050 Feasibility of Adding a Sexual Function Questionnaire to a Preconception Cohort Study
Notice bibliographique
Résumé
ABSTRACT Introduction Sexual dysfunction is estimated to affect over 40% of women and influences intercourse frequency and enjoyment. Despite its critical role in conception, little research has focused on sexual function during the preconception period. Objective We assessed the feasibility of adding a sexual function questionnaire to an ongoing preconception cohort study. Methods The [blinded preconception cohort study] began in 2013 and has prospectively enrolled over 15,000 women aged 21-45 years to date. Women planning a pregnancy are recruited primarily via online advertisements on social media. In March 2021, a supplemental survey module on sexual health and wellness was added to the study protocol. This survey included 32 questions on a range of topics related to sexual health, including the 6-item Female Sexual Function Index, questions about orgasm, and patient-provider communication about sexual health during preconception health care visits. The supplemental survey takes approximately 5-7 minutes to complete. Participants were invited to complete the supplemental questionnaire 30 days after enrolling and completing the baseline questionnaire. Results Of the 406 participants who started the survey, 397 (97.8%) completed it. The sample was primarily between 25 and 34 years old, with 54% having been trying to conceive for 0-1 months. The vast majority of the sample (87.1%) had been trying to conceive for 6 months or fewer. Eighty percent of the participants lived in the United States, and 20% lived in Canada. The vast majority (84.2%) were married. One-hundred thirty-seven participants (34.3%) reported experiencing painful intercourse at least sometimes in the past four weeks. Ninety-nine (24.5%) participants reported no, very low, or low sexual desire or interest in the past four weeks. Sixty-seven (16.5%) participants reported low or very low levels of arousal during sexual activity. Seventy (17.5%) participants reported being very or moderately dissatisfied with their sex lives in the past four weeks. The majority of women (80.9%) reported seeing a healthcare provider for a preconception counseling visit at some point prior to enrollment. Of these, 238 (74.1%) did not discuss sexual issues during the visit, even though 35% were experiencing them. Participants readily provided details in the open-ended text fields, indicating a willingness to share their information with investigators. Conclusions Our results suggest that incorporation of a detailed questionnaire about sexual function was acceptable to a large number of participants in a preconception cohort study. Our preliminary results will provide valuable insights into the sexual function and health of women in the preconception period. Disclosure Work supported by industry: yes, by This cohort study has received in-kind donations from Swiss Precision Diagnostics, Sandstone Diagnostics, Fertility- Friend.com, and Kindara.com for primary data collection. A consultant, employee (part time or full time) or shareholder is among the authors (Lauren Wise has served as a consultant for AbbVie, Inc).
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,033 | 0,044 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,004 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».