Table 3.
Adjusted Associations Between Early Life Sexual Trauma Exposures and Sexual/Genitourinary Dysfunction in Older Age
| Type of sexual or genitourinary dysfunction | Childhood sexual abuse | Unwanted first sexual experience | ||||
|---|---|---|---|---|---|---|
| Women without a history of childhood sexual abuse (N = 1562), n (%) | Women with a history of childhood sexual abuse (N = 183), n (%) | Adjusted odds ratio* (95% confidence interval) | Women without a history of unwanted first sexual experience (N = 1061), n (%) | Experienced unwanted first sexual experience (N = 684), n (%) | Adjusted odds ratio* (95% confidence interval) | |
| Trouble lubricating† | 290 (24.3) | 58 (39.9) | 1.82 (0.98–3.39) | 215 (27.4) | 133 (24.5) | 0.90 (0.65–1.24) |
| Pain during sexual intercourse† | 132 (9.2) | 26 (17.2) | 1.92 (1.12–3.27)‡ | 92 (9.9) | 66 (10.6) | 1.13 (0.74–1.73) |
| Lack of pleasure during intercourse† | 211 (16.0) | 33 (21.6) | 1.40 (0.84–2.34) | 126 (14.1) | 118 (20.9) | 1.66 (1.13–2.45)‡ |
| Urinary incontinence† | 575 (40.4) | 86 (45.2) | 1.21 (0.78–1.88) | 394 (40.1) | 267 (42.3) | 1.14 (0.86–1.51) |
| Other urinary problems† | 234 (16.1) | 46 (27.0) | 1.91 (1.17–3.10)‡ | 163 (16.8) | 117 (18.2) | 1.15 (0.81–1.62) |
All %s are column %s
*Adjusting for age, race/ethnicity, and education
†Data were missing for 378 women for trouble lubricating, 304 women for pain during sex, 376 women for did not find sex pleasurable, 121 women for urinary incontinence, and 98 women for other urinary symptoms
‡Significant at p < 0.05