Objective  To investigate prevalence and influencing factors of female sexual dysfunction (FSD) among Chinese women.

  Methods   During February – May 2019, a random online survey was conducted among 14 306 women aged 18 – 69 from 23 provinces, 4 municipalities directly under the central government, 2 special administrative regions and 5 autonomous regions in China by using the FSFI and the related factors questionnaire. Logistic regression analysis, analysis of variance and chi square test were adopted in data analyses.

  Results  Of the 14 306 participants with valid information, 53.17% (7 606) reported FSD symptoms; 46.17% (6 605) and 46.97% (6 720) reported having sexual desire and satisfaction disorder, respectively. The results of logistic regression analysis revealed following significant influencing factors of FSD: age (≥ 30 vs. 18 – 29: odds ratio (OR) = 1.875, 95% confidence interval (95% CI: 1.553 – 2.265), education level (senior high school and above vs. junior high school and below: OR = 0.737, 95% CI: 0.587 – 0.924), occupation (non-manual worker vs. manual worker: OR = 1.189, 95% CI: 1.030 – 1.373), monthly household income per capita (≥ 3 000 vs. < 3 000 RMB yuan: OR = 1.247, 95% CI: 1.081 – 1.438), history of gynecological diseases (yes vs. no: OR = 1.301, 95% CI: 1.136 – 1.490), menopause (yes vs. no: OR = 2.354, 95% CI: 1.712 – 3.238); no significant impact of pregnant and childbirth history on FSD were observed.

  Conclusion  The incidence rate of FSD in China is high, which affects the quality of life and mental health of women. It is of great significance to promote the health of women in groups and reproductive health according to the cause of disease and intervention.