OBJECTIVES To assess the prevalence and factors associated with dyspareunia and the lack of sexual intercourse in women between 50 and 70 years cohabiting with their partners. METHODS This is a descriptive and exploratory cross-sectional study using the snowball technique with prospective data collection using a structured questionnaire to describe multiple aspects of health and sexuality among 266 cohabiting Brazilian couples aged 50 to 70. RESULTS The prevalence of lack of sexual activity was 20%. Factors associated with sexual inactivity were female sexual dysfunction (OR: 9.87, 95% CI: 3.24-30.10, P < 0.001), female dissatisfaction with the partner as a lover (OR: 5.86, 95% CI: 2.03-16.88, P = 0.001), male sexual dysfunction (OR: 4.51, 95% CI: 1.60-12.70, P = 0.004), and poor self-rated male health (OR: 3.66, 95% CI: 1.29-10.40, P = 0.015). The prevalence of dyspareunia was 42.3% in the sample of sexually active women. Factors associated with dyspareunia were female sexual dysfunction (OR: 2.7, 95%, CI: 1.26-5.77, P = 0.010), moderate/severe vaginal dryness (OR: 4.67, 95% CI: 2.21-9.87, P < 0.001), and vaginal discomfort (OR: 4.03, 95% CI: 1.77-9.17, P < 0.001). CONCLUSIONS The results showed that male, female, and dyadic factors were associated with a lack of sexual activity. On the other hand, only female factors were associated with dyspareunia among sexually active couples.

中文翻译：

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影响老年夫妇性交频率的女性和男性因素：一项横断面研究。


目的 评估 50 至 70 岁与伴侣同居的女性中性交困难和缺乏性交的患病率和相关因素。方法 这是一项描述性和探索性横断面研究，使用滚雪球技术和前瞻性数据收集，使用结构化问卷来描述 266 名 50 至 70 岁同居巴西夫妇的健康和性行为的多个方面。 结果 缺乏性活动的发生率是20%。与性活动不活跃相关的因素包括女性性功能障碍（OR：9.87，95% CI：3.24-30.10，P < 0.001）、女性对伴侣作为情人的不满（OR：5.86，95% CI：2.03-16.88，P = 0.001）、男性性功能障碍（OR：4.51，95% CI：1.60-12.70，P = 0.004）和自评男性健康状况不佳（OR：3.66，95% CI：1.29-10.40，P = 0.015）。在性活跃女性样本中，性交困难的患病率为 42.3%。与性交困难相关的因素是女性性功能障碍（OR：2.7，95％，CI：1.26-5.77，P = 0.010），中度/重度阴道干燥（OR：4.67，95％CI：2.21-9.87，P％3C 0.001）和阴道不适（OR：4.03，95% CI：1.77-9.17，P < 0.001）。结论 结果表明，男性、女性和二元因素与缺乏性活动有关。另一方面，只有女性因素与性活跃夫妇的性交困难有关。