Sexualıty and marıtal adjustment ın women wıth hypertensıon ın Turkey: how culture affects sex

J Hum Hypertens. 2019 May;33(5):378-384. doi: 10.1038/s41371-019-0181-3. Epub 2019 Feb 25.


This study examined the relationship between sexual dysfunction and marital adjustment in women with hypertension and the effect of the cultures on the sexual problems of women. Mixed method was used in this study. The study was conducted as quantitative (in descriptive type) to examine sexual dysfunction and marital adjustment in women with hypertension and as qualitative to examine the effect of culture on the views of individuals on sexual problems. The study included 102 women who met inclusion criteria (who were on medication and had active sexual life for 1 year). Patient information form, Arizona Sexual Experience Scale (Female), and Marital Adjustment Test (MAT) were used to collect the data. The mean age of the subjects was found to be 55.10 ± 9.13, the mean duration of hypertension diagnosis was 8.66 ± 6.43, and the mean time to start was 7.87 ± 6.30. The mean duration of marriage for the women with hypertension was 34.08 ± 12.507. There was a negative correlation between sexual orientation, orgasm and sexual satisfaction from the subscales of ASEX and the overall scale (p < 0.05). Accordingly, as the adaptation in marriage diminished, sexual problems increased in women. As a result of the study, it was determined that HT had a negative effect on sexual functioning problems and marital adjustment, but women accepted this situation because of their culture, "women do not have the right to sexuality" and naturally accept the absence of sexuality after a certain age.

MeSH terms

  • Blood Pressure*
  • Cultural Characteristics
  • Female
  • Humans
  • Hypertension / diagnosis
  • Hypertension / ethnology*
  • Hypertension / physiopathology
  • Hypertension / psychology
  • Marital Status / ethnology*
  • Middle Aged
  • Quality of Life
  • Risk Factors
  • Sexual Behavior / ethnology*
  • Sexual Dysfunction, Physiological / diagnosis
  • Sexual Dysfunction, Physiological / ethnology*
  • Sexual Dysfunction, Physiological / physiopathology
  • Sexual Dysfunction, Physiological / psychology
  • Sexual Dysfunctions, Psychological / diagnosis
  • Sexual Dysfunctions, Psychological / ethnology*
  • Sexual Dysfunctions, Psychological / physiopathology
  • Sexual Dysfunctions, Psychological / psychology
  • Social Determinants of Health / ethnology*
  • Time Factors
  • Turkey / epidemiology
  • Women's Health*