Factors associated with people’s satisfaction with their sex life: a survey conducted in Kinshasa (Democratic Republic of Congo) during the COVID-19 pandemic
https://doi.org/10.4081/jphia.2022.2069
Accepted: 16 May 2022
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Background: COVID-19’s restrictive measures have significantly affected our health, work and social relationships. As yet, less attention has been given to the changes in sex life. Aim: This study investigates people’s satisfaction with sex life in Kinshasa in the Democratic Republic of Congo (DRC).
Methods: A cross-sectional survey of the general population (18 years and over) was conducted, from 1st to 18th July 2020, in 17 municipalities in Kinshasa and several measures were used: Quality of life MANSA, EQ-5D-3L, UCLA Loneliness; PHQ-9; GAD-7. Prior to conducting data analysis, diagnostic tests for our data were performed to assess distribution, variance and multicollinearity. Descriptive statistics, bivariate correlation and multiple regression analysis were used.
Results: Sex life satisfaction increases from young adults aged 18- 35 to those aged 36-55 and then there is a decrease from ages 56-69. After controlling for socio-demographic factors, sex life satisfaction was positively associated with the number and quality of people’s friendships (B=0.30, p=0.01) and people’s relationships with their families (B=0.32, p=0.03). People who feel lonely have lower sex life satisfaction (B=-0.15, p=0.01).
Conclusion: People’s quality of their friendships and family relationships are important for their sexual well-being. Healthcare providers and policymakers should consider people’s quality of friendships and family relationships when planning to improve the sexual well-being of people in DRC.
Agberotimi, S. F., Akinsola, O. S., Oguntayo, R., Olaseni, A. O. Interactions Between Socioeconomic Status and Mental Health Outcomes in the Nigerian Context Amid COVID-19 Pandemic: A Comparative Study. Frontiers in Psychology 2020;11.
Ballester-Arnal, R., Nebot-Garcia, J. E., Ruiz-Palomino, E., et al. "INSIDE" Project on Sexual Health in Spain: Sexual Life During the Lockdown Caused by COVID-19. Sexuality Research and Social Policy 2021;18:1023-41.
Bjorkman, T., Svensson, B. Quality of life in people with severe mental illness. Reliability and validity of the Manchester Short Assessment of Quality of Life (MANSA). Nordic Journal of Psychiatry 2005;59:302-306.
Chaulagain, A., Pacione, L., Abdulmalik, J., et al. WHO Mental Health Gap Action Programme Intervention Guide (mhGAP-IG): the first pre-service training study. International Journal of Mental Health Systems 2020;14:47.
Cobbett, M., McLaughlin, C., Kiragu, S. Creating 'participatory spaces': involving children in planning sex education lessons in Kenya, Ghana and Swaziland. Sex Education-Sexuality Society and Learning 2013;13:S70-S83.
Cranney, S. Sex Life Satisfaction in Sub-Saharan Africa: A Descriptive and Exploratory Analysis. Archives of Sexual Behavior 2017;46:1961-1972.
Dew, J. P., Uecker, J. E., Willoughby, B. J. Joint Religiosity and Married Couples' Sexual Satisfaction. Psychology of Religion and Spirituality 2020;12:201-212.
Diener, E., Suh, E. M., Lucas, R. E., Smith, H. L. Subjective well-being: Three decades of progress. Psychological Bulletin 1999;125:276-302.
Dundon, C. M., Rellini, A. H. More than Sexual Function: Predictors of Sexual Satisfaction in a Sample of Women Age 40-70. Journal of Sexual Medicine 2010;7:896-904.
Eagly, A. H., Wood, W. The origins of sex differences in human behavior - Evolved dispositions versus social roles. American Psychologist 1999;54:408-423.
Eneqvist, T., Nemes, S., Karrholm, J., et al. How do EQ-5D-3L and EQ-5D-5L compare in a Swedish total hip replacement population? Acta Orthopaedica 2020;91:272-278.
Fallah, M. Y., Talemi, A. N., Bagheri, M., et al. Attachment Styles, Marital Conflicts, Coping Strategies, and Sexual Satisfaction in Spouse Abused and Non-Abused Women. Journal of Pharmaceutical Research International 2019;26.
Giacco, D., Palumbo, C., Strappelli, N., et al. Social contacts and loneliness in people with psychotic and mood disorders. Comprehensive Psychiatry 2016;66:59-66.
Girard, M., Dugal, C., Hebert, M., Godbout, N. Is My Sex Life Ok? The Mediating Role of Sexual Anxiety in the Association between Childhood Sexual Abuse and Sexual Coercion against Women. Journal of Child Sexual Abuse 2020;29:717-733.
Hawkley, L. C., Cacioppo, J. T. Loneliness Matters: A Theoretical and Empirical Review of Consequences and Mechanisms. Annals of Behavioral Medicine 2010;40:218-227.
Henderson, A. W., Lehavot, K., Simoni, J. M. Ecological Models of Sexual Satisfaction among Lesbian/Bisexual and Heterosexual Women. Archives of Sexual Behavior, 2009;38:50-65.
Hyde, J. S. The gender similarities hypothesis. American Psychologist 2005;60:581-592.
Ingelmo, R. M. G., Litago, J. D. U. Life satisfaction and family relationships and with peers in adolescence. Cauriensia-Revista Anual De Ciencias Eclesiasticas 2018;13: 243-258.
Karraker, A., DeLamater, J., Schwartz, C. R. Sexual Frequency Decline From Midlife to Later Life. Journals of Gerontology Series B-Psychological Sciences and Social Sciences 2011;66:502-512.
Kelley, E. L., Cannell, M. B., Gass, M., et al. Is Interpersonal Abuse Associated with Sexual (Dis)satisfaction among Postmenopausal Women? Womens Health Issues 2019;29: 299-307.
Khojasteh, J. Statistical Analysis of Questionnaires: A Unified Approach Based on R and Stata. Structural Equation Modeling-a Multidisciplinary Journal 2019;26:986-987.
Ko, N. Y., Lu, W. H., Chen, Y. L., et al. Changes in Sex Life among People in Taiwan during the COVID-19 Pandemic: The Roles of Risk Perception, General Anxiety, and Demographic Characteristics. International Journal of Environmental Research and Public Health 2020;17:5822.
Kuo, C., Atujuna, M., Mathews, C., et al. Developing family interventions for adolescent HIV prevention in South Africa. Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv 2016;28:106-110.
Lader, D., Short, S., Gershuny, J. The time use survey, 2005. In. London: The national Amendment, Office for National Statistics. 2006.
Laumann, E. O., Paik, A., Glasser, D. B., et al. A cross-national study of subjective sexual well-being among older women and men: Findings from the global study of sexual attitudes and behaviors. Archives of Sexual Behavior 2006;35:145-161.
Lawal, A. M., Okereke, C. G. Relationship satisfaction in cohabiting university students: evidence from the role of duration of cohabitation, loneliness and sex-life satisfaction. Vulnerable Children and Youth Studies. 2021;16:134-143.
Lee, H.-H., Lung, F.-W., Lee, P.-R., et al. The relationship between sex life satisfaction and job stress of married nurses. BMC Res Notes 2012;5:445.
Lindau, S. T., Gavrilova, N. Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing. British Medical Journal 2010;340.
Liu, Y., Salzman, R. B. Policy Lessons From Early Reactions to the COVID-19 Virus in China. American Journal of Public Health 2020;110:1145-1148.
Nachega, J. B., Grimwood, A., Mahomed, H., et al. From Easing Lockdowns to Scaling Up Community-based Coronavirus Disease 2019 Screening, Testing, and Contact Tracing in Africa-Shared Approaches, Innovations, and Challenges to Minimize Morbidity and Mortality. Clinical Infectious Diseases 2021;72:327-331.
Neto, F., Pinto, M. D. The Satisfaction with Sex Life Across the Adult Life Span. Social Indicators Research 2013;114:767-784.
Ojanlatva, A., Helenius, H., Rautava, P., et al. Importance of and satisfaction with sex life in a large Finnish population. Sex Roles 2003;48:543-553.
Osur, J., Ireri, E. M., Esho, T. The Effect of COVID-19 and Its Control Measures on Sexual Satisfaction Among Married Couples in Kenya. Sexual Medicine 2021;9:100354.
Pavot, W., Diener, E. The Satisfaction With Life Scale and the emerging construct of life satisfaction. The Journal of Positive Psychology 2008;3:137–152.
Pechorro, P., Vieira, R., Diniz, A. Sexual satisfaction: Relation with sexual satisfaction and with sexual behaviours. Journal of Sexual Medicine 2008;5:141.
Priebe, S., Huxley, P., Knight, S., Evans, S. Application and results of the Manchester Short Assessment of Quality of Life (MANSA). International Journal of Social Psychiatry, 1999;45:7-12.
Rodriguez-Seijas, C., Fields, E. C., Bottary, R., et al. Comparing the Impact of COVID-19-Related Social Distancing on Mood and Psychiatric Indicators in Sexual and Gender Minority (SGM) and Non-SGM Individuals. Frontiers in Psychiatry 2020;11.
Salakari, M., Nurminen, R., Sillanmaki, L., et al. The importance of and satisfaction with sex life among breast cancer survivors in comparison with healthy female controls and women with mental depression or arterial hypertension: results from the Finnish nationwide HeSSup cohort study. Supportive Care in Cancer 2020;28:3847-3854.
Sanchez-Fuentes, M. D., Santos-Iglesias, P., Sierra, J. C. A systematic review of sexual satisfaction. International Journal of Clinical and Health Psychology 2014;14:67-75.
Sapra, A., Bhandari, P., Sharma, S., et al. Using Generalized Anxiety Disorder-2 (GAD-2) and GAD-7 in a Primary Care Setting. Cureus 2020;12:e8224.
Smith, M. L., Sanchez, S. E., Rondon, M., et al. Validation of the patient health Questionnaire-9 (PHQ-9) for detecting depression among pregnant women in Lima, Peru. Current Psychology 2022;41:3797-805.
Stevenson, B., Wolfers, J. Economic Growth and Subjective Well-Being: Reassessing the Easterlin Paradox. Brookings Papers on Economic Activity 2008;39:1-102.
Teo, W. Z. Y., Soo, Y. E., Yip, C., et al. The psychological impact of COVID-19 on 'hidden' frontline healthcare workers. International Journal of Social Psychiatry 2021;67:284-9.
Trask, S. L., Horstman, H. K., Hesse, C. Deceptive Affection Across Relational Contexts: A Group Comparison of Romantic Relationships, Cross-Sex Friendships, and Friends With Benefits Relationships. Communication Research 2020;47:623-643.
Vasilenko, S. A., Exten, C., Rosenberger, J. G. Physical and Emotional Satisfaction at First Same-Sex Anal Sex in Young Gay and Bisexual Men. Archives of Sexual Behavior 2021;50:1047-1055.
Wadsworth, T. Sex and the Pursuit of Happiness: How Other People's Sex Lives are Related to our Sense of Well-Being. Social Indicators Research 2014;116:115-135.
Wang, D. W., Hu, B., Hu, C., et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. Jama-Journal of the American Medical Association 2020;323:1061-1069.
WHO. Sexual health, human rights and the law. Retrieved from Geneva, Switzerland. 2020.
Xu, S. R., Qiu, D., Hahne, J., et al. Psychometric properties of the short-form UCLA Loneliness Scale (ULS-8) among Chinese adolescents. Medicine 2018;97:e12373.
Yuksel, B., Ozgor, F. Effect of the COVID-19 pandemic on female sexual behavior. International Journal of Gynecology & Obstetrics 2020;150:98-102.
Zhong, B. L., Xu, Y. M., Zhu, J. H.,et al. Sexual life satisfaction of methadone-maintained Chinese patients: individuals with pain are dissatisfied with their sex lives. Journal of Pain Research 2018;11:1789-1794.
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