男性队列性功能的纵向评估：奥姆斯特德县男性泌尿系统症状和健康状况研究。
Longitudinal evaluation of sexual function in a male cohort: the Olmsted county study of urinary symptoms and health status among men.
机构信息
Division of Epidemiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
出版信息
J Sex Med. 2009 Sep;6(9):2455-66. doi: 10.1111/j.1743-6109.2009.01374.x. Epub 2009 Jun 29.
INTRODUCTION
The presence of erectile or ejaculatory dysfunction may indicate physical problems; however, individual perceptions (e.g., sexual satisfaction) may reflect the degree of concern about these changes. Long-term data showing how changes in multiple sexual function domains track together may be useful in understanding the importance of physical declines vs. sexual satisfaction.
AIM
The aim of this study was to describe changes in sexual function among a population-based sample of aging men.
METHODS
A population-based cohort study using data from the Olmsted County Study of Urinary Symptoms and Health Status among Men. Sexual function was assessed biennially from 1996 to 2004 using a previously validated questionnaire in a random sample of 2,213 men.
MAIN OUTCOME MEASURES
Changes in erectile function, libido, ejaculatory function, sexual problems, and sexual satisfaction.
RESULTS
Overall, we observed declines in all of the sexual function domains, ranging from an annual decrease of 0.03 point per year for sexual satisfaction to an annual decrease of 0.23 point per year in erectile function. Moderate correlations were observed among all longitudinal changes in sexual function (range in age-adjusted r(s) = 0.14-0.43); however, significantly smaller correlations between changes in the functional domains and changes in sexual satisfaction and problem assessment were observed among older men (range in age-adjusted r(s) = 0.03-0.29).
CONCLUSION
Overall, these results demonstrate that longitudinal changes in five sexual function domains change together over time in our community-based cohort. Erectile function, ejaculatory function, and sexual drive decrease over time with greater rates of decline for older men. However, older men may be less likely to perceive these declines as a problem and be dissatisfied. These data may prove helpful to patients and clinicians in understanding and discussing changes in multiple aspects of sexual function.
简介
勃起或射精功能障碍的出现可能表明存在身体问题；然而，个体的认知（例如，性满意度）可能反映出对这些变化的关注程度。长期的数据显示，多个性功能领域的变化如何相互关联，可能有助于理解身体衰退与性满意度的重要性。
目的
本研究旨在描述一个基于人群的老年男性样本中性功能的变化。
方法
本研究采用了奥姆斯特德县男性尿症状和健康状况研究中的数据，这是一项基于人群的队列研究。从 1996 年到 2004 年，我们使用之前验证过的问卷，在 2213 名男性的随机样本中每两年评估一次性功能。
主要观察指标
勃起功能、性欲、射精功能、性问题和性满意度的变化。
结果
总的来说，我们观察到所有性功能领域都出现了下降，从性满意度每年下降 0.03 分，到勃起功能每年下降 0.23 分。所有纵向性功能变化之间都观察到了中度相关性（年龄调整后 r(s)范围为 0.14-0.43）；然而，在老年男性中，性功能障碍的变化与性满意度和问题评估的变化之间的相关性明显较小（年龄调整后 r(s)范围为 0.03-0.29）。
结论
总的来说，这些结果表明，在我们的社区队列中，五个性功能领域的纵向变化随着时间的推移而一起变化。勃起功能、射精功能和性驱动力随时间逐渐下降，老年男性的下降速度更快。然而，老年男性可能不太容易将这些下降视为问题，也不会感到不满。这些数据可能有助于患者和临床医生理解和讨论性功能多个方面的变化。
Zotero 插件