Sexual dysfunction in the United States - Prevalence and predictors
Sexual dysfunction in the United States - Prevalence and predictors
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DOI：
10.1001/jama.281.6.537
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发表时间：
1999-02-10
影响因子：
120.7
通讯作者：
Rosen, RC
中科院分区：
文献类型：
--
作者：
Laumann, EO;Paik, A;Rosen, RC
背景虽然最近的药理学进展已经引起了公众对勃起功能障碍临床服务的兴趣和需求，性功能障碍的流行病学数据对妇女和男子都相对缺乏。目的评估不同社会群体经历性功能障碍的患病率和风险，并检查这些疾病的决定因素和健康后果。设计分析国家健康和社会生活数据调查，一项对人口统计学上具有代表性的性行为的概率抽样研究，1992年美国成年人的队列。参与者在调查时年龄在18至59岁的1749名女性和1410名男性的全国概率样本。主要结果测量经历性功能障碍的风险以及负面的伴随结果。结果性功能障碍在女性中更为普遍（43%）。比男性（31%），并与各种人口特征，包括年龄和教育程度。不同种族的女性表现出不同的性功能障碍模式。男子之间的差异不那么明显，但与妇女的差异基本一致。性功能障碍的经验是更有可能在妇女和男子的身体和情绪健康状况不佳。此外，性功能障碍是高度相关的负面经验，在性关系和整体wellbing.Conclusions的结果表明，性功能障碍是一个重要的公共卫生问题，情绪问题可能有助于这些问题的经验。
Context While recent pharmacological advances have generated increased public interest and demand for clinical services regarding erectile dysfunction, epidemiologic data on sexual dysfunction are relatively scant for both women and men.Objective To assess the prevalence and risk of experiencing sexual dysfunction across various social groups and examine the determinants and health consequences of these disorders.Design Analysis of data from the National Health and Social Life Survey, a probability sample study of sexual behavior in a demographically representative, 1992 cohort of US adults.Participants A national probability sample of 1749 women and 1410 men aged 18 to 59 years at the time of the survey.Main Outcome Measures Risk of experiencing sexual dysfunction as well as negative concomitant outcomes.Results Sexual dysfunction is more prevalent for women (43%) than men (31%) and is associated with various demographic characteristics, including age and educational attainment. Women of different racial groups demonstrate different patterns of sexual dysfunction. Differences among men are not as marked but generally consistent with women. Experience of sexual dysfunction is more likely among women and men with poor physical and emotional health. Moreover, sexual dysfunction is highly associated with negative experiences in sexual relationships and overall wellbeing.Conclusions The results indicate that sexual dysfunction is an important public health concern, and emotional problems likely contribute to the experience of these problems.