A total of 298 randomly selected married couple dyads in rural China were studied. Sexual dysfunction (SD) was reported by 84 (28.2%) of the husbands and 136 (45.6%) of the wives. Co-occurrence of SD was reported by 51 of the married couples; hence, SD co-occurred in the spouses of 60.7% of the husbands with SD and 37.5% of wives reporting SD. Pain during intercourse but not other SD of the wives was associated with SD of the husbands. Men's SD including inability to achieve orgasm, finding sex not pleasurable and lack of interest in sex, but not premature ejaculation or erectile dysfunction, were associated with the presence of SD among the wives. Decision-making control on sexual matters, communication between the spouses on sexual problems, the seeking of professional help, perceived adequacy of sexual knowledge as well as mental health and vitality quality of life indices were associated with co-occurrence of SD within the couple dyads.
Access optionsAccess options
Subscribe to Journal
Get full journal access for 1 year
only $55.50 per issue
All prices are NET prices.
VAT will be added later in the checkout.
Rent or Buy article
Get time limited or full article access on ReadCube.
All prices are NET prices.
Laumann EO, Paik A, Rosen RC . Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999; 281: 537–544.
Ansong KS, Lewis C, Jenkins P, Bell J . Epidemiology of erectile dysfunction: a community-based study in rural New York State. Ann Epidemiol 2000; 10: 293–296.
Dunn KM, Croft PR, Hackett GI . Sexual problems: a study of the prevalence and need for health care in the general population. Fam Pract 1998; 15: 519–524.
Naya Y, Mizutani Y, Ochiai A, Soh J, Kawauchi A, Fujito A et al. Preliminary report of association of chronic diseases and erectile dysfunction in middle-aged men in Japan. Urology 2003; 62: 532–536.
Liu DL, Ng ML . Sexual dysfunction in China. Ann Acad Med Singapore 1995; 24: 728–731.
Heiman JR . Sexual dysfunction: overview of prevalence, etiological factors, and treatments. J Sex Res 2002; 39: 73–78.
Steele TE, Finkelstein SH, Finkelstein FO . Marital discord, sexual problems, and depression. J Nerv Ment Dis 1976; 162: 225–237.
Lau JT, Cheng Y, Wang Q, Yang X . Prevalence and correlates of sexual dysfunction among young married women in rural China—a population based study. Int J Impot Res [E-pub ahead of print: 9 June 2005; doi:10.1038/sj.ijir.3901352].
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association, 1994.
Laumann EO, Gagnon JH, Michael RT, Michaels S . The Social Organization of Sexuality: Sexual Practices in the United States. Chicago: University of Chicago Press, 1994.
Lam CL, Gandek B, Ren XS, Chan MS . Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 Health Survey. J Clin Epidemiol 1998; 51: 1139–1147.
Lam CLK, Lauder IJ, Lam TP, Gandek B . Population based norming of the Chinese (HK) version of the SF-36 health survey. The Hong Kong Pract 1999; 21: 460–470.
Lau JTF, Yang X, Cheng Y, Wang Q . Prevalence and risk factors of sexual dysfunction among younger married men in a rural area in China. Urology 2005 (in press).
Graziottin A . The challenge of sexual medicine for women: overcoming cultural and educational limits and gender biases. J Endocrinol Invest 2003; 26 (3 Suppl): 139–142.
Harvey SM, Beckman LJ, Browner CH, Sherman CA . Relationship power, decision making, and sexual relations: an exploratory study with couples of Mexican origin. J Sex Res 2002; 39: 284–291.
Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB . Incidence of erectile dysfunction in men 40–69 years old: longitudinal results from the Massachusetts male aging study. J Urol 2000; 163: 460–463.
Blumel JE, Araya H, Riquelme R, Castro G, Sanchez F, Gramegna G . Prevalence of sexual dysfunction in climacteric women. Influence of menopause and hormone replace therapy. Rev Med Chil 2002; 130: 1131–1138.
Lau JTF, Kim JH, Tsui HY . Prevalence of male and female sexual dysfunction, perceptions related to sex and association with Quality of Life in a Chinese population: a population-based study. Int J Impot Res [E-pub ahead of print: 26 May 2005; doi:10.1038/sj.ijir.3901342].
About this article
A Pilot Survey of Sexual Functioning and Preferences in a Sample of English-Speaking Adults from a Small South Indian Town
The Journal of Sexual Medicine (2007)