La Pera Giuseppe, Carderi Anna, Marianantoni Zelinda, Peris Filippo, Lentini Massimo, Taggi Franco
San Camillo Forlanini Hospital-Urology, Rome, Italy.
J Sex Med. 2008 Jan;5(1):164-72. doi: 10.1111/j.1743-6109.2007.00571.x. Epub 2007 Jul 31.
Adolescence is one of the periods in which the risk of initial use of drugs is high. Among the reasons leading to first drug use (FDU), sexual disorders have so far been poorly investigated.
To evaluate the prevalence of premature ejaculation, erectile dysfunction, and low sexual desire in former drug addicts in the period prior to FDU; whether or not the former drug addicts claimed that sexual dysfunctions influenced their decision to start illicit drug taking, and whether or not the subjects had sought and used drugs aiming to improve sexual drive.
Eighty-six male former drug addicts (18-35 years old) were investigated using a questionnaire.
Fisher and Armitage tests.
Before FDU, 61 (71%) subjects reported having one or more sexual dysfunctions. Only 25 (29%) had no sexual dysfunction prior to FDU. Among those with normal sexual function, only three (3.49%) stated that sexual dysfunctions had influenced their decision, whereas in the sexual dysfunction group, 27 (31.4%) confirmed this experience. This difference is statistically significant, Fisher test, P = 0.0033. The more severe the sexual dysfunction, the higher the percentage of those who stated that sexual dysfunction influenced their decision to start taking drugs. This trend is statistically significant, P < 0.0025. About 50% of the entire sample admitted they had used drugs to improve sexual performance.
Users of illicit drugs report a high prevalence of sexual disorders prior to FDU. A large percentage claimed that sexual dysfunction influenced their decision to start taking drugs. The higher the severity of the sexual disorders, the higher the percentage of those claiming that sexual dysfunction had influenced their decision. In our opinion, these data highlight a possible new strategy in the primary prevention of substance abuse in which sexual education and early treatment of sexual disorders, among adolescents, may prevent them from FDU.
青春期是初次使用毒品风险较高的时期之一。在导致初次吸毒（FDU）的原因）的诸多原因中，性功能障碍迄今研究较少。
评估初次吸毒前曾吸毒者中早泄、勃起功能障碍和性欲低下的患病率；这些曾吸毒者是否声称性功能障碍影响了他们开始吸食非法毒品的决定，以及受试者是否为提高性欲而寻求并使用毒品。
采用问卷调查法对86名年龄在18 - 35岁的男性曾吸毒者进行调查。
费舍尔检验和阿米蒂奇检验。
在初次吸毒前，61名（71%）受试者报告有一项或多项性功能障碍。初次吸毒前只有25名（29%）没有性功能障碍。在性功能正常的人群中，只有3名（3.49%）表示性功能障碍影响了他们的决定，而在性功能障碍组中，有27名（31.4%）证实有此经历。这种差异具有统计学意义（费舍尔检验，P = 0.0033）。性功能障碍越严重，声称性功能障碍影响其开始吸毒决定的比例越高。这一趋势具有统计学意义，P < 0.0025。整个样本中约50%的人承认他们曾使用毒品来改善性功能。
非法毒品使用者报告初次吸毒前性功能障碍的患病率较高。很大一部分人声称性功能障碍影响了他们开始吸毒的决定。性功能障碍越严重，声称性功能障碍影响其决定的比例越高。我们认为，这些数据凸显了在药物滥用初级预防中一种可能的新策略，即对青少年进行性教育和早期治疗性功能障碍，可能会防止他们初次吸毒。
