Investigating the relationship between sexual self-concept and candida vaginitis and risk factors for candida vaginitis

Authors
1 Assistant Professor, Department of Midwifery, Evidence-Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 PHD, Department of Midwifery, Neyshabur University of Medical Sciences, Neyshabur, Iran.
3 MSc Department of Midwifery and Reproductive Health, Faculty of Nursing Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
4 MSC, Department of Midwifery, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Abstract
Introduction: Vaginal candidiasis infection leads to sexual dysfunction in couples. Sexual performance is an important part of health and an integral part of every person's life. Many psychological factors affect sexual performance, one of which is self-concept. Therefore, the present study was conducted with the aim of "determining the relationship between sexual self-concept and candidal vaginitis".

Methods: This descriptive-cross-sectional study was conducted on 300 married women, aged 18 to 45 years, who referred to health centers in Neishabur city in 2018. The sampling method was available. The research tools were multifaceted sexual self-concept questionnaire (MSSCQ) and candidal vulvaginitis symptoms.

The results were analyzed with spss software version 16 and Spearman and regression statistical tests.Findings: In the review of the data,the mean age of women participating in the study was 35.55 ± 5.47 years, the mean score of positive sexual self-concept was 115.22 ± 28.33, the mean score of negative sexual self-concept was 58.25 ± 6.18 and the symptom score of candidal vulvovaginitis was 9.83 ± 1.62. Examination of the data by Spearman test showed that there was a significant inverse relationship between positive sexual self-concept and candidiasis score (p=0.003) and between negative sexual self-concept and candidiasis score (p = 0.005) Also, no significant correlation was observed between candidiasis score and demographic variables (P > 0.05).

Conclusion: Sexual self-concept is related to candidal vaginitis; which, with correct and timely treatment of candidal vaginitis, increases positive sexual self-concept. which will ultimately lead to marital satisfaction and strengthening the foundation of families
Keywords

1. Nwokolo NC, Boag FC. Chronic vaginal candidiasis. Drugs & aging. 2000;16(5):335-9. https://doi.org/10.2165/00002512-200016050-00003
2. Sobel JD, Brooker D, Stein GE, Thomason JL, Wermeling DP, Bradley B, et al. Single oral dose fluconazole compared with conventional clotrimazole topical therapy of Candida vaginitis. AJOG. 1995;172(4):1263-8. https://doi.org/10.1016/0002-9378(95)91490-0
3. Namazi A, Sehati P, Adibpur M, Mazloomi A, Mohammad Alizadeh S, Babapour J. Prevalence and risk factors for candidiasis infection in women referring to health centers of Tabriz. J Med Sci Health Serv Shahid Sadoughi Yazd. 2008;15(1):67-1. http://pajoohande.sbmu.ac.ir/article-1-1609-fa.html (Persian)
4. Bauters TG, Dhont MA, Temmerman MI, Nelis HJ. Prevalence of vulvovaginal candidiasis and susceptibility to fluconazole in women. AJOG. 2002;187(3):569-74. https://doi.org/10.1067/mob.2002.125897.
5. Scharbo‐DeHaan M, Anderson DG. The CDC 2002 guidelines for the treatment of sexually transmitted diseases: implications for women's health care. J Midwifery & Women’s Health. 2003;48(2):96-104. https://doi.org/10.1016/S1526-9523(02)00416-6 .
6. Barousse M, Van Der Pol B, Fortenberry D, Orr D, Fidel P. Vaginal yeast colonisation, prevalence of vaginitis, and associated local immunity in adolescents. Sexually transmitted infections. 2004;80(1):48-53. http://dx.doi.org/10.1136/sti.2002.003855.
7. Bolourian Z, Ganjloo J. Evaluating sexual dysfunction and some related factors in women attending Sabzevar Health Care Centers. J Reproduction & Infertility. 2007;8(2). search.proquest.com. (Persian).
8. jaafarpour M, Maroufi M, Molaeinezhad M. Relationship between Sexual self-concept and Sexual Performance in Married Women Referring to Mobarakeh Health Centers, Iran. J Res Dev Nurs Midwifery. [Article in Persian].
9. O'Sullivan LF, Meyer-Bahlburg HFL, McKeague IW. The Development of the Sexual Self-Concept Inventory for Early Adolescent Girls. Psychology of Women Quarterly. 2006;30(2):139-49. https://doi.org/10.1111/j.1471-6402.2006.00277.x.
10. Kharashadizadeh F KDA, Rahsepar AM, Latifnejad Rodsari R. Salari M, Esmaeili H, Hashemi M. The relationship between body imageand sexual function ingand marital adjustment in infertile and fertile women using pathanalysis, J Medi Sciences,2011, 3, 23-31. (Persian).
11. Ziaei T. The role ofyouthsexual selfconceptioninmate selection caT, School of Nursingand Midwifery, Isfahan University of Medical Sciencesand Health Services. 2013.
12. Mohammadi Nik M. Sexual self-concept and it’s related factors in married women in Tehran university of medical sciences. Thesis SoNM, Tehran University of Medical Sciences and Health Services . 2013-2014. Abstract.
13. Mohammadi Nik M. Sexual self-concept and it’s related factors in married women in Tehran university of medical sciences. Thesis SoNM, Tehran University of Medical Sciences and Health Services . 2013-2014. Abstract.
14. Rezvani Amin M, Siratinayer M, Abadi A, Moradyan T. Correlation between visual analogue scale and short form of McGill questionnaire in patients with chronic low back pain. Qom University of Medical Sciences Journal. 2011;5(1):31-4.
15. Vickers ER CM, Woodhouse A. Pain description and severity of chronic orofacial pain conditions. Australian dental journal. 1998;43(6):403-9.
16. EBRAHIMZADEH ZGEMI S, et al. A Comparative Study on the Effect of Artemisia and Clotrimazole Vaginal Cream on Vaginal Candida Infection on Non-Pregnant Women in Fertile Age in Mashhad in 2016-2017: A Triple Blind Clinical Trial. J Med Plants, 2019, 2.72: 170-182..
17. La Rocque CL, Cioe J. An evaluation of the relationship between body image and sexual avoidance. J sex research. 2011;48(4):397-408.
18. Ziaei T KE, Salehi M, Farajzadegan Z. Psychometric properties of the Farsi version of modified Multidimensional Sexual Self-concept Questionnaire. Iranian j nursing and midwifery research.2013,18(6): 439–445.
19. Ramezani M, Ghaemmaghami A. Validity and Reliability Assessment of Multi-Dimensional Sexual Self-Concept Questionnaire for Iranian Population. 2013.
20. Bavi A AA, Attari Y. Evaluate the effectiveness of sex education on sexual self in Ahvaz womens. Jundishapur Journal, 2014, 13, 4.
21. Bolourian Z GJ. Sexual dysfunction and some related factors in women referred to health centers - Sabzevar. 2007;2(31):163-70.
22. Gungor AN UA, Sahin M, Gencer M, Uysal A. Effects of vaginal discharge on female sexual function. Int J Gynaecol Obstet. 2014;124(1):27-9.
23. HoseiniTabaghdehi M hkE, Hoseini F. The Relative Frequency of Sexual Dysfunction and Some related Factors in the Women Referred to the Health Centers of Sari City (2006). J Mazandaran Univ Med Sci. 2012; 22 (91) :102-107, http://jmums.mazums.ac.ir/article-1-1239-fa.html U.
24. Scharbo‐DeHaan M, Anderson DG. The CDC 2002 guidelines for the treatment of sexually transmitted diseases: implications for women's health care. Journal of Midwifery & Women’s Health. 2003;48(2):96-104.
25. Adad Sh J VdlR, Sawan Z T, Saldanho J C, Cunha A H. Frequency of trichomonas vaginalis, Candida sp and gardenerella vaginalis in cervical- vaginal smears in four different decades. Sao Paulo Med J, 2001; 119(6): 200-5.
26. Ramezanzadeh F B-RG, Fakhar F. Evaluation of the relationship between taking LD oral contraceptive pills and candidiasis vaginitis. . Journal Hakim. 2001;4(1):25-30.
27. Torabi SM, Amini B. The relationship between health behaviors and the prevalence of vaginitis in women referring to health centers in Zanjan in 1996. Journal of Advances in Medical and Biomedical Research. 1997;5(21):44-49.