Table 2. Associations between mean Sal-T and sexual behaviors and sexual function among women.
Denominators | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
% of sample [Wt] | 95% CI | Mean Sal-T pmol/L | SE | Crude ratios* | 95% CI | adjusted ratios* 1 | 95% CI | adjusted ratios* 2 | 95% C.I | adjusted ratios* 3 | 95% CI | unwt | wt | |
All women | 100% | 37.1 | 0.86 | 2123 | 1899 | |||||||||
Sexual function | ||||||||||||||
Uncomfortably dry vagina for at least 3 months in past yr^ | ||||||||||||||
No | 86.0 | [84.0, 87.8] | 38.8 | 0.99 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1310 | 1252 |
Yes | 14.0 | [12.2, 16.0] | 32.6 | 1.71 | 0.87 | [0.78, 0.97] | 0.93 | [0.84, 1.04] | 0.92 | [0.83, 1.03] | 0.92 | [0.84, 1.03] | 230 | 204 |
p =.0115 | p =.189 | p =.147 | p =.154 | |||||||||||
Lacked interest in having sex for at least 3 months in past yr^ | ||||||||||||||
No | 66.6 | [63.8, 69.2] | 40.0 | 1.21 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1029 | 969 |
Yes | 33.4 | [30.8, 36.2] | 33.8 | 1.13 | 0.88 | [0.81, 0.97] | 0.91 | [0.83, 0.99] | 0.92 | [0.84, 1.00] | 0.92 | [0.84, 1.00] | 511 | 487 |
p =.0070 | p =.0312 | p =.0554 | p =.0592 | |||||||||||
Lacked enjoyment when having sex for at least 3 months in past yr^ | ||||||||||||||
No | 87.6 | [85.5, 89.4] | 38.3 | 0.97 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1339 | 1275 |
Yes | 12.4 | [10.6, 14.5] | 35.0 | 1.83 | 0.95 | [0.85, 1.06] | 0.95 | [0.86. 1.06] | 0.95 | [0.86, 1.06] | 0.95 | [0.86, 1.06] | 201 | 181 |
p =.337 | P =.383 | p =.373 | p =.390 | |||||||||||
Distressed or worried about sex life: agree strongly/agree | ||||||||||||||
No | 88.7 | [86.7, 90.4] | 37.1 | 0.91 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1858 | 1622 |
Yes | 11.3 | [9.6, 13.3] | 40.6 | 2.95 | 1.05 | [0.91, 1.22] | 1.02 | [0.89, 1.16] | 1.02 | [0.89, 1.17] | 1.02 | [0.90, 1.17] | 210 | 207 |
p =.505 | p =.810 | p =.787 | P =.747 | |||||||||||
Overall sexual function^ | ||||||||||||||
Normal | 79.0 | [76.6, 81.3] | 38.4 | 1.04 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1209 | 1156 |
Low | 21.0 | [18.7, 23.4] | 36.2 | 1.66 | 0.92 | [0.83, 1.02] | 0.96 | [0.87, 1.06] | 0.95 | [0.87, 1.05] | 0.95 | [0.87, 1.05] | 336 | 306 |
p =.132 | p =.398 | p =.334 | p =.353 | |||||||||||
Sexual behavior | ||||||||||||||
Masturbation | ||||||||||||||
Last occasion of masturbation | ||||||||||||||
In last 7 days | 17.2 | [15.2, 19.5] | 45.3 | 2.55 | 1.00 | 1.00 | 1.00 | 1.00 | 362 | 318 | ||||
Between 7 days and 4 weeks | 19.2 | [17.2, 21.5] | 39.5 | 1.91 | 0.92 | [0.81, 1.04] | 0.93 | [0.82, 1.05] | 0.93 | [0.83, 1.05] | 0.93 | [0.93, 1.05] | 396 | 355 |
Between 4 weeks and 1 year | 21.6 | [19.5, 23.8] | 34.6 | 1.38 | 0.79 | [0.70, 0.89] | 0.84 | [0.74, 0.94] | 0.84 | [0.75, 0.95] | 0.84 | [0.75, 0.95] | 460 | 398 |
Longer than 1 year ago/never | 41.9 | [39.2, 44.7] | 34.2 | 1.49 | 0.74 | [0.66, 0.83] | 0.82 | [0.73, 0.92] | 0.83 | [0.74, 0.93] | 0.83 | [0.74, 0.93] | 862 | 774 |
p <.0001 | p =.0030 | p =.0062 | p =.0077 | |||||||||||
Number of occasions of masturbation in past 7 days | ||||||||||||||
0 | 83.1 | [81.0, 85.1] | 35.5 | 0.91 | 0.91 | [0.79, 1.04] | 0.96 | [0.85, 1.09] | 0.97 | [0.85, 1.10] | 0.97 | [0.86, 1.10] | 1718 | 1526 |
1 | 8.8 | [7.5, 10.2] | 40.5 | 3.26 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 186 | 161 |
2+ | 8.1 | [6.8, 9.7] | 48.4 | 3.48 | 1.28 | [1.07, 1.52] | 1.23 | [1.04, 1.46] | 1.24 | [1.05, 1.46] | 1.24 | [1.05, 1.46] | 172 | 149 |
p <.0001 | p =.0005 | p =.0008 | p =.0009 | |||||||||||
Sexual behavior in the past 4 weeks | ||||||||||||||
Number of occasions of sex# | ||||||||||||||
0−2 | 59.2 | [56.5, 61.8] | 35.7 | 1.20 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1258 | 1048 |
3−4 | 15.8 | [14.0, 17.9] | 36.6 | 2.13 | 1.04 | [0.93, 1.17] | 0.97 | [0.87, 1.09] | 0.97 | [0.86, 1.08] | 0.96 | [0.86−1.08] | 286 | 281 |
5+ | 25.0 | [22.5, 27.7] | 39.3 | 1.50 | 1.18 | [1.08, 1.28] | 1.03 | [0.94, 1.13] | 1.03 | [0.93, 1.13] | 1.02 | [0.92−1.13] | 440 | 443 |
p =.0011 | p =.6410 | p =.600 | p =.602 | |||||||||||
Vaginal sex | ||||||||||||||
No | 41.3 | [38.9, 43.7] | 36.2 | 1.45 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 974 | 766 |
Yes | 58.7 | [56.3, 61.1] | 37.7 | 1.05 | 1.07 | [1.00, 1.16] | 0.96 | [0.89, 1.04] | 0.95 | [0.87, 1.03] | 0.94 | [0.86, 1.03] | 1120 | 1089 |
p =.0597 | p =.304 | p =.211 | p =.200 | |||||||||||
Received oral sex# | ||||||||||||||
No | 68.2 | [65.7, 70.5] | 35.1 | 1.07 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1463 | 1262 |
Yes | 31.8 | [29.5, 34.3] | 41.5 | 1.40 | 1.20 | [1.11, 1.30] | 1.07 | [0.99, 1.16] | 1.07 | [0.99, 1.17] | 1.07 | [0.99, 1.16] | 628 | 589 |
p <.0001 | p =.0937 | p =.0905 | p =.0995 | |||||||||||
Gave oral sex# | ||||||||||||||
No | 66.2 | [63.8, 68.6] | 35.1 | 1.07 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1421 | 1226 |
Yes | 33.8 | [31.4, 36.2] | 41.0 | 1.35 | 1.20 | [1.11, 1.30] | 1.07 | [0.99, 1.16] | 1.07 | [0.99, 1.16] | 1.07 | [0.99, 1.16] | 671 | 625 |
p <.0001 | p =.0777 | p =.0927 | p =.101 | |||||||||||
Anal sex# | ||||||||||||||
No | 96.7 | [95.6, 97.6] | 36.8 | 0.86 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 2037 | 1792 |
Yes | 3.3 | [2.4, 4.4] | 46.7 | 5.00 | 1.24 | [0.98, 1.58] | 1.18 | [0.94, 1.49] | 1.17 | [0.92, 1.48] | 1.16 | [0.91−1.48] | 55 | 61 |
p =.0773 | p =.163 | p =.199 | p =.209 | |||||||||||
Genital contact without intercourse# | ||||||||||||||
No | 58.5 | [55.9, 61.0] | 35.8 | 1.11 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1306 | 1088 |
Yes | 41.5 | [39.0, 44.1] | 39.5 | 1.44 | 1.15 | [1.06, 1.24] | 1.03 | [0.95, 1.11] | 1.02 | [0.94, 1.11] | 1.02 | [0.93−1.11] | 789 | 772 |
p =.0007 | p =.529 | p =.626 | p =.663 | |||||||||||
Sexual behavior in the past 5 years | ||||||||||||||
Number of sexual partners# | ||||||||||||||
0 | 13.1 | [11.6, 14.7] | 36.0 | 3.01 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 361 | 239 |
1 | 61.6 | [59.2, 64.0] | 35.8 | 0.98 | 1.14 | [1.02, 1.28] | 0.99 | [0.89, 1.11] | 1.00 | [0.88, 1.14] | 1.00 | [0.88, 1.14] | 1177 | 1129 |
2 | 10.4 | [9.0, 12.0] | 39.2 | 2.43 | 1.28 | [1.10, 1.48] | 0.98 | [0.84, 1.15] | 0.97 | [0.83, 1.14] | 0.97 | [0.83, 1.14] | 222 | 190 |
3−4 | 7.7 | [6.4, 9.3] | 38.0 | 2.24 | 1.26 | [1.10, 1.46] | 0.92 | [0.78, 1.07] | 0.93 | [0.79, 1.09] | 0.92 | [0.79, 1.08] | 157 | 142 |
5+ | 7.2 | [5.9, 8.6] | 48.4 | 3.44 | 1.51 | [1.25, 1.83] | 1.05 | [0.86, 1.29] | 1.04 | [0.84, 1.27] | 1.03 | [0.84, 1.27] | 161 | 131 |
p =.0001 | p =.677 | p =.719 | p =.731 | |||||||||||
Concurrency& | ||||||||||||||
No | 92.0 | [90.5, 93.2] | 36.9 | 0.89 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1906 | 1685 |
Yes | 8.0 | [6.8, 9.5] | 41.1 | 2.73 | 1.12 | [0.98, 1.29] | 0.97 | [0.84, 1.11] | 0.96 | [0.84, 1.10] | 0.96 | [0.84, 1.09] | 173 | 147 |
p =.0873 | p =.620 | p =.548 | p =.535 | |||||||||||
Same-sex partner[s] | ||||||||||||||
No | 97.2 | [96.4, 97.9] | 36.7 | 0.87 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 2055 | 1846 |
Yes | 2.8 | [2.1, 3.6] | 50.9 | 5.50 | 1.35 | [1.11, 1.65] | 1.24 | [1.03, 1.49] | 1.20 | [0.99, 1.44] | 1.20 | [1.00, 1.45] | 67 | 52 |
p =.0027 | p =.0257 | p =.0581 | p =.0540 | |||||||||||
Sexual behavior, lifetime | ||||||||||||||
Number of sexual partners# | ||||||||||||||
0/1 | 23.6 | [21.3, 26.0] | 37.9 | 2.46 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 439 | 429 |
2 | 11.7 | [10.1, 13.5] | 40.0 | 2.63 | 1.00 | [0.86, 1.17] | 1.02 | [0.88, 1.17] | 1.02 | [0.89, 1.17] | 1.02 | [0.89, 1.17] | 234 | 213 |
3−4 | 19.3 | [17.3, 21.4] | 34.2 | 1.62 | 0.91 | [0.80, 1.02] | 0.89 | [0.79, 1.00] | 0.89 | [0.79, 0.99] | 0.89 | [0.79, 0.99] | 378 | 351 |
5−9 | 25.0 | [22.8, 27.3] | 38.0 | 1.31 | 1.06 | [0.96, 1.18] | 0.99 | [0.89, 1.09] | 0.98 | [0.89, 1.08] | 0.98 | [0.89, 1.08] | 516 | 455 |
10+ | 20.4 | [18.6, 22.3] | 36.8 | 1.68 | 0.98 | [0.87, 1.10] | 0.91 | [0.82, 1.01] | 0.91 | [0.81, 1.01] | 0.90 | [0.81, 1.01] | 498 | 371 |
p =.0546 | p =.107 | p =.111 | p =.106 | |||||||||||
Ever had same sex experience with genital contact | ||||||||||||||
No | 94.4 | [93.3, 95.4] | 36.6 | 0.89 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1983 | 1793 |
Yes | 5.6 | [4.6, 6.7] | 44.6 | 3.18 | 1.22 | [1.06, 1.39] | 1.15 | [1.01, 1.32] | 1.15 | [1.00, 1.31] | 1.15 | [1.01, 1.31] | 140 | 106 |
p =.0054 | p =.0325 | p =.0424 | p =.0378 | |||||||||||
Sexual attraction | ||||||||||||||
Ever felt sexually attracted to: | ||||||||||||||
Opposite sex only | 88.1 | [86.5, 89.6] | 36.2 | 0.92 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1826 | 1663 |
Any same-sex attraction | 11.9 | [10.4, 13.5] | 42.6 | 2.33 | 1.15 | [1.04, 1.27] | 1.04 | [0.94, 1.14] | 1.03 | [0.93, 1.14] | 1.03 | [0.93, 1.14] | 285 | 224 |
p =.0063 | p =.477 | p =.569 | p =.530 | |||||||||||
Attitudes | ||||||||||||||
One night stands | ||||||||||||||
Other | 90.5 | [89.0, 91.8] | 36.8 | 0.92 | 1.00 | 1.00 | - | 1.00 | - | 1.00 | - | 1909 | 1718 | |
‘Not wrong at all’ | 9.5 | [8.2, 11.0] | 40.3 | 2.21 | 1.11 | [0.99, 1.25] | 1.08 | [0.97−1.20] | 1.04 | [0.93, 1.17] | 1.04 | [0.93, 1.16] | 214 | 181 |
p =.0692 | p =.152 | p =.453 | p =.485 | |||||||||||
Non-exclusivity in marriage | ||||||||||||||
Other | 38.5 | [36.0, 41.1] | 34.9 | 1.13 | 1.00 | 1.00 | - | 1.00 | - | 1.00 | - | 856 | 731 | |
‘Always wrong’ | 61.5 | [58.9, 64.0] | 38.4 | 1.22 | 1.05 | [0.97, 1.14] | 1.00 | [0.93, 1.08] | 1.00 | [0.93, 1.07] | 1.00 | [0.93, 1.08] | 1266 | 1167 |
p =.203 | p =.970 | p =.970 | p =.930 | |||||||||||
‘Men have a naturally higher sex drive than women’ | ||||||||||||||
Other | 86.7 | [84.7, 88.5] | 36.8 | 0.82 | 1.00 | 1.00 | - | 1.00 | - | 1.00 | - | 1864 | 1647 | |
Strongly agree | 13.3 | [11.5, 15.3] | 39.0 | 3.07 | 1.04 | [0.93, 1.16] | 1.04 | [0.94, 1.15] | 1.04 | [0.94, 1.15] | 1.04 | [0.94, 1.15] | 259 | 252 |
p =.488 | p =.485 | p =.464 | p =.451 | |||||||||||
‘It is natural for people to want sex less as they get older’ | ||||||||||||||
Other | 93.1 | [91.8, 94.2] | 37.6 | 0.91 | 1.00 | 1.00 | - | 1.00 | - | 1.00 | - | 1972 | 1768 | |
Strongly agree | 6.9 | [5.8, 8.2] | 30.5 | 2.15 | 0.82 | [0.72, 0.94] | 0.89 | [0.78, 1.01] | 0.90 | [0.79, 1.03] | 0.90 | [0.79, 1.03] | 151 | 131 |
p =.0051 | p =.0824 | p =.120 | p =.128 |
unwt = unweighted denominators, wt = weighted denominators. SE = standard error of mean. Denominator is: all women excluding those taking medication for epilepsy, received treatment for an ovarian or pituitary condition or polycystic ovaries in the past year, women currently receiving HRT, or who had ever received HRT and reported a hysterectomy (to approximate oophorectomy), or who were pregnant at the time of interview.
Ratio of geometric means, obtained from exponentiated age-adjusted linear regression coefficients of log-transformed data for women. Adjusted ratio 1 = adjusted for age and age-squared; adjusted ratio 2 = adjusted for age, age-squared, season, and relationship status; adjusted ratio 3 = adjusted for age, age-squared, season, relationship status, BMI, and self-reported general health,
opposite- and/or same-sex
Only asked of those who had sex in the past year, those who did not have sex in the past year were excluded from the denominator. &Overlap between any partners in past 5 years.