Sexual dysfunctions in Urban China: A population-based national survey of men and women

Introduction. While sexual dysfunctions are closely related to overall well-being, epidemiological data based on population-based surveys remain scant. Aim. To investigate the prevalence and correlates for sexual dysfunctions in urban China. Methods. Of the 4,157 urbanites sampled nationally, 3,159 participants completed the interview, giving a response rate of 76%. The focus was on 78% of these participants (2,478 adults aged 20-64) who were sexually active within a stable sexual relationship, typically with the spouse. Main Outcome Measure. Prevalence and correlates for sexual dysfunctions. Results. Fully 35% of women and 21% of men had at least one persistent sexual dysfunction. Prevalence by age was similar to the results from Western developed countries. With sharp differences for men and women, the correlates for distress in China were multiple, with aging and physical issues accounting for only a portion of the total set of mental health, stress, relationship, and values and knowledge issues related to reports of sexual dysfunctions. Conclusions. Both the prevalence and correlates for sexual dysfunctions in urban China were similar to those in other societies. Mental distress, age, and poor communication (producing the report that "my partner does not understand my sexual needs") were the correlates shared by both men and women. Other correlates were more distinct by gender. The multiplicity of correlates for men and women suggests a need for a holistic approach to sexual dysfunctions.