The association of sexual dysfunction and substance use among a community epidemiological sample
The association of sexual dysfunction and substance use among a community epidemiological sample
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DOI：
10.1023/b:aseb.0000007462.97961.5a
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发表时间：
2004-02-01
影响因子：
3.8
通讯作者：
Cottler, LB
中科院分区：
文献类型：
--
作者：
Johnson, SD;Phelps, DL;Cottler, LB
本研究探讨了社区流行病学样本中DSM-III性功能障碍的患病率及其与共病药物和酒精使用的关系。这些分析的数据是基于流行病学集水区项目，一个多阶段的概率研究，在1981年至1983年进行的一般人群中的精神疾病的发病率和患病率。仅对圣路易斯地区3,004名成年社区居民的样本进行了DSM-III性功能障碍的调查，包括性高潮抑制、功能性性交困难（疼痛性行为）、性兴奋抑制（即，缺乏勃起/性唤起）和性欲抑制。性高潮抑制的患病率为11%，性疼痛的患病率为13%，性兴奋抑制的患病率为5%，性欲抑制的患病率为7%，任何一种性功能障碍的患病率为26%（男性为14%，女性为33%）。人口中符合终身物质使用标准的流行率为37%，男性比女性符合更多的药物和酒精使用标准。在控制了人口统计学、健康状况变量和精神共病（抑郁障碍、广泛性焦虑障碍、反社会人格障碍和残留障碍）后，抑制性高潮与大麻和酒精的使用有关。痛苦的性行为与非法药物使用和大麻使用有关。在非法药物使用者中，性兴奋受到抑制的可能性更大。性欲抑制与药物或酒精使用无关。
This study examines the prevalence of DSM-III sexual dysfunctions and their association with comorbid drug and alcohol use in a community epidemiologic sample. The data for these analyses are based on the Epidemiological Catchment Area Project, a multistage probability study of the incidence and prevalence of psychiatric disorders in the general population conducted in 1981 - 83. Only the sample of 3,004 adult community residents in the St. Louis area was queried on DSM-III sexual dysfunctions of inhibited orgasm, functional dyspareunia ( painful sex), inhibited sexual excitement (i.e., lack of erection/arousal), and inhibited sexual desire. There was a prevalence rate of 11% for inhibited orgasm, 13% for painful sex, 5% for inhibited sexual excitement, 7% for inhibited sexual desire, and 26% for any of these sexual dysfunctions (14% for men and 33% for women). The prevalence of qualifying lifetime substance use among the population was 37%, with males meeting more drug and alcohol use criteria than females. After controlling for demographics, health status variables, and psychiatric comorbidity ( depression disorder, generalized anxiety disorder, antisocial personality disorder, and residual disorders), inhibited orgasm was associated with marijuana and alcohol use. Painful sex was associated with illicit drug use and marijuana use. Inhibited sexual excitement was more likely among illicit drug users. Inhibited sexual desire was not associated with drug or alcohol use.