中国高血压男性和女性性行为的流行情况及其相关因素：一项横断面研究。
Prevalence of sexual activity and associated factors in hypertensive males and females in China: a cross-sectional study.
出版信息
BMC Public Health. 2012 May 18;12:364. doi: 10.1186/1471-2458-12-364.
BACKGROUND
Hypertension is an important factor contributing to sexual dysfunction. The number of people with hypertension is increasing in China, but research into sexual life, which has implications for quality of life, is limited. We aimed to compare sexual activity and the influence of daily behaviors and sexual domain of hypertensive males and females in south China.
METHODS
A cross-sectional study was conducted at the health care center of a university-affiliated hospital from 2007 to 2008. We enrolled 502 subjects with hypertension (225 males, 48.79 ± 7.39 years old; 277 females, 48.26 ± 6.93 years old) and 173 with normotension (82 males, 45.69 ± 6.58 years old; 91 females, 46.14 ± 7.03 years old), all sexually active. All subjects completed a self-administered questionnaire on sexual activity before a routine physical check-up. Data were collected on sociodemographic and clinical characteristics, use of cigarettes and intake of beverages (including alcohol).
RESULTS
Hypertensive and normotensive subjects differed in frequency of orgasms and of sexual satisfaction, as well as duration of sexual activity. For hypertensive men, low frequency of sexual activity, orgasms and satisfaction were associated with unemployed or retired status than physical labor work (odds ratio [OR] 0.28 [95% confidence interval (95% CI) 0.12-0.69], 0.32 [0.12-0.86], 0.33 [0.19-0.88], respectively; p < 0.05), and long sexual duration was associated with never drinking alcohol than heavy drinking (OR 4.49 [1.28-6.41]). For hypertensive women, low frequency and duration of sexual activity and low satisfaction were associated with never drinking tea than heavy tea drinking (OR 0.42 [0.18-0.96], 0.49 [0.24-0.98], 0.29 [0.14-0.64], respectively; p < 0.05). Medication use and electrocardiography results were not associated with sexual activity for hypertensive patients.
CONCLUSIONS
For hypertensive people in China, lifestyle factors are associated with sexual dysfunction, which differs by the sex of the person. Further research needs to examine serum hormone levels to validate the result.
背景
高血压是导致性功能障碍的一个重要因素。中国的高血压患者人数正在增加，但对性生活的研究（这对生活质量有影响）却很有限。我们旨在比较中国南方高血压男性和女性的性行为以及日常行为和性领域的影响。
方法
本研究为 2007 年至 2008 年在一所大学附属医院的医疗保健中心进行的一项横断面研究。我们共纳入 502 名高血压患者（225 名男性，48.79±7.39 岁；277 名女性，48.26±6.93 岁）和 173 名血压正常者（82 名男性，45.69±6.58 岁；91 名女性，46.14±7.03 岁），所有患者均有性生活。所有受试者在常规体检前均完成了一份关于性行为的自我管理问卷。数据采集包括社会人口统计学和临床特征、吸烟和饮酒（包括酒精）情况。
结果
高血压和血压正常的受试者在性高潮频率、性满意度以及性行为持续时间方面存在差异。对于高血压男性，低频率的性行为、性高潮和满意度与从事非体力劳动工作而非体力劳动有关（比值比[OR]0.28[95%置信区间（95%CI）0.12-0.69]，0.32[0.12-0.86]，0.33[0.19-0.88]；p<0.05），而长时间的性行为与从不饮酒而不是大量饮酒有关（OR 4.49[1.28-6.41]）。对于高血压女性，低频率和持续时间的性行为以及低满意度与从不饮茶而不是大量饮茶有关（OR 0.42[0.18-0.96]，0.49[0.24-0.98]，0.29[0.14-0.64]；p<0.05）。高血压患者的药物使用和心电图结果与性行为无关。
结论
对于中国的高血压患者，生活方式因素与性功能障碍有关，其性别差异也不同。需要进一步研究血清激素水平来验证这一结果。
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