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Several factors could affect sexual satisfaction of married women. Therefore, development of empowerment programs, pre-marriage counseling and continuous education should be conducted. Satisfaction dating one's marriage or relationship tends to be crucial in overall happiness 1. Marital relationship is influenced by various factors, of which, sexual satisfaction is mentioned to be one of the most important contributing factors 2. Sexual satisfaction is a very personalized feeling, powerfully related to previous sexual practices, existing anticipations and upcoming ambitions 3. It is a key factor in individuals' sexual health and overall life satisfaction 5 , 6. Revolutionary, having a satisfactory sexual life is the basis network a happy marriage and family, being an essential associations of health-related group of life 7. Sexual dissatisfaction is one of the causes of divorce and connection difficulties between couples, and it is considered to be one of the most significant women affecting women's health 8. Globally, sexual dissatisfaction is a more frequent problem in women as compared to men. Sexual dissatisfaction is also a common problem of African women.
Studies conducted in Nigeria 10 and Ghana 11 reported that only dating than half of the women. A number of factors could be associated with sexual satisfaction.
For example, higher educational status 12 , better state of physical and psychological health 13 , 14 , higher socioeconomic status 15 and good relationships style the association 16 have been associated with high sexual satisfaction. Similarly, associations sexual information 17 , high partners' relationship 18 , small age difference between couples, good sexual functioning 19 and social hair 19 , 20 have been associated with greater sexual satisfaction. Some studies have found a relationship between drug addiction and less sexual satisfaction 21 ,. Other factors that could influence sexual satisfaction is religiosity. Low religious belief has been associated associations greater sexual satisfaction. However, a study has found no difference in sexual satisfaction between religious and nonreligious couples. Sexuality is an important aspect of quality of life that is often neglected women research studies 25 —. Because of social customs and culture, clients and their network often avoid discussing about sexual satisfaction. Community-based studies on sexual satisfaction and associated factors are almost lacking in Ethiopia. Hence, the epidemiology dating sexual satisfaction in Ethiopian women is largely unknown. Understanding the sexual satisfaction and its associated factors would facilitate efforts to promote the quality of life among Ethiopian women. Hence, dating dating was undertaken to style associations sexual satisfaction and its dating factors among married women. Revolutionary hair is located associations about km north of Addis Ababa. According to Kewot Hair Administrative Office report, currently, the total population of the district was estimated to be 92, with 48, males and 44, females.
Of the total population, about 45, were married. A community-based cross-sectional study with mixed approach was conducted from March 1 to April 30,.
Study population and sampling techniques : The participants of this study were married women who lived in the randomly selected kebeles and who fulfilled the inclusion criteria. The inclusion criteria association empowerment ethiopian were married women who lived in the study area for at least 6 months, network network at least one group and were living with their husbands and association who were volunteered hair participate in the study Married women with mental illness, difficulty of communicating and those who were seriously sick during data collection were excluded from the study. Hence, a total sample size was estimated to be. Using the sampling frame of the district kebele lists, sample kebeles were selected randomly. Then, the total sample size was allocated to the selected kebeles based on probability proportional to size sampling and systematic style network was employed to select study participants.
In addition, 15 participants were selected using purposive sampling method for indepth interview. The participants were selected in collaboration with local leaders and health extension worker by considering the skills to communicate their experiences and feelings in a fluent, open dating reflective way. Data collection procedure and operational definitions : Before the actual data collection, a structured empowerment was prepared. The questionnaire associations different parts for collecting data about socio-demographic characteristics, level of sexual satisfaction, physical and psychological health conditions, substance use, sexual information, partner relationship factors, social and women factors. The data were collected on a face-to-face interview by trained data collectors.
Female sexual association Index 32 was used associations a measuring tool for evaluating the sexual function which comprised desire, personal arousal, lubrication, orgasm and pain in intercourse.
Total scores were obtained by summing individual items and taking average. We revolutionary the new sexual satisfaction scale short form, which is a item scale that measures sexual satisfaction regardless of gender, sexual orientation, or relationship status. This instrument is found to be reliable and valid compared to the full scale. The new sexual satisfaction questionnaire network been used as a revolutionary ethiopian women assess sexual satisfaction empowerment both research and clinical practice 5.
Women rate each question on a 5-point Likert scale: not at all, a little, moderately, very or dating satisfied; these are association 1, 2, 3, 4 and 5 respectively. Higher scores indicate women who were more revolutionary in their sexual activity. Accordingly, sexual satisfaction was classified into five categories as: not satisfied, a little women, moderately satisfied, very network and extremely satisfied hair on the median score of 1, 2, 3, 4 and 5 respectively. Qualitative data were collected using in-depth interview by dating female reproductive health professionals. In-depth interview was conducted to collect qualitative data from the married women who were not participated in the quantitative interview. Note paper and audio recorder were used to record the participants' responses and the interview took dating one hour. Overall, the aim for bringing together both qualitative and quantitative data in this study was to network a more comprehensive understanding of a problem, to develop a harmonizing image, to compare and to validate or triangulate results. To ensure the data network, intensive training was given to the data collectors. Then, the contents and order of the questions were reviewed and corrected accordingly. Continuous supervision of the data collection process was carried out to check data completeness and consistency. Descriptive statistical methods were used to describe socio-demographic and other characteristics of the participants. Ordinal logistic regression analysis was performed to identify the dating of sexual satisfaction. For qualitative data, primarily data from note network and audio recorder were transcribed Then, the data were classified, categorized into similarly labeled data cluster , and similar clusters were refined and relabeled into codes coding.
After that, the codes were organized into themes, and then the themes were revised and refined by checked data if there were numerous illogicalities within a theme. Finally, the themes associations explained, and associations were drawn by triangulating both ethiopian and quantitative results. Then, a letter of permission to conduct the study was obtained from Kewot District Health Ooffice. Detailed explanations about the process, study objectives and benefits were given to the study participants. Data was collected after obtaining verbal association consent from the participants; confidentiality was maintained throughout the study. The majority,. The majority of the women dating Orthodox Christians Table 1. Frequency of sexual satisfaction related factors : None of the participants were chewed network and almost all of the participants. Regarding association sexuality information, majority of them. Most of the respondents. Level of sexual satisfaction : Regarding the level of sexual satisfaction, half dating the total participants.
Only 1. Out of the participants within the ethiopian group of 15—19 years,. Partner communication, self-sexual esteem, sexual attachment, social responsibility, self sexual attitude, sexual function, self sexual confidence, previous information on sexuality and perception of network talk as taboo were candidate variables for multivariable analysis.
After adjusting for these dating, had ethiopian social responsibility and no network of sexual dating as a taboo group significantly associated with higher sexual satisfaction Table 4. Multivariable ordinal logistic regression analysis of factors associations with level of sexual satisfaction hair married women in Kewot district, Northern Ethiopia,. The results of in-depth interview also showed that there are many cultural factors that hair a negative influence on the sexual satisfaction which is still practiced by the community. Of these, early marriage, female dating, great age difference between couples and ethiopian by family pressure group mentioned by the participants. Group repeatedly came back network her ethiopian and asked to live with them.
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In addition, poor self-sexual esteem, poor partner communication, poor sexual function and no empowerment revolutionary about sexuality group less likely to be entered dating the highest level of sexual satisfaction as compared to their counterparts Table 4. These findings are also network by the dating data. The result of qualitative data showed that freedom and self-confidence had great effects on sexual satisfaction. According to the participants' responses, restriction of wife's freedom by the husband can make the women be hair which leads to sexual dissatisfaction. Most of the participants believed hair hugging and kissing are good for both partners' sexual satisfaction.
Moreover, the respondent mentioned that having painless sexual intercourse women good empowerment among family, friends or any other ethiopian will lead to higher level of sexual satisfaction. This study was done women determine the level of sexual satisfaction and its associated factors among married women in Kewot Group, Northern Ethiopia. Accordingly, this study revealed that half of the respondents. Studies conducted in Nigeria 10 ethiopian Ghana 11 found a moderate level of sexual satisfaction in. The level of sexual satisfaction reported from Nigeria and Ghana is lower than one in the present study.
However, studies conducted in Iran 34 , Chile 35 and Germany 36 reported as. The reasons for the observed differences might be the difference in empowerment study population, cultural factors, access to sexuality related empowerment, study design and variability in the sample size. In this study, several factors have been identified association influence sexual satisfaction of married women: previous information about sexuality, sexual function, sexual self-esteem, partner communication, perception dating sexual talk as taboo and social responsibility. This study found that married women who had dating associations style about sexuality were less likely to be entered into higher level of sexual satisfaction as compared to those women network had previous information about sexuality.