Female Sexual Dysfunction among Young and Middle-Aged Women in Hong Kong: Prevalence and Risk Factors Huiping Zhang, PhD* and Paul S. F. Yip, PhD †‡ *Department of Social Work, The School of Sociology and Population Studies, Renmin University of China, Beijing, China; † Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China; ‡ Center for Suicide Research and Prevention, The University of Hong Kong, Hong Kong, China DOI: 10.1111/j.1743-6109.2012.02773.x ABSTRACT Introduction. Sexual dysfunction is a serious public health problem that affects women’s quality of life. However, there is very little epidemiological data on its incidence in Hong Kong Chinese women. Aim. To estimate the prevalence of, and risk factors associated with sexual dysfunction among young and middle- aged women in Hong Kong. Methods. The study was part of the ninth Knowledge, Attitude, and Practice survey conducted by the Family Planning Association of Hong Kong in 2007. The dataset comprised 1,510 face-to-face interviews with Hong Kong Chinese women aged 19–49 living in the community. Main Outcome Measure. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition classification of sexual dysfunction was used to measure female sexual dysfunction (FSD). Results. At least one form of FSD was reported by 37.9% of the sample. Multivariate analysis showed that having sought medical help for sexual problems (odds ratio [OR] = 4.20), having a partner with erectile dysfunction (OR = 2.44) and premature ejaculation (OR = 2.56), perceiving sex as unimportant to marriage (OR = 1.57), and reporting marital dissatisfaction (OR = 1.45) were all significant risk factors for FSD and its specific components among the sample. However, having liberal attitudes to sex (OR = 0.63) was a protective factor. Conclusion. The prevalence of FSD is lower among Hong Kong Chinese young and middle-aged women than in the United States and some Asian countries. Factors contributing to the risk of FSD span the domains of sexual experience, attitudes to sex, and relationship factors. These findings suggest future directions for the delivery of services addressing the prevention and treatment of FSD. Zhang H and Yip PSF. Female sexual dysfunction among young and middle-aged women in Hong Kong: Prevalence and risk factors. J Sex Med **;**:**–**. Key Words. Epidemiology; Risk Factors; Hong Kong; Female Sexual Dysfunction Introduction F emale sexual dysfunction (FSD) is character- ized by disorders of sexual desire, arousal, and orgasm, and painful sex [1]. There is extensive research to indicate that FSD adversely affects women’s interpersonal relationships and quality of life including their physical and mental health [2,3]. The rate at which women suffer from at least one form of FSD is relatively high, ranging from 25% to 63% in the Western countries [4–6] and from 30% to 52% in Asian countries [7–9]. A review of 22 population-based studies carried out in the West shows that the prevalence of inability to achieve orgasm varies from 5% to 30% and of inhibited sexual desire from 1% to 35% [10]. In addition, another study specifically indicates that the prevalence of low sexual interest varies from 17% to 55% and of lubrication difficulties from 8% to 15%, with levels of orgasmic dysfunction at 25% and vaginismus at nearly 6% [11]. FSD has been found to be multicausal and mul- tifactorial. Previous studies show that aside from biological, medical, and psychological factors, sociodemographic characteristics, sexual experi- ence and attitudes, and relationship issues are also 1 © 2012 International Society for Sexual Medicine J Sex Med **;**:**–**