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BMJ Open. 2017 Sep 13;7(9):e016942. doi: 10.1136/bmjopen-2017-016942.

What factors are associated with reporting lacking interest in sex and how do these vary by gender? Findings from the third British national survey of sexual attitudes and lifestyles.

Author information

1
Department of Psychology, Centre for Sexual Health Research, University of Southampton, Southampton, UK.
2
Centre for Sexual Health and HIV Research, Research Department of Infection & Population Health, University College London, London, UK.
3
Centre for Sexual and Reproductive Health Research, Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK.
4
MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, London, UK.

Abstract

OBJECTIVES:

To investigate factors associated with reporting lacking interest in sex and how these vary by gender.

SETTING:

British general population.

DESIGN:

Complex survey analyses of data collected for a cross-sectional probability sample survey, undertaken 2010-2012, specifically logistic regression to calculate age-adjusted OR (AOR) to identify associated factors.

PARTICIPANTS:

4839 men and 6669 women aged 16-74 years who reported ≥1 sexual partner (opposite-sex or same-sex) in the past year for the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).

MAIN OUTCOME MEASURE:

Lacking interest in sex for ≥3 months in the past year.

RESULTS:

Overall, 15.0% (13.9-16.2) of men and 34.2% (32.8-35.5) of women reported lacking interest in sex. This was associated with age and physical and mental health for both men and women, including self-reported general health and current depression. Lacking interest in sex was more prevalent among men and women reporting sexually transmitted infection diagnoses (ever), non-volitional sex (ever) and holding sexual attitudes related to normative expectations about sex. Some gender similarities in associated relationship and family-related factors were evident, including partner having had sexual difficulties in the last year (men: AOR 1.41 (1.07-1.86); women: AOR 1.60 (1.32-1.94)), not feeling emotionally close to partner during sex (men: 3.74 (1.76-7.93); women: 4.80 (2.99-7.69) and ease of talking about sex (men: 1.53 (1.23-1.90);women: 2.06 (1.77-2.39)). Among women only, lack of interest in sex was higher among those in a relationship of >1 year in duration and those not sharing the same level of interest (4.57 (3.87-5.38)) or preferences (2.91 (2.22-3.83)) with a partner.

CONCLUSIONS:

Both gender similarities and differences were found in factors associated with lacking interest in sex, with the most marked differences in relation to some relationship variables. Findings highlight the need to assess, and if appropriate, treat lacking interest in sex in a holistic and relationship-specific way.

KEYWORDS:

epidemiology; sexual and gender disorders; sexual medicine

PMID:
28903968
PMCID:
PMC5722087
DOI:
10.1136/bmjopen-2017-016942
[Indexed for MEDLINE]
Free PMC Article

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