Sexual function in women in rural Tamil Nadu: Disease, dysfunction, distress and norms.

dc.contributor.authorVISWANATHAN, SHONIMA
dc.contributor.authorPRASAD, JASMINE
dc.contributor.authorJACOB, K S
dc.contributor.authorKURUVILLA, ANJU
dc.date.accessioned2015-02-26T09:35:23Z
dc.date.available2015-02-26T09:35:23Z
dc.date.issued2014-01
dc.description.abstractBackground. We examined the nature, prevalence and explanatory models of sexual concerns and dysfunction among women in rural Tamil Nadu. Methods. Married women between 18 and 65 years of age, from randomly selected villages in Kaniyambadi block, Vellore district, Tamil Nadu, were chosen by stratified sampling technique. Sexual functioning was assessed using the Female Sexual Function Index (FSFI). The modified Short Explanatory Model Interview (SEMI) was used to assess beliefs about sexual concerns and the General Health Questionnaire-12 (GHQ- 12) was used to screen for common mental disorders. Sociodemographic variables and other risk factors were also assessed. Results. Most of the women (277; 98.2%) contacted agreed to participate in the study. The prevalence of sexual dysfunction, based on the cut-off score on the FSFI, was 64.3%. However, only a minority of women considered it a problem (4.7%), expressed dissatisfaction (5.8%) or sought medical help (2.5%). The most common explanatory models offered for sexual problems included an unhappy marriage, stress and physical problems. Factors associated with lower FSFI included older age, illiteracy, as well as medical illness and sexual and marital factors such as menopause, poor quality of marital relationship, history of physical abuse and lack of privacy. Conclusion. The diagnosis of female sexual dysfunction needs to be nuanced and based on the broader personal and social context. Our findings argue that there is a need to use models that employ personal, local and contextual standards in assessing complex behaviours such as sexual function.en_US
dc.identifier.citationVISWANATHAN SHONIMA, PRASAD JASMINE, JACOB K S, KURUVILLA ANJU. Sexual function in women in rural Tamil Nadu: Disease, dysfunction, distress and norms. National Medical Journal of India. 2014 Jab-Feb ; 27 (1): 4-8.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/156408
dc.language.isoenen_US
dc.source.urihttps://nmji.in/archives/Volume-27/Issue-1/27-1-OA-I.pdfen_US
dc.subject.meshAdult
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshIndia --epidemiology
dc.subject.meshMiddle Aged
dc.subject.meshPatient Education as Topic
dc.subject.meshPrevalence
dc.subject.meshRisk Factors
dc.subject.meshRural Population
dc.subject.meshSexual Dysfunction, Physiological --epidemiology
dc.subject.meshSexual Dysfunctions, Psychological --epidemiology
dc.titleSexual function in women in rural Tamil Nadu: Disease, dysfunction, distress and norms.en_US
dc.typeArticleen_US
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