Sexual Satisfaction and the Importance of Sexual Health to Quality of Life Throughout the Life Course of US Adults
Sexual Satisfaction and the Importance of Sexual Health to Quality of Life Throughout the Life Course of US Adults
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DOI：
10.1016/j.jsxm.2016.08.011
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发表时间：
2016-11-01
影响因子：
3.5
通讯作者：
Weinfurt, Kevin P.
中科院分区：
文献类型：
--
作者：
Flynn, Kathryn E.;Lin, Li;Weinfurt, Kevin P.
简介：关于性健康的讨论在临床上并不常见，尽管性功能障碍与许多常见的健康状况有关。对美国成年人性健康和性满意度重要性的理解是有限的。目的：提供有关性健康对生活质量和人们对性生活满意度的重要性的流行病学数据，并研究它们与人口统计学和健康因素的关系。方法：数据来自一份横断面的自我报告问卷，样本来自3，515名讲英语的美国成年人，他们是从一个使用基于地址的概率抽样的在线小组中招募的。我们报告了性健康对生活质量重要性的评级（单项5分回答）和患者报告结局测量信息系统性生活满意度评分（五个项目，每个项目有五分的回答，分数以美国平均值为中心）。62.2%的男性（95%CI = 59.4-65.0）和42.8%的女性（95%CI = 39.6e46.1，P <0.001）报告性健康对生活质量的高度重要性。性健康的重要性因性别、年龄、性活动状态和一般自我评价的健康状况而异。对于在过去30天内报告性活动的55%的男性和45%的女性，性生活满意度因性别，年龄，种族-民族（仅男性）和健康而异。健康状况良好的男性和女性的满意度明显高于健康状况一般或较差的参与者。女性高血压患者的满意度显着降低（特别是年轻女性），男性抑郁或焦虑（特别是年轻男性）。结论：在这项大型研究中，美国成年人对性健康的重要性和性生活满意度的评级，性健康是许多参与者生活质量的一个非常重要的方面，包括健康状况不佳的参与者。此外，健康状况较差的参与者报告性满意度较低。因此，性健康应该是临床医生对患者评估的常规部分。承诺改善患者整体健康的卫生保健系统必须有资源来解决性问题。这些资源应该在整个生命周期内为所有患者提供。版权所有（C）2016，国际性医学学会。爱思唯尔公司出版All rights reserved.
Introduction: Discussions about sexual health are uncommon in clinical encounters, despite the sexual dysfunction associated with many common health conditions. Understanding of the importance of sexual health and sexual satisfaction in U.S. adults is limited.Aim: To provide epidemiologic data on the importance of sexual health for quality of life and people's satisfaction with their sex lives and to examine how each is associated with demographic and health factors.Methods: Data are from a cross-sectional self-report questionnaire from a sample of 3,515 English-speaking U.S. adults recruited from an online panel that uses address-based probability sampling.Main Outcome Measures: We report ratings of importance of sexual health to quality of life (single item with five-point response) and the Patient-Reported Outcomes Measurement Information System Satisfaction With Sex Life score (five items, each with five-point responses, scores centered on the U.S. mean).Results: High importance of sexual health to quality of life was reported by 62.2% of men (95% CI = 59.4-65.0) and 42.8% of women (95% CI = 39.6e46.1, P < .001). Importance of sexual health varied by sex, age, sexual activity status, and general self-rated health. For the 55% of men and 45% of women who reported sexual activity in the previous 30 days, satisfaction with sex life differed by sex, age, race-ethnicity (among men only), and health. Men and women in excellent health had significantly higher satisfaction than participants in fair or poor health. Women with hypertension reported significantly lower satisfaction (especially younger women), as did men with depression or anxiety (especially younger men).Conclusion: In this large study of U.S. adults' ratings of the importance of sexual health and satisfaction with sex life, sexual health was a highly important aspect of quality of life for many participants, including participants in poor health. Moreover, participants in poorer health reported lower sexual satisfaction. Accordingly, sexual health should be a routine part of clinicians' assessments of their patients. Health care systems that state a commitment to improving patients' overall health must have resources in place to address sexual concerns. These resources should be available for all patients across the lifespan. Copyright (C) 2016, International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.