Data Sheet 1_Sexual function and wellbeing of women using modern contraceptive methods in Rwanda: a multicenter cross-sectional study.pdf

BackgroundFamily planning (FP) is essential for sustainable development, maternal health, and women's reproductive well-being. Despite its critical role, Rwanda continues to experience a highly unmet need for FP. Women's experiences and perceptions of contraceptive methods can significantly affect their adoption and use. This study aimed to assess the sexual function and well-being of women using modern FP methods in Rwanda.
MethodologyA multicenter cross-sectional study involving 415 women aged ≥18 years who had used a modern FP method for at least ≥6 months was conducted across three urban and two rural FP clinics in Rwanda. Sexual function and well-being were evaluated via the Female Sexual Distress Scale-Revised (FSDS-R), with scores <11 indicating good sexual function. Utilizing R programming version 4.0.2, Logistic regression was used to examine associations between demographic/clinical factors and sexual distress.
ResultsOverall, 79.5% of women had good sexual function (FSDS-R < 11). Copper intrauterine device (IUD) users (96%) and those with permanent sterilization (84%) reported the highest sexual satisfaction. In multivariable analysis, underweight women (BMI <18.5) had 3.08-fold higher odds of sexual distress than normal-weight women (OR = 3.08; 95% CI 1.10–8.69). Conversely, IUD users had 86% lower odds of distress than implant users (OR = 0.14; 95% CI 0.03–0.42). Other factors, such as education level, were not significantly associated after adjustment.
ConclusionThe majority of Rwandan FP users in this study reported satisfactory sexual function. Contraceptive method and BMI were key predictors. These findings underscore the importance of integrating sexual health counseling into FP programs to reassure women about contraceptive side effects and support informed method choices that optimize reproductive well-being.

背景 计划生育（Family Planning, FP）对于可持续发展、孕产妇健康及女性生殖福祉至关重要。尽管其作用举足轻重，但卢旺达目前仍存在大量未被满足的计划生育服务需求。女性对避孕方式的使用体验与认知，会对其避孕行为的采纳与落实产生显著影响。本研究旨在评估卢旺达境内使用现代计划生育方法的女性的性功能与健康福祉状况。
方法 本研究为多中心横断面研究，在卢旺达境内的3家城市及2家农村计划生育诊所开展，共纳入415名18岁及以上、使用现代计划生育方法至少6个月的女性。采用女性性功能困扰量表修订版（Female Sexual Distress Scale-Revised, FSDS-R）评估受试者的性功能与健康福祉，量表得分＜11分提示性功能良好。本研究使用R编程语言（版本4.0.2），通过逻辑回归分析人口学与临床因素与性困扰之间的关联。
结果 总体而言，79.5%的女性性功能良好（FSDS-R得分＜11分）。使用含铜宫内节育器（intrauterine device, IUD）的女性（96%）与接受永久绝育的女性（84%）报告的性满意度最高。多变量分析显示，体重不足者（身体质量指数BMI＜18.5）发生性困扰的风险是体重正常女性的3.08倍（优势比OR=3.08；95%置信区间CI：1.10~8.69）。与之相反，使用宫内节育器的女性性困扰风险较皮下埋植剂使用者降低86%（OR=0.14；95%CI：0.03~0.42）。经调整后，受教育程度等其他因素与性困扰无显著关联。
结论 本研究中绝大多数卢旺达计划生育使用者报告性功能状况良好。避孕方式选择与身体质量指数是影响性健康状况的关键预测因素。本研究结果凸显了将性健康咨询纳入计划生育服务体系的重要性，以缓解女性对避孕不良反应的顾虑，并辅助女性做出知情的避孕方式选择，从而优化生殖福祉。