An Exploration of Returning Veterans' Sexual Health Issues Using a Brief Self-Report Measure
An Exploration of Returning Veterans' Sexual Health Issues Using a Brief Self-Report Measure
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DOI：
10.1002/sm2.92
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发表时间：
2015-12-01
期刊：
影响因子：
2.6
通讯作者：
Kauth, Michael R.
中科院分区：
文献类型：
--
作者：
Beaulieu, Gregory R.;Latini, David M.;Kauth, Michael R.
介绍。性健康是生活质量不可或缺的一个方面，对亲密关系、情感健康和整体生活的满意度具有重要影响。从伊拉克和阿富汗返回的退伍军人经常遇到各种已知的性健康风险因素。目标。本文旨在研究近期参加伊拉克和阿富汗战争的美国退伍军人中性功能障碍的总体频率、与性困难相关的重要协变量以及性功能障碍的相关领域。方法。这是对 247 名伊拉克和阿富汗冲突退伍军人的回顾性图表审查，这些退伍军人在大型退伍军人事务医疗中心 (VAMC) 的部署后诊所进行了初次就诊。使用描述性统计数据计算患者人口统计和医疗特征。我们的患者样本中性健康问题的患病率和负担是使用这些退伍军人对自我报告的性功能测量的反应的描述性统计数据来计算的。然后在性功能反应和其他患者数据之间进行项目级回归分析。主要结果测量。使用的主要结果测量是对亚利桑那州性体验量表（ASEX）的反应。结果。近 18% 的退伍军人性功能障碍筛查结果呈阳性。自我报告的性功能障碍与抑郁症、创伤后应激障碍、女性和服务联系评级密切相关。共存特征随性功能的特定领域而变化。结论。使用经经验验证的自我报告工具进行的筛查表明，最近部署的退伍军人中报告的性功能障碍的患病率很高。分析表明，总体自我报告的性功能障碍和性功能障碍的特定亚型都存在特定的特征。对性功能障碍问题的具体方面进行积极评估可能使提供者能够确定并实施更精确的性功能干预措施。
Introduction. Sexual health is an integral aspect of quality of life with important implications for satisfaction with intimate relationships, emotional well-being, and life as a whole. Veterans returning from Iraq and Afghanistan frequently encounter a wide range of known risk factors for sexual health concerns.Aim. This article seeks to examine the overall frequency, important covariates associated with sexual difficulties, and the relevant domains of sexual dysfunction among a group of recent US veterans of Iraq and Afghanistan.Methods. This is a retrospective chart review of 247 veterans of conflicts in Iraq and Afghanistan evaluated for an initial visit at the post-deployment clinic of a large veterans affairs medical center (VAMC). Patient demographic and medical characteristics were calculated using descriptive statistics. The prevalence and burden of sexual health issues in our patient sample were calculated using descriptive statistics from these veterans' responses to a self-report measure of sexual functioning. Item-level regression analyses were then conducted between sexual functioning responses and other patient data.Main Outcome Measures. The main outcome measures used were the responses to the Arizona Sexual Experience Scale (ASEX).Results. Almost 18% of veterans screened positive for sexual functioning difficulties. Self-reported sexual dysfunction was most strongly associated with depression, posttraumatic stress disorder, female sex, and service connection rating. Co-occurring characteristics varied with specific areas of sexual functioning.Conclusions. Screening using an empirically validated self-report instrument indicates that there is a high prevalence of reported sexual dysfunction among recently deployed veterans. Analyses indicated that there are specific characteristics associated with both overall self-reported sexual dysfunction and specific subtypes of sexual dysfunction. Active assessment of specific aspects of sexual dysfunction concerns may allow providers to identify and implement more precise sexual functioning interventions.