Fang Dong, Peng Jing, Liao Shujie, Tang Yuan, Cui Wanshou, Yuan Yiming, Wu Di, Hu Bai, Wang Renjie, Song Weidong, Gao Bing, Jin Lei, Zhang Zhichao
Andrology Center, Peking University First Hospital, Beijing, China; Department of Urology, Peking University First Hospital, Beijing, China; Institute of Urology, Peking University, Beijing, China.
Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Sex Med. 2021 Feb;9(1):100293. doi: 10.1016/j.esxm.2020.100293. Epub 2020 Dec 11.
There has been no report regarding the impact on male sexual life or sexual function by changes in lifestyle during the coronavirus disease 2019 (COVID-19) epidemic.
To investigate the changes in sexual life and sexual function of Chinese men during the COVID-19 epidemic.
An online questionnaire was created and the survey was administered through social media to Chinese adult men.
The main end point was the deteriorated erectile function or ejaculatory control ability, defined by self-evaluation or by decreased International Index of Erectile Function-5 items (IIEF-5) scores or increased premature ejaculation diagnostic tool (PEDT) scores.
Altogether, 612 questionnaires were collected. About 322 (52.6%) subjects were unmarried. About 8.4% and 8.5% subjects reported deteriorated erectile function or ejaculation control ability by self-evaluation, whereas 31.9% and 17.9% subjects showed decreased IIEF-5 scores or increased PEDT scores. Subjects with deteriorated erectile function by self-evaluation and decreased IIEF-5 scores had higher General Anxiety Disorder-7 (P < .001 and P = .001) and higher Patient Health Questionnaire-9 score (P < .001 and P = .002) after the epidemic, decreased frequency of sexual life (P < .001 and P < .001) and physical exercise (P = .009 and .007) after the epidemic. Subjects with deteriorated ejaculation control ability by self-evaluation and increased PEDT scores had higher General Anxiety Disorder-7 (P < .001 and P < .001) and higher Patient Health Questionnaire-9 score (P < .001 and P = .002) after the epidemic. Subjects with decreased frequency of sexual life had reduced income (P < .001), increased anxiety (P < .001) and depression (P < .001). Married subjects had higher proportion of improved depression (P = .048) and increased frequency of sexual life (P = .010).
During the COVID-19 epidemic, decreased sexual function was present in a certain proportion of adult men, and the risk factors include increased anxiety and depression, and decreased frequency of sexual life. Fang D, Peng J, Liao S, et al. An Online Questionnaire Survey on the Sexual Life and Sexual Function of Chinese Adult Men During the Coronavirus Disease 2019 Epidemic. Sex Med 2021;9:100293.
关于2019冠状病毒病（COVID-19）疫情期间生活方式的改变对男性性生活或性功能的影响，目前尚无相关报道。
调查COVID-19疫情期间中国男性性生活和性功能的变化。
设计一份在线问卷，并通过社交媒体对中国成年男性进行调查。
主要终点是勃起功能或射精控制能力恶化，通过自我评估、国际勃起功能指数-5项（IIEF-5）评分降低或早泄诊断工具（PEDT）评分升高来定义。
共收集到612份问卷。约322名（52.6%）受试者未婚。约8.4%和8.5%的受试者通过自我评估报告勃起功能或射精控制能力恶化，而31.9%和17.9%的受试者IIEF-5评分降低或PEDT评分升高。自我评估勃起功能恶化且IIEF-5评分降低的受试者在疫情后广泛性焦虑障碍-7评分更高（P <.001和P =.001），患者健康问卷-9评分更高（P <.001和P =.002），性生活频率降低（P <.001和P <.001），体育锻炼减少（P =.009和.007）。自我评估射精控制能力恶化且PEDT评分升高的受试者在疫情后广泛性焦虑障碍-7评分更高（P <.001和P <.001），患者健康问卷-9评分更高（P <.001和P =.002）。性生活频率降低的受试者收入减少（P <.001），焦虑增加（P <.001），抑郁增加（P <.001）。已婚受试者抑郁改善的比例更高（P =.048），性生活频率增加（P =.010）。
在COVID-19疫情期间，一定比例的成年男性存在性功能下降的情况，危险因素包括焦虑和抑郁增加以及性生活频率降低。方D、彭J、廖S等。关于2019冠状病毒病疫情期间中国成年男性性生活和性功能的在线问卷调查。性医学2021；9：100293。
