Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
J Sex Med. 2011 Jul;8(7):1890-902. doi: 10.1111/j.1743-6109.2010.02145.x. Epub 2010 Dec 22.
Studies have shown a high prevalence of sexual dysfunctions among individuals with a variety of health problems.
To obtain a population-based assessment of these matters, we studied associations between indicators of physical and mental health problems and sexual dysfunctions in Denmark.
We used questionnaire data from 4,415 sexually active men (mean age 48 years) and women (mean age 45 years) who participated in a nationally representative survey in 2005. Cross-sectional associations of overall health and physical and mental health problems with sexual dysfunctions in the last year were estimated by logistic regression-derived, confounder-adjusted odds ratios (OR(adj) ).
We calculated OR(adj) with 95% confidence intervals (CI) for erectile dysfunction, anorgasmia, premature ejaculation, and dyspareunia in men, for lubrication insufficiency, anorgasmia, dyspareunia, and vaginismus in women, and for sexual dysfunction and sexual difficulties overall in both sexes.
Sexual dysfunction was significantly more common among participants with poor self-rated health (OR(adj) 1.86, 95% CI 1.05-3.33 in men, OR(adj) 1.91, 1.08-3.37 in women). Physical health problems were significantly associated with male sexual dysfunctions (OR(adj) 1.75, 1.18-2.61), whereas mental health problems were significantly associated with female sexual dysfunctions (OR(adj) 2.59, 1.60-4.22).
Among sexually active Danes, poor self-reported overall health is associated with increased rates of sexual dysfunction in both sexes, with physical health problems mainly affecting men's sex lives, and mental health problems being strongly associated with female sexual dysfunction.
多项研究表明，患有多种健康问题的个体中存在较高比例的性功能障碍。
为了全面评估这些问题，我们研究了丹麦人群中身体和心理健康问题指标与性功能障碍之间的关联。
我们使用了 2005 年参与全国代表性调查的 4415 名活跃男性（平均年龄 48 岁）和女性（平均年龄 45 岁）的问卷调查数据。通过逻辑回归校正混杂因素后的比值比（OR（adj））来估计整体健康和身体及心理健康问题与过去一年性功能障碍之间的横断面关联。
我们计算了男性勃起功能障碍、性高潮障碍、早泄和性交疼痛，女性阴道润滑不足、性高潮障碍、性交疼痛和阴道痉挛，以及两性性功能障碍和性困难的 OR（adj），95%置信区间（CI）。
自我评价健康状况较差的参与者中性功能障碍更为常见（男性 OR（adj）为 1.86，95%CI 为 1.05-3.33，女性 OR（adj）为 1.91，1.08-3.37）。身体健康问题与男性性功能障碍显著相关（OR（adj）为 1.75，1.18-2.61），而心理健康问题与女性性功能障碍显著相关（OR（adj）为 2.59，1.60-4.22）。
在丹麦活跃的人群中，自我报告的整体健康状况较差与两性性功能障碍的发生率增加相关，身体健康问题主要影响男性的性生活，而心理健康问题与女性性功能障碍密切相关。
