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生殖器疣对情绪和性健康的影响因性别而异。

Impact of genital warts on emotional and sexual well-being differs by gender.

作者信息

Vriend Henrike J, Nieuwkerk Pythia T, van der Sande Marianne A B

机构信息

Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, the Netherlands

Department of Medical Psychology, Academic Medical Center, Amsterdam, the Netherlands.

出版信息

Int J STD AIDS. 2014 Nov;25(13):949-55. doi: 10.1177/0956462414526706. Epub 2014 Mar 26.

Abstract

To assess gender-specific impact of genital warts on health-related quality of life (HRQoL), and to explore to what extent sexual characteristics and clinical symptoms influenced the impact on emotional and sexual well-being of both sexes. We conducted a survey of sexual and clinical characteristics from persons diagnosed with genital warts at STI clinics. HRQoL was measured using two measurement tools: 1) the generic EQ-5D; and 2) the genital warts-specific CECA-10 including an emotional well-being and a sexual activity dimension. The EQ-5D scores were compared with scores of the general population. Descriptive analyses were used to explore characteristics associated with HRQoL scores stratified for gender. The HRQoL-measurement tools showed that genital warts have especially an emotional impact. The impact of genital warts on HRQoL was greater for women than for men. In addition, the CECA-10 showed that in women the impact of genital warts on sexual activity was influenced by age, relationship status and number of warts. No related factors were seen in men. Genital warts have a greater impact on women than on men. In women, sexual and clinical factors influenced the impact of genital warts on well-being, whereas in men no such factors were found.

摘要

为评估尖锐湿疣对健康相关生活质量(HRQoL)的性别特异性影响,并探讨性特征和临床症状在多大程度上影响了尖锐湿疣对两性情绪和性健康的影响。我们对性传播感染诊所中被诊断为尖锐湿疣的患者的性特征和临床特征进行了一项调查。使用两种测量工具来测量HRQoL:1)通用的EQ-5D;2)特定于尖锐湿疣的CECA-10,包括情绪健康和性活动维度。将EQ-5D得分与普通人群的得分进行比较。采用描述性分析来探索按性别分层的与HRQoL得分相关的特征。HRQoL测量工具显示,尖锐湿疣尤其具有情绪影响。尖锐湿疣对女性HRQoL的影响大于男性。此外,CECA-10显示,在女性中,尖锐湿疣对性活动的影响受年龄、恋爱状况和疣体数量的影响。在男性中未发现相关因素。尖锐湿疣对女性的影响大于男性。在女性中,性因素和临床因素影响了尖锐湿疣对幸福感的影响,而在男性中未发现此类因素。

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