中文摘要：

目的：女性性交痛是困扰女性的常见性问题之一，本研究探讨中国城市女性性交疼痛的相关危险因素，为其防治提供依据。方法：本研究是回顾性调查，调查对象为2009年3～12月在南京医科大学附属南京市妇幼保健院进行健康体检的20岁以上女性及其女性陪护人，发放问卷，调查相关因素，用女性性功能指数问卷评估性功能，性交疼痛评分〈4．4分为性交疼痛的筛选标准，采用多因素Logistic回归进行多因素分析。结果：共发放问卷2658份，有1856例女性完成问卷，问卷回收率69．8％。排除不符合纳入标准及调查前1个月无性活动者，最终有1457例受访者资料纳入分析。1457例受访者中存在不同程度性交痛者626例，占43．0％（626／1475）。Logistic多因素分析表明，年龄（≥50岁）、吸烟、子宫切除、阴道润滑障碍、与配偶缺乏性交流等是女性性交疼痛的独立危险因素（P均〈0．05）。结论：女性性交疼痛的发生与年龄（≥50岁）、吸烟、子宫切除、阴道润滑障碍、与配偶缺乏性交流等多种因素相关。

英文摘要：

Objective： Dyspareunia is a common sexual trouble in women during the sexual intercourse. This study is to investigate the risk factors for dyspareunia in urban Chinese women and to supply some evidence for its preventive measures. Methods： We conducted a hospital-based survey by distributing 2 658 copies of a questionnaire among the women in Nanjing urban area who came for regular physical examination in Nanjing Maternity and Child Health Hospital and their female companions aged over 20 years. The sexual function of the subjects was evaluated according to female sexual function indexes, dyspareunia indicated by sexual pain score 〈 4.4, and the results analyzed by multiple logistic regression analysis. Results ： Totally, 1 856 （69.8%） of the subjects completed the questionnaire, and l 457 that met the criteria were included for analysis, of whom 43.0% （ 626/1457 ） admitted to dyspareunia during the sexual intercourse. Muhiple logistic regression analysis showed that age （ ≥ 50 years） , smoking, hysterectomy, vaginal lubrication disorder, lack of sexual communication with partners were independent risk factors for dyspareunia （ P 〈 0.05 ）. Conclusion： Dyspareunia is associated with multiple factors including age （ ≥ 50 years） , smoking, hysterectomy, vaginal lubrication disorder, lack of sexual communication with partners.