Racial differences in sexual dysfunction among postdeployed Iraq and Afghanistan veterans.
Racial differences in sexual dysfunction among postdeployed Iraq and Afghanistan veterans.
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DOI：
10.1177/1557988312471842
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发表时间：
2013-09
期刊：
影响因子：
--
通讯作者：
Helmer DA
中科院分区：
文献类型：
--
作者：
Hosain GM;Latini DM;Kauth MR;Goltz HH;Helmer DA
这项研究调查了部署后的伊拉克/阿富汗退伍军人性功能障碍患病率和危险因素的种族/民族差异。休斯敦退伍军人事务医疗中心总共招募了 3,962 名最近部署的退伍军人。作者研究了社会人口、医学、心理健康和生活方式相关的变量。性功能障碍是通过 ICD9-CM 代码和/或治疗性功能障碍的药物来诊断的。分析包括卡方、方差分析和多元逻辑回归。在白人中观察到性功能障碍的比例为 4.7%，在非裔美国人中为 7.9%，在西班牙裔中为 6.3%。年龄、婚姻状况、吸烟和高血压是白人的危险因素，而年龄、婚姻状况、创伤后应激障碍和高血压是非裔美国人的重要危险因素。对于西班牙裔人来说，只有年龄和创伤后应激障碍具有重要意义。这项研究发现，性功能障碍的危险因素因种族/民族而异。所有部署后的退伍军人都应接受筛查；社会心理支持和教育材料应解决种族/民族特定的风险因素。
This study examined the racial/ethnic differences in prevalence and risk factors of sexual dysfunction among postdeployed Iraqi/Afghanistan veterans. A total of 3,962 recently deployed veterans were recruited from Houston Veterans Affairs medical center. The authors examined sociodemographic, medical, mental-health, and lifestyle-related variables. Sexual dysfunction was diagnosed by ICD9-CM code and/or medicines prescribed for sexual dysfunction. Analyses included chi-square, analysis of variance, and multivariate logistic regression. Sexual dysfunction was observed 4.7% in Whites, 7.9% in African Americans, and 6.3% in Hispanics. Age, marital status, smoking, and hypertension were risk factors for Whites, whereas age, marital status, posttraumatic stress disorder and hypertension were significant for African Americans. For Hispanics, only age and posttraumatic stress disorder were significant. This study identified that risk factors of sexual dysfunction varied by race/ethnicity. All postdeployed veterans should be screened; and psychosocial support and educational materials should address race/ethnicity-specific risk factors.
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