Loomba Rohit S, Aggarwal Saurabh, Pelech Andrew N
Department of Cardiology, Children's Hospital of Wisconsin/Medical College of Wisconsin, Naperville, Wis, USA.
Congenit Heart Dis. 2015 Jan-Feb;10(1):30-5. doi: 10.1111/chd.12168. Epub 2014 Feb 13.
A larger number of individuals born with congenital heart disease is living into adolescence and young adulthood. With this comes the responsibility to counsel these patients regarding their sexual and reproductive health. This study utilizes representative data from the National Health and Nutrition Examination Survey to compare sexual measures including percentage of that sexually active, age of first sexual activity, number of sexual partners, condom use, and history of sexually transmitted diseases in those with and without congenital heart disease. A total of 1086 patients (1057 without congenital heart disease and 29 with congenital heart disease) were included in this study. Likelihood of being sexually active, age of first sexual intercourse, and condom use did not differ significantly between the two groups after multivariate analysis. Incidence of sexually transmitted disease did not differ between the two groups after multivariate analysis except for genital warts. There are no major differences in sexual measures between those with and without congenital heart disease. The absence of significant differences in sexual measures in those with congenital heart disease compared with the general population places this group of individuals at increased health risk known to occur with pregnancy.
越来越多患有先天性心脏病的人活到了青春期和青年期。随之而来的是为这些患者提供有关性健康和生殖健康咨询的责任。本研究利用来自美国国家健康与营养检查调查的代表性数据，比较了患有和未患有先天性心脏病的人群的性相关指标，包括性活跃百分比、首次性行为年龄、性伴侣数量、避孕套使用情况以及性传播疾病史。本研究共纳入了1086名患者（1057名无先天性心脏病患者和29名有先天性心脏病患者）。多因素分析后，两组之间的性活跃可能性、首次性交年龄和避孕套使用情况没有显著差异。多因素分析后，除尖锐湿疣外，两组之间的性传播疾病发病率没有差异。患有和未患有先天性心脏病的人群在性相关指标上没有重大差异。与一般人群相比，先天性心脏病患者在性相关指标上没有显著差异，这使得这群人在已知与怀孕相关的健康风险方面有所增加。
