Incontinência urinária e baixa função sexual feminina
estudo de corte transversal de base populacional
Palavras-chave:
Incontinência urinária, sexualidade, mulheres, distúrbios do início e manutenção do sono, exercício físicoResumo
Contexto: A função sexual feminina é influenciada por múltiplos fatores, e as comorbidades são um desses motivos. Objetivo: Avaliar a associação entre incontinência urinária (IU) e baixa função sexual feminina (BFS) em mulheres de meia-idade em um estudo de base populacional. Métodos: Estudo de corte transversal no município de Campinas, São Paulo, com 472 mulheres sexualmente ativas, no período de setembro de 2012 a junho de 2013. O Short Personal Experiences Questionnaire (SPEQ) foi utilizado para avaliar a BFS. Fatores sociodemográficos e clínicos foram avaliados. Utilizou-se Qui-quadrado, Fischer e Mann-Whitney e modelos de regressão múltipla de Poisson para análise estatística. Resultados: Na amostra geral a BFS foi associada à baixa renda razão de prevalência (RP) 1,55, 95% intervalo de confiança, (IC) 1,01–2,38, menor atividade física (RP 2,35, 95% IC 1,34–4,14), secura vaginal na relação sexual (RP 1,94 95% IC 1,25–3,0) e problemas de sono (RP 1,68, 95% IC 1,09–2,6). No grupo com incontinência urinária, os fatores associados à BFS foram problemas de sono (RP 2,63 IC 95% 1,30–5,34 P = 0,007) e baixa atividade física (RP 3,16 IC 95% 1,11–9,05 P = 0,032). Discussão: A BFS tem origem multifatorial e a IU não sobressaiu como fator associado. Conclusões: A IU não se associou à BFS. Em mulheres incontinentes, a BFS se associou a problemas de sono e sedentarismo. Em mulheres com IU e BFS deve-se abordar adequadamente insônia e sedentarismo.
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