.
[15]Ponholzer A,Temml C,Mock K,et al.Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire.Eur Urol,2005,47(1):80-86.