Kamnerdsiri Watcharaphol Alexandre, Fox Christopher, Weiss Petr
Department of Psychiatry, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Sex Med. 2020 Sep;8(3):446-453. doi: 10.1016/j.esxm.2020.06.003. Epub 2020 Jun 24.
This study explores the impact of childhood sexual assault (CSA) on men's sexual function. There is limited understanding on the impact of CSA perpetrated against boys on later adult male sexual function, as there is a dearth of research on this topic. It was hypothesized that men reporting a history of CSA were more likely to report sexual function issues than men with no history of CSA.
A cross-sectional survey study of 1,004 Czech men aged between 15 and 85 years (M = 42.8 years; Standard deviation = 17.6 years) have been conducted. The participants anonymously answered a questionnaire on multiple aspects of their life and sexuality. This questionnaire included sought data on history of CSA and self-reported intravaginal ejaculation latency time and the 5-item International Index of Erectile Function.
25 men (2.5%) indicated a history of CSA. 71% of the perpetrators where known by the victims, with a minority declaring the crime to authorities (37.5%). Half of those reporting assault also reported sexual function issues in the present or at some time in their life. Significant correlations were recorded between a history of CSA and erectile dysfunction but not significantly with premature ejaculation.
Men who reported a history of CSA are more likely to report sexual function issues than those who do not. The identified association between CSA and sexual function issues in adult life contributes to the small body of literature on the topic. When taking a sexual history, it is recommended to practitioner to include questions about CSA, considering its correlation with erectile dysfunction. An understanding of the relationship between CSA and adult sexual function helps practitioner to improve his patient's well--being and life satisfaction. Kamnerdsiri WA, Fox C, Weiss P, et al. Impact of Childhood Sexual Assault on Sexual Function in the Czech Male Population. J Sex Med 2020;8:446-453.
本研究探讨童年期性侵犯（CSA）对男性性功能的影响。由于对此主题的研究匮乏，人们对针对男孩的CSA对成年后男性性功能的影响了解有限。据推测，有CSA病史的男性比没有CSA病史的男性更有可能报告性功能问题。
对1004名年龄在15至85岁之间（平均年龄=42.8岁；标准差=17.6岁）的捷克男性进行了一项横断面调查研究。参与者匿名回答了一份关于他们生活和性方面多个方面的问卷。该问卷包括有关CSA病史、自我报告的阴道内射精潜伏期以及5项国际勃起功能指数的数据。
25名男性（2.5%）表示有CSA病史。71%的犯罪者为受害者所认识，少数人（37.5%）向当局报案。报告曾遭受侵犯的人中，有一半还报告了目前或一生中某个时候存在性功能问题。CSA病史与勃起功能障碍之间存在显著相关性，但与早泄无显著相关性。
有CSA病史的男性比没有该病史的男性更有可能报告性功能问题。已确定的CSA与成年后性功能问题之间的关联为该主题的少量文献增添了内容。在获取性病史时，建议从业者纳入有关CSA的问题，因为考虑到其与勃起功能障碍的相关性。了解CSA与成年性功能之间的关系有助于从业者提高患者的幸福感和生活满意度。卡姆内尔西里·瓦、福克斯·C、魏斯·P等。童年期性侵犯对捷克男性人群性功能的影响。《性医学杂志》2020年；8：446 - 453。
