中国癌症幸存者的合并症、生活方式因素和性满意度。
Comorbidity, lifestyle factors, and sexual satisfaction among Chinese cancer survivors.
机构信息
Key Lab of Health Technology Assessment of National Health Commission and Key Lab of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai, China.
Shanghai Xuhui Centre for Disease Control and Prevention, Shanghai, China.
出版信息
Cancer Med. 2021 Sep;10(17):6058-6069. doi: 10.1002/cam4.4118. Epub 2021 Jul 13.
OBJECTIVES
This study aims to explore the prevalence of sexual satisfaction among Chinese cancer survivors, and explore the association of sexual satisfaction with comorbidity and lifestyle factors.
METHODS
A cross-sectional study was performed among 3996 Chinese cancer survivors recruited at Shanghai Cancer Rehabilitation Club from March to April 2017. Data were collected through self-reported questionnaires. The questionnaire includes information about demographic, cancer characteristics, comorbidities, lifestyle factors, and sexual satisfaction. Sexual satisfaction was measured by a single-item scale. The distribution of sexual satisfaction among different demographic and cancer characteristics was compared using the chi-squared test. Logistic regression models were conducted to assess the effects of lifestyle factors, comorbidities on sexual satisfaction after adjustment for demographic and cancer characteristics.
RESULTS
More than 40% of male and female cancer survivors reported no sexual satisfaction. Sexual satisfaction of cancer survivors is significantly associated with both the number and the type of comorbidities. Heart disease, musculoskeletal system disease, diabetes, and hyperlipidemia are the comorbidities significantly associated with sexual satisfaction of cancer survivors. Lifestyle factors other than smoking, including exercise or fitness, drinking alcohol, and eating fruits and vegetables are significantly correlated with sexual satisfaction. Besides, all of the above associations show gender differences. In addition, demographic characteristics include sex, age, marital status, living status, and average monthly income are also significantly associated with sexual satisfaction of cancer survivors.
CONCLUSION
Comorbidity and lifestyle factors are associated with sexual satisfaction of cancer survivors, and the associations show gender differences. Improving the lifestyles of cancer survivors, and controlling and reducing their comorbidities are important for improving their sexual satisfaction.
目的
本研究旨在探讨中国癌症幸存者的性满意度现状，并探讨性满意度与合并症和生活方式因素的关系。
方法
2017 年 3 月至 4 月，采用横断面研究方法，在上海癌症康复俱乐部招募了 3996 名中国癌症幸存者。通过自填式问卷收集数据。问卷包括人口统计学、癌症特征、合并症、生活方式因素和性满意度信息。性满意度采用单项量表进行测量。采用卡方检验比较不同人口统计学和癌症特征的性满意度分布。采用 logistic 回归模型，在校正人口统计学和癌症特征后，评估生活方式因素和合并症对性满意度的影响。
结果
超过 40%的男性和女性癌症幸存者报告没有性满意度。癌症幸存者的性满意度与合并症的数量和类型显著相关。心脏病、肌肉骨骼系统疾病、糖尿病和高脂血症是与癌症幸存者性满意度显著相关的合并症。除吸烟外的生活方式因素，包括运动或健身、饮酒和食用水果和蔬菜，与性满意度显著相关。此外，上述所有关联均显示出性别差异。此外，人口统计学特征包括性别、年龄、婚姻状况、居住状况和平均月收入与癌症幸存者的性满意度显著相关。
结论
合并症和生活方式因素与癌症幸存者的性满意度相关，且关联存在性别差异。改善癌症幸存者的生活方式，控制和减少其合并症，对提高其性满意度至关重要。
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