Evaluation of sexual function of young Brazilian women during the SARS-CoV-2 pandemic: An observational study

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.15258

Keywords:

Coronavirus infections; Pelvic Floor; Sexual Dysfunctions; Quality of life; Self image.

Abstract

Introduction: The SARS-CoV-2 pandemic had an impact on sexual and reproductive health mainly because it is a disease with high transmissibility among individuals in close contact. Objective: Assess the impact of social isolation on sexual function, quality of life, and self-image of nulliparous women, before and during the SARS-CoV-2 pandemic. Methods: Longitudinal observational analytical study, with women aged 18 to 35 years, nulliparous, with complete high school education, who had not undergone previous physical therapy treatment. The data collection included anthroposociodemographic data and the Female Sexual Function Index (FSFI), Short Form Health Survey 36 (SF-36) questionnaires, and the Stunkard, Sorensen and Schlusinger Silhouettes Scale (self-image assessment), applied before and during social isolation. Statistical analysis was performed on GraphPad Prisma 6.0, and the Shapiro Wilk test was used to analyze the sample distribution, which was nonparametric, then the Wilcoxon test and Spearman's correlation were applied. The level of significance adopted was p≤0.05. Results: 37 volunteers were evaluated, the sociodemographic variables and the body mass index showed no difference between the evaluations, during social isolation the number of sedentary women increased (p <0.0001), the orgastic function improved (p = 0.0081), the pain worsened significantly in SF-36 (<0.0001), and the better the General Health Status of SF36, the better the sexual function [p = 0.04; r = 0.37], in the correlation of physical activity, the type of social isolation and the total score obtained in the FSFI questionnaire, no significant correlations were found. Conclusion: Social isolation favored the improvement of orgastic function, the worsening of pain in the SF-36, and did not interfere with the dissatisfaction of body image, which remained similar.

Author Biography

Magdalena Muryelle Silva Brilhante, Universidade Federal do Rio Grande do Norte

Graduate Program in Rehabilitation Sciences.

References

Abdo, C. H. N., & Fleury, H. J. (2006). Aspectos diagnósticos e terapêuticos das disfunções sexuais femininas. Archives of Clinical Psychiatry (São Paulo), 33(3), 162-167. Doi: https://doi.org/10.1590/S0101-60832006000300006

Abdo, C. H. N., Oliveira, W. M., Moreira, E. D., & Fittipaldi, J. A. S. (2004). Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women—results of the Brazilian study on sexual behavior (BSSB). International Journal of Impotence Research, 16(2), 160-166. Doi: https://doi.org/10.1038/sj.ijir.3901198

Asgari, P., & Roshanak, S. (2010). A comparison between the quality of life, life satisfaction, sex role attitude & self-esteem among students with high and low body image. Journal of thought & behavior in clinical psychology, 5(17), 9-18. https://www.sid.ir/en/journal/ViewPaper.aspx?id=200286

Bedford, J., Enria, D., Giesecke, J., Heymann, D. L., Ihekweazu, C., Kobinger, G., ... & Wieler, L. H. (2020). COVID-19: towards controlling of a pandemic. The lancet, 395(10229), 1015-1018. https://doi.org/10.1016/S0140-6736(20)30673-5

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet, 395(10227), 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8

Cabello, F., Sánchez, F., Farré, J. M., & Montejo, A. L. (2020). Consensus on recommendations for safe sexual activity during the COVID-19 coronavirus pandemic. Journal of clinical medicine, 9(7), 2297. https://doi.org/10.3390/jcm9072297

Carvalho, J., & Pascoal, P. M. (2020). Challenges in the Practice of Sexual Medicine in the Time of COVID-19 in Portugal. The journal of sexual medicine, 17(7), 1212-1215. https://doi.org/10.1016/j.jsxm.2020.05.024

Chang, S. R., Yang, C. F., & Chen, K. H. (2019). Relationships between body image, sexual dysfunction, and health-related quality of life among middle-aged women: A cross-sectional study. Maturitas, 126, 45-50. https://doi.org/10.1016/j.maturitas.2019.04.218

Ciconelli, R. M., Ferraz, M. B., Santos, W., Meinão, I., & Quaresma, M. R. (1999). Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev bras reumatol, 39(3), 143-50. https://www.researchgate.net/profile/Wilton-Santos/publication/279904628_Brazilian-Portuguese_version_of_the_SF-36_A_reliable_and_valid_quality_of_life_outcome_measure/links/5c6a236d4585156b57030388/Brazilian-Portuguese-version-of-the-SF-36-A-reliable-and-valid-quality-of-life-outcome-measure.pdf

Corona, G., Lee, D. M., Forti, G., O'Connor, D. B., Maggi, M., O'Neill, T. W., ... & EMAS Study Group. (2010). Age-related changes in general and sexual health in middle-aged and older men: results from the European Male Ageing Study (EMAS). The journal of sexual medicine, 7(4), 1362-1380. https://doi.org/10.1111/j.1743-6109.2009.01601.x

Coutinho, R. Z., Lima, L. C. D., Leocádio, V. A., & Bernardes, T. (2020). Considerações sobre a pandemia de Covid-19 e seus efeitos sobre a fecundidade e a saúde sexual e reprodutiva das brasileiras. Revista Brasileira de Estudos de População, 37. https://doi.org/10.20947/s0102-3098a0130

Dancey C.P., & Reidy J.. Estatística sem matemática para psicologia: usando SPSS para Windows. 3rd ed. Artmed; 2006. 1–608.

da Silva, J. F., da Silva Junior, A. O., & Couto, E. S. (2020). Amor, sexo e distância física. Revista Educação Em Questão, 58(58). https://doi.org/10.21680/1981-1802.2020v58n58ID21741

Flynn, K. E., Lin, L., Bruner, D. W., Cyranowski, J. M., Hahn, E. A., Jeffery, D. D., ... & Weinfurt, K. P. (2016). Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of US adults. The journal of sexual medicine, 13(11), 1642-1650. https://doi.org/10.1016/j.jsxm.2016.08.011

Fuchs, A., Matonóg, A., Pilarska, J., Sieradzka, P., Szul, M., Czuba, B., & Drosdzol-Cop, A. (2020). The impact of COVID− 19 on female sexual health. International Journal of Environmental Research and Public Health, 17(19), 7152. https://doi.org/10.3390/ijerph17197152

Gonçalves, W. D. S., Gherman, B. R., Abdo, C. H. N., Nardi, A. E., & Appolinário, J. C. B. (2019). Função e disfunção sexual na depressão: uma revisão sistemática. Jornal Brasileiro de Psiquiatria, 68(2), 110-120. https://doi.org/10.1590/0047-2085000000234

Hamilton, L. D., Rellini, A. H., & Meston, C. M. (2008). Cortisol, sexual arousal, and affect in response to sexual stimuli. The journal of sexual medicine, 5(9), 2111-2118. https://doi.org/10.1111/j.1743-6109.2008.00922.x

Hayes, R., & Dennerstein, L. (2005). The impact of aging on sexual function and sexual dysfunction in women: A review of population‐based studies. The journal of sexual medicine, 2(3), 317-330. https://doi.org/10.1111/j.1743-6109.2005.20356.x

Hussein, J. (2020). COVID-19: What implications for sexual and reproductive health and rights globally? https://doi.org/10.1080/26410397.2020.1746065

Ibarra, F. P., Mehrad, M., Mauro, M. D., Godoy, M. F. P., Cruz, E. G., Nilforoushzadeh, M. A., & Russo, G. I. (2020). Impact of the COVID-19 pandemic on the sexual behavior of the population. The vision of the east and the west. International braz j urol, 46, 104-112. https://doi.org/10.1590/s1677-5538.ibju.2020.s116

Ibine, B., Sefakor Ametepe, L., Okere, M., & Anto-Ocrah, M. (2020). “I did not know it was a medical condition”: Predictors, severity and help seeking behaviors of women with female sexual dysfunction in the Volta region of Ghana. PloS one, 15(1), e0226404. https://doi.org/10.1371/journal.pone.0226404

Jacob, L., Smith, L., Butler, L., Barnett, Y., Grabovac, I., McDermott, D., ... & Tully, M. A. (2020). Challenges in the practice of sexual medicine in the time of COVID-19 in the United Kingdom. The journal of sexual medicine, 17(7), 1229-1236. https://doi.org/10.1016/j.jsxm.2020.05.001

Jamali, S., Rahmanian, A., & Javadpour, S. (2016). Examining the sexual function and related attitudes among aged women: A cross-sectional study. International Journal of Reproductive BioMedicine, 14(1), 29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837921/

Kogure, G. S., Ribeiro, V. B., Lopes, I. P., Furtado, C. L. M., Kodato, S., de Sá, M. F. S., ... & Dos Reis, R. M. (2019). Body image and its relationships with sexual functioning, anxiety, and depression in women with polycystic ovary syndrome. Journal of affective disorders, 253, 385-393. https://doi.org/10.1016/j.jad.2019.05.006

Koo, S., Ahn, Y., Lim, J. Y., Cho, J., & Park, H. Y. (2017). Obesity associates with vasomotor symptoms in postmenopause but with physical symptoms in perimenopause: a cross-sectional study. BMC women's health, 17(1), 1-8. https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-017-0487-7

Lai, C. C., Shih, T. P., Ko, W. C., Tang, H. J., & Hsueh, P. R. (2020). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. International journal of antimicrobial agents, 55(3), 105924. https://doi.org/10.1016/j.ijantimicag.2020.105924

Laumann, E. O., Nicolosi, A., Glasser, D. B., Paik, A., Gingell, C., Moreira, E., & Wang, T. (2005). Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. International journal of impotence research, 17(1), 39-57. https://doi.org/10.1038/sj.ijir.3901250

Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: prevalence and predictors. Jama, 281(6), 537-544. https://doi.org/10.1001/jama.281.6.537

Li, W., Li, G., Xin, C., Wang, Y., & Yang, S. (2020). Changes in sexual behaviors of young women and men during the coronavirus disease 2019 outbreak: a convenience sample from the epidemic area. The Journal of Sexual Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188657/#!po=87.5000

Lima, D. M., Couto, E. S., & Silva, P. (2020). Manda nudes: Pedagogias sexuais no Grindr. ARTEFACTUM-Revista de estudos em Linguagens e Tecnologia, 19(1), 1-13. http://artefactum.rafrom.com.br/index.php/artefactum/article/view/1843

Maia, B. R., & Dias, P. C. (2020). Anxiety, depression and stress in university students: the impact of COVID-19. Estudos de Psicologia (Campinas), 37. https://doi.org/10.1590/1982-0275202037e200067

Marquez, J. O. (2011). A dor e os seus aspectos multidimensionais. Ciência e Cultura, 63(2), 28-32. http://dx.doi.org/10.21800/S0009-67252011000200010

Mollaioli, D., Sansone, A., Ciocca, G., Limoncin, E., Colonnello, E., Di Lorenzo, G., & Jannini, E. A. (2021). Benefits of sexual activity on psychological, relational, and sexual health during the COVID-19 breakout. The journal of sexual medicine, 18(1), 35-49. https://doi.org/10.1016/j.jsxm.2020.10.008

Pacagnella, R. D. C., Vieira, E. M., Rodrigues Jr, O. M., & Souza, C. D. (2008). Adaptação transcultural do female sexual function index. Cadernos de Saúde Pública, 24, 416-426. https://www.scielosp.org/article/csp/2008.v24n2/416-426/pt/

Pennanen-Iire, C., Prereira-Lourenço, M., Padoa, A., Ribeirinho, A., Samico, A., Gressler, M., ... & Girard, A. (2021). Sexual health implications of COVID-19 pandemic. Sexual medicine reviews, 9(1), 3–14. https://doi.org/10.1016/j.sxmr.2020.10.004

Ribeiro, J. N., & Valle, P. A. S. S. (2016). Disfunção Sexual Feminina. Revista Brasileira de Sexualidade Humana, 27(2). https://doi.org/10.35919/rbsh.v27i2.109

Rosa, L., Zanini, M. T. B., Zimermmam, K. C. G., Ghisi, M. G., Policarpo, C. M., Dagostin, V. S., & Salvador, M. B. (2017). Impacto no cotidiano de mulheres com incontinência urinária. Estima–Brazilian Journal of Enterostomal Therapy, 15(3). https://doi.org/10.5327/Z1806-3144201700030003

Rosen, R. C., Fisher, W. A., Eardley, I., Niederberger, C., Nadel, A., & Sand, M. (2004). The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence oSf erectile dysfunction and related health concerns in the general population. Current medical research and opinion, 20(5), 607-617. https://doi.org/10.1185/030079904125003467

Santarpia, J. L., Rivera, D. N., Herrera, V., Morwitzer, M. J., Creager, H., Santarpia, G. W., ... & Lowe, J. J. (2020). Transmission potential of SARS-CoV-2 in viral shedding observed at the University of Nebraska Medical Center. MedRxiv. https://doi.org/10.1101/2020.03.23.20039446

Scagliusi, F. B., Alvarenga, M., Polacow, V. O., Cordás, T. A., de Oliveira Queiroz, G. K., Coelho, D., ... & Lancha Jr, A. H. (2006). Concurrent and discriminant validity of the Stunkard's figure rating scale adapted into Portuguese. Appetite, 47(1), 77-82. https://doi.org/10.1016/j.appet.2006.02.010

Schiavi, M. C., Spina, V., Zullo, M. A., Colagiovanni, V., Luffarelli, P., Rago, R., & Palazzetti, P. (2020). Love in the time of COVID-19: sexual function and quality of life analysis during the social distancing measures in a group of Italian reproductive-age women. The Journal of Sexual Medicine, 17(8), 1407-1413. https://doi.org/10.1016/j.jsxm.2020.06.006

Simon, G. E., Ludman, E. J., Linde, J. A., Operskalski, B. H., Ichikawa, L., Rohde, P., ... & Jeffery, R. W. (2008). Association between obesity and depression in middle-aged women. General hospital psychiatry, 30(1), 32-39. https://doi.org/10.1016/j.genhosppsych.2007.09.001

Stunkard, A., Sorensen, T., & Schlusinger, F. (1983). Use of Danish adoption register for the study of obesity and thinness 60(1), 115-120. https://www.scopus.com/record/display.uri?eid=2-s2.0-0020667098&origin=inward&txGid=7c0b299e53f8fe76f0d228ad2223570f

Tecchio, Manuela. (2020, May 13, 2020). Quarentena movimentada: apps como Tinder e Happn têm aumento de acessos. CNN Brasil Business, Rio de Janeiro, 13 maio 2020. Disponível em: https://www.cnnbrasil.com.br/business/2020/05/13/durante-isolamento-apps-como-tinder-e--happn-registram-aumento-nas-interacoes . Acesso em: 10 de março de 2021.

Ware Jr, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical care, 473-483. https://www.jstor.org/stable/3765916

Ware, Jr, J. E., & Gandek, B. (1994). The SF-36 Health Survey: Development and use in mental health research and the IQOLA Project. International Journal of Mental Health, 23(2), 49-73. https://doi.org/10.1080/00207411.1994.11449283

Wiegel, M., Meston, C., & Rosen, R. (2005). The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. Journal of sex & marital therapy, 31(1), 1-20. https://doi.org/10.1080/00926230590475206.

Wu, J. T., Leung, K., & Leung, G. M. (2020). Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study. The Lancet, 395(10225), 689-697. https://doi.org/10.1016/S0140-6736(20)30260-9

Yuksel, B., & Ozgor, F. (2020). Effect of the COVID‐19 pandemic on female sexual behavior. International Journal of Gynecology & Obstetrics, 150(1), 98-102. https://doi.org/10.1002/ijgo.13193

Yuksel, B., & Ozgor, F. (2020). Effect of the COVID‐19 pandemic on female sexual behavior. International Journal of Gynecology & Obstetrics, 150(1), 98-102. https://doi.org/10.1002/ijgo.13193

Zomalheto, Z., Assogba, C., & Dossou-yovo, H. (2021). Impact of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) infection and disease-2019 (COVID-19) on the quality of life of rheumatoid arthritis patients in Benin. The Egyptian Rheumatologist, 43(1), 23-27. https://doi.org/10.1016/j.ejr.2020.07.001

Published

14/05/2021

How to Cite

BRILHANTE, M. M. S. .; MARINHO, M. de F. D. .; MAGALHÃES, A. G. .; CORREIA, G. N. . Evaluation of sexual function of young Brazilian women during the SARS-CoV-2 pandemic: An observational study. Research, Society and Development, [S. l.], v. 10, n. 5, p. e49810515258, 2021. DOI: 10.33448/rsd-v10i5.15258. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/15258. Acesso em: 26 apr. 2024.

Issue

Section

Health Sciences