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Browsing Datos de Investigación by browse.metadata.advisor "María M. Martínez Madrid"
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- PublicationEmbargoSexual function and intimate partner violence in middle- aged women: a community-based, dual-focus study in Spain(The Menopause Society, 0016-10-16) María M. Martínez- Madrid; González Cuello, Ana María; Arnau Sánchez, José; María M. Martínez Madrid; Enfermería; Ana González - Cuello; José Arnau-Sánchez; Facultades de la UMU::Facultad de EnfermeríaObjective: To evaluate the association between sexual function and intimate partner violence (IPV) among sexually active, middle-aged women in Spain, examining each outcome in separate cross-sectional models. Methods: This cross-sectional study included 451 women (40- 64 y) randomly recruited from primary care settings in southeastern Spain. Participants completed the 6-item Female Sexual Function Index (FSFI-6), the Woman Abuse Screening Tool (WAST), and a general sociodemographic and clinical questionnaire. Factors associated with low sexual function and a positive IPV screen were analyzed using generalized linear models of the Poisson family to estimate adjusted prevalence ratios (aPR). Results: The mean age of participants was 50.09 ± 7.05 years. The prevalence of low sexual function (FSFI-6 score ≤ 19) was 33.7%, and the prevalence of a positive IPV screen (WAST score ≥ 14) was 16.6%. Low sexual function was higher among women with a positive IPV screen compared with those without (77.3% vs. 25.0%, P < 0.001). In the multivariate model, a positive IPV screen was related to a higher prevalence of low sexual function (aPR: 2.57; 95% CI: 2.04-3.25). Conversely, low sexual function was linked to a positive IPV screen (aPR: 4.67; 95% CI: 2.78-7.85). Spanish Roma ethnicity was also associated with IPV (aPR: 3.51; 95% CI: 2.14-5.74). Conclusions: Low sexual function and a positive IPV screen were statistically associated in this community-based sample of middle-aged women. A higher prevalence of IPV was observed among certain ethnic minorities. These associations persisted after adjustment for sociodemographic and clinical factors.