Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Sexualıty and marıtal adjustment ın women wıth hypertensıon ın Turkey: how culture affects sex

Abstract

This study examined the relationship between sexual dysfunction and marital adjustment in women with hypertension and the effect of the cultures on the sexual problems of women. Mixed method was used in this study. The study was conducted as quantitative (in descriptive type) to examine sexual dysfunction and marital adjustment in women with hypertension and as qualitative to examine the effect of culture on the views of individuals on sexual problems. The study included 102 women who met inclusion criteria (who were on medication and had active sexual life for 1 year). Patient information form, Arizona Sexual Experience Scale (Female), and Marital Adjustment Test (MAT) were used to collect the data. The mean age of the subjects was found to be 55.10 ± 9.13, the mean duration of hypertension diagnosis was 8.66 ± 6.43, and the mean time to start was 7.87 ± 6.30. The mean duration of marriage for the women with hypertension was 34.08 ± 12.507. There was a negative correlation between sexual orientation, orgasm and sexual satisfaction from the subscales of ASEX and the overall scale (p < 0.05). Accordingly, as the adaptation in marriage diminished, sexual problems increased in women. As a result of the study, it was determined that HT had a negative effect on sexual functioning problems and marital adjustment, but women accepted this situation because of their culture, “women do not have the right to sexuality” and naturally accept the absence of sexuality after a certain age.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

References

  1. 1.

    Beevers DG, Lip GYH, O’Brien E. ABC of hypertension. UK: BMJ Publishing Group Limited; 2015.

    Google Scholar 

  2. 2.

    Turkish Cardiovascular Diseases Prevention and Control Program 2015-2020, Turkish Republic General Directorate of Primary Health Care-Action Plan. Anil Advertising Printing Co, Ankara, 2015.

  3. 3.

    Turkish Society of Cardiology guide hypertension treatment and follow-up. http://old.tkd.org.tr/kilavuz/k03.htm. 2014. Accessed 2 Jan 2016.

  4. 4.

    Anastasiadis AG, Davis AR, Ghafar MA, Burchardt M, Shabsigh R. The epidemiology and definition of female sexual disorders. World J Urol. 2002;20:74–78.

    Article  Google Scholar 

  5. 5.

    Doumas M, Tsiodra S, Tsakiris A, Douma S, Chounta A, Papadopoulos A, et al. Female sexual dysfunction in essential hypertension: a common problem being uncovered. J Hypertens. 2006;24:2387–92.

    CAS  Article  Google Scholar 

  6. 6.

    Nunes KP, Labazi H, Webb RC. New insights into hypertension-associated erectile dysfunction. Curr Opin Nephrol Hypertens. 2012;21:163–70.

    Article  Google Scholar 

  7. 7.

    Okeahialam BN, Ogbonna C. Impact of hypertansıon on sexual function ın women. West Afr J Med. 2010;29:344–8.

    CAS  PubMed  Google Scholar 

  8. 8.

    Grimm RH, Grandits GA, Prineas EJ, McDonald RH, Lewis CE, Flack JM, et al. Long-term effects on sexual function of five antihypertensive drugs and nutritional hygienic treatment in hypertensive men and women treatment of mild hypertension study (TOMHS). Hypertension. 1997;29:8–14.

    CAS  Article  Google Scholar 

  9. 9.

    Steinke EE. Sexuality and chronic illness. J Gerontol Nurs. 2013;39:18–27.

    Article  Google Scholar 

  10. 10.

    İncesu C. Sexual functions and sexual dysfunctions. Clin Psychiatry J. 2004;7:13.

    Google Scholar 

  11. 11.

    Demirezen E. Evaluation of female sexuality in the first step. Sted. 2006;15:79–81.

    Google Scholar 

  12. 12.

    Foy CG, et al. Blood pressure and sexual activity and dysfunction in women with hypertension: baseline findings from the systolic blood pressure intervention trial (SPRINT). J Sex Med. 2016;13:1333–46.

    Article  Google Scholar 

  13. 13.

    Dun KM, Croft PR, Hackett GI. Association of sexual problems with social, psychological and physical problems in men and women: a cross-sectional population survey. J Epidemiol Community Health. 1999;53:144–8.

    Article  Google Scholar 

  14. 14.

    McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM, et al. The Arizona sexual experience scale (ASEX): reliability and validity. J Sex Marital Ther. 2000;26:25–40.

    CAS  Article  Google Scholar 

  15. 15.

    Soykan A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res. 2004;16:531–4.

    CAS  Article  Google Scholar 

  16. 16.

    Locke HJ, Wallace KM. Short marital-adjustment and prediction tests: their reliability and validity. Marriage Fam Living. 1959;21:251–5.

    Article  Google Scholar 

  17. 17.

    Tutarel Kışlak Ş. A validity and reliability study of the marital adjustment scale. 3P (Psychiatry Psychology Psychopharmacology). Pharmacol J . 1999;7:50–57.

    Google Scholar 

  18. 18.

    Cordero A, Bertomeu-Martínez V, Mazón P, Fácila L, González-Juanatey JR. Erectile dysfunction may improve by blood pressure control in patients with high-risk hypertension. Postgrad Med. 2010;22:51–56.

    Article  Google Scholar 

  19. 19.

    Manolis A, Doumas M. Antihypertensive treatment and sexual dysfunction. Curr Hypertens Rep. 2012;4:285–92.

    Article  Google Scholar 

  20. 20.

    Hersen M, Sturney P. Handbook of evidence-based practice in clinical psychology, adult disorders. Hoboken, New Jersey: Published by John Wiley&Sons, Inc; 2012.

    Google Scholar 

  21. 21.

    Gülsün M, Ak M, Bozkurt A. Marriage and sexuality from a psychiatric point of view. Curr Approaches Psychiatry. 2009;1:68–79.

    Google Scholar 

  22. 22.

    Morokoff J, Gilliland R. Stress, sexual functioning, and marital satisfaction. J Sex Res. 1993;30:43–53.

    Article  Google Scholar 

  23. 23.

    Zhang H, Yip PSF. Female sexual dysfunction among young and middle‐aged women in hong kong: prevalence and risk factors. J Sex Med. 2012;9:2911–8.

    Article  Google Scholar 

  24. 24.

    Yalçın H. Relationship between marital adjustment and sociodemographic characteristics. J Res Educ Teach. 2014;3:250–61.

    Google Scholar 

  25. 25.

    Kinsey AC, Pomeroy WB, Martin CE, Gebhard PH. Sexual behavior i̇n the human female. USA: Indiana University Press; 1998.

    Google Scholar 

  26. 26.

    Levine SB. The nature of sexual desire: a clinician’s perspective. Archiv Sexual Behav. 2003;32:279–85.

    Article  Google Scholar 

  27. 27.

    Aslan E, Beji NK, Gungor I, Kadıoglu A, Dikencik BK. Prevalence and risk factors for low sexual function in women: a study of 1009 women in an outpatient clinic of a university hospital in Istanbul. J Sex Med. 2008;5:2044–52.

    Article  Google Scholar 

  28. 28.

    Ekmekçioglu O, Demirtaş A. Diagnosis and therapy of erectile dysfunction in man. Erciyes Med J. 2006;28:220–5.

    Google Scholar 

  29. 29.

    Güvel S, Yaycıoğlu Ö, Bağış T, Savaş N, Bulgan E, Özkardeş H. Factors affecting sexual functions in married women. Turk J Urol. 2003;29:43–48.

    Google Scholar 

Download references

Acknowledgements

We thank the associate professor Handan Zincir for their contribution and support during data collection and analysis.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Ozlem Ceyhan.

Ethics declarations

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the Ethics Committee of Erciyes University of Medical Sciences and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ceyhan, O., Ozen, B., Simsek, N. et al. Sexualıty and marıtal adjustment ın women wıth hypertensıon ın Turkey: how culture affects sex. J Hum Hypertens 33, 378–384 (2019). https://doi.org/10.1038/s41371-019-0181-3

Download citation

Search

Quick links