Abstract
A randomly selected community sample of 436 women with partners was studied with regard to frequency of sexual intercourse and orgasm with their partners and to attitudes to their sexual relationships. Associations were examined between these factors and demographic, psychiatric, marital, gynecological, and menopausal status. Frequency of sexual intercourse, orgasm, and enjoyment of sexual activity with the partner were most closely associated with younger age and better general marital adjustment, with the partners' ages also appearing to influence frequency of sexual intercourse and the duration of the relationships to affect enjoyment of sexual activity. Women's satisfaction with their sexual relationships was most closely associated with marital adjustment and bore no relation to age. Weak positive associations were found between higher socioeconomic status and frequency of orgasm and enjoyment of sexual activity. Psychiatric factors (psychiatric disorder and neuroticism) made little contribution to differences in frequency of sexual activity although they were associated with attitudes towards it. Sexual behavior was largely unrelated to gynecological symptoms. Little difference was found between age-matched subgroups of pre- and postmenopausal women in frequency of sexual behavior and attitudes towards their sexual relationships.
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References
Cooper, P., Gath, D., Fieldsend, R., and Rose, N. (1981). Psychological and physical outcome after elective tubal sterilization.J. Psychosom. Res. 25: 357–360.
Cooper, P., Osborn, M., Gath, D., and Feggetter, G. (1982). Evaluation of a modified self-report measure of social adjustment.Br. J. Psychiat. 141: 68–78.
Eysenck, H. J., and Eysenck, S. B. G. (1964).Manual of the Eysenck Personality Inventory University of London Press, London.
Garde, K., and Lunde, I. (1980a). Female sexual behavior: A study in a random sample of 40-year-old women.Maturitas 2: 225–240.
Garde, K., and Lunde, I. (1980b). Social background and social status: Influence on female sexual behavior. A random sample of 40-year-old Danish women.Maturitas 2: 241–246.
Gath, D., Cooper, P., and Day, A. (1982). Hysterectomy and psychiatric disorder: I. Levels of psychiatric morbidity before and after hysterectomy.Br. J. Psychiat. 140: 335–350.
Gath, D., Osborn, M., Bungay, G., Iles, S., Day, A., Bond, A., and Passingham, C. (1987). Psychiatric disorder and gynecological symptoms in middle-aged women: A community survey.Br. Med. J. 294: 213–218.
Hällström, T. (1977). Sexuality in the climacteric.Clin. Obstet. Gynecol. 4: 227–239.
Hällström, T., and Samuelsson, S. (1990). Changes in women's sexual desire in middle life: The longitudinal study of women in Gothenburg.Arch. Sex. Behav. 19: 259–268.
Hite, S. (1976).The Hite Report: A Nationwide Study of Female Sexuality Dell, New York.
Hunter, M. S. (1990). Psychological and somatic experience of the menopause: A prospective study.Psychosom. Med. 52: 357–367.
Hunter, M. S., Battersby, R., and Whitehead, M. (1986). Relationships between psychological symptoms, somatic complaints and menopausal status.Maturitas 8: 217–228.
Johnson, A. M., Wadsworth, J., Wellings, K., Bradshaw, S., and Field, J. (1992). Sexual lifestyles and HIV risk.Nature 360: 410–412.
Kinsey, A. C., Pomeroy, W. B., and Gebhard, P. H. (1953).Sexual Behavior in the Human Female Saunders, Philadelphia.
Leiblum, S., Bachmann, G., Kemmann, E., Colburn, D., and Swartzman, L. (1983). Vaginal atrophy in the post-menopausal woman—The importance of sexual activity and hormones.J. Am. Med. Assoc. 249: 2195–2198.
Levine, S. B., and Yost, M. A. (1976). Frequency of sexual dysfunction in a general gynecological clinic: An epidemiological approach.Arch. Sex. Behav. 5: 229–238.
Osborn, M., Hawton, K., and Gath, D. (1988). Sexual dysfunction among middle aged women in the community.Br. Med. J. 296: 959–962.
Pfeiffer, E., and Davis, G. C. (1972). Determinants of sexual behavior in middle and old age.J. Am. Geriat. Soc. 20: 151–158.
Pfeiffer, E., Verwoerdt, A., and Davis, G. C. (1972). Sexual behavior in middle life.Am. J. Psychiat. 128: 1262–1267.
Schreiner-Engel, P., and Schiavi, R. (1986). Life-time psychopathology in individuals with low sexual desire.J. Nerv. Ment. Dis. 174: 646–651.
SPSS Inc. (1983).SPSSX User's Guide McGraw-Hill, New York.
Suthurst, J. R. (1979). Sexual dysfunction and urinary incontinence.Br. J. Obstet. Gynecol. 86: 387–388.
Tavris, C., and Sadd, S. (1977).The Redbook Report on Female Sexuality Delacorte, New York.
Uddenberg, N. (1974). Psychological aspects of sexual inadequacy in women.J. Psychosom. Res. 18: 33–47.
Wing, J. K., Cooper, J., and Sartorius, N. (1974).The Measurement of Classification of Psychiatric Symptoms Cambridge University Press, Cambridge, U. K.
Wing, J. K., Mann, S. A., Leff, J. P., and Nixon, J. M. (1978). The concept of a ‘case’ in psychiatric population surveys.Psychol. Med. 8: 203–217.
Winokur, G. (1963). Sexual behavior: Its relationship to certain affects and psychiatric diseases. In Winokur, G. (ed.),Determinants in Human Sexual Behavior Charles C. Thomas, Springfield, IL, pp. 76–100.
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Financial support was provided by the Oxford Regional Health Authority and Oxfordshire Health Authority. This paper was prepared while Dr. Hawton was visiting Boerhaave Professor in the Department of Psychiatry, Leiden University, the Netherlands, and he thanks the University for its support.
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Hawton, K., Gath, D. & Day, A. Sexual function in a community sample of middle-aged women with partners: Effects of age, marital, socioeconomic, psychiatric, gynecological, and menopausal factors. Arch Sex Behav 23, 375–395 (1994). https://doi.org/10.1007/BF01541404
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DOI: https://doi.org/10.1007/BF01541404