Sexual function reported by Japanese and American men
Sexual function reported by Japanese and American men
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DOI：
10.1016/j.juro.2007.08.164
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发表时间：
2008-01-01
影响因子：
6.6
通讯作者：
Litwin, Mark S.
中科院分区：
文献类型：
--
作者：
Namiki, Shunichi;Kwan, Lorna;Litwin, Mark S.
目的：我们对美国和日本局限性前列腺癌患者的性功能和性困扰进行了跨文化比较。材料和方法：447名日本男性和427名美国男性临床上患有局限性前列腺癌，分别参加了与健康相关的生活质量研究。结果：日本男性比美国男性更容易报告性欲差(OR 21.2，95%CI 12.2-37.0)，勃起能力差(OR 16.2，95%CI 9.7-27.1)，总体性功能差(OR 16.7，95%CI 9.7-28.9)，达到性高潮能力差(OR 1.7，95%CI 1.3-2.3)，勃起质量差(OR 2.5，95%可信区间1.9~3.5)、勃起次数少(OR2.3，95%可信区间1.7~3.1)、早晨勃起次数少(OR 2.7，95%可信区间1.8~4.2)、前4周发生性行为(OR 2.7，95%可信区间1.9~3.8)。然而，日本男性比美国男性更不容易受到性功能的困扰(OR 0.36，95%CI 0.24-0.54)。10名日裔美国男性中的一小部分报告说，他们的性功能与日本的同龄人比在美国更相似。结论：我们假设，完成生活质量调查的文化差异解释了日本和美国前列腺癌男性性行为特征的差异。
Purpose: We performed a cross-cultural comparison of sexual function and bother in men with localized prostate cancer in the United States and Japan.Materials and Methods: A total of 447 Japanese and 427 American men with clinically localized prostate cancer were enrolled in separate studies of health related quality of life outcomes. Sexual function and bother were estimated before treatment with validated English and Japanese versions of the UCLA Prostate Cancer Index.Results: Japanese men were more likely than American men to report poor sexual desire (OR 21.2, 95% CI 12.2-37.0), poor erection ability (OR 16.2, 95% Cl 9.7-27.1), poor overall ability to function sexually (OR 16.7, 95% Cl 9.7-28.9), poor ability to attain orgasm (OR 1.7, 95% CI 1.3-2.3), poor quality of erections (OR 2.5, 95% CI 1.9-3.5), infrequency of sexual erections (OR 2.3, 95% Cl 1.7-3.1), infrequency of morning erections (OR 2.7, 95% CI 1.8-4.2) and intercourse in the previous 4 weeks (OR 2.7, 95% CI 1.9-3.8). However, Japanese men were less likely than American men to be bothered by sexual function (OR 0.36, 95% Cl 0.24-0.54). A small subset of 10 Japanese-American men reported sexual function that more closely resembled their counterparts in Japan than in the United States.Conclusions: We posit that cultural disparities in completing the quality of life surveys explain the differences in sexual activity profiles in Japanese and American men with prostate cancer.