Programa de Pós-Graduação em Ciências da Reabilitação, Instituto de Ciências Motoras da Universidade Federal de Alfenas - UNIFAL-MG, Alfenas, MG, Brasil.
Faculdade de Medicina da Universidade Federal de Alfenas - UNIFAL-MG, Alfenas, MG, Brasil.
Int Braz J Urol. 2022 May-Jun;48(3):512-547. doi: 10.1590/S1677-5538.IBJU.2021.0764.
Our objective was to investigate whether there is an interaction between the COVID-19 pandemic, demographic characteristics and erectile/sexual (E/S) function in individuals from Latin America.
Cross-sectional study which included Latin American individuals over 18 years old, recruited through social media and interviewed between July and August 2020 by online surveys (Google Forms) in Portuguese and Spanish languages. The E/S function was evaluated through the following questionnaires: Simplified International Index of Erectile Function (IIEF-5) and Female Sexual Function Index (FSFI); while post-traumatic stress disorder (PTSD) triggered by the COVID-19 pandemic was assessed through the Impact of Event Scale Revised (IES-R). The data was analyzed by T Student, bivariate and multivariate logistic regression, with significance determined by the Wald test (p<0.05), using the R software v4.0.
Out of the 2016 individuals that responded to the survey, 1986 were included and 743 of them presented E/S dysfunction. PTSD occurrence was greater among people with E/S dysfunction when compared to those without E/S dysfunction, in the total score (males: IES-R=26.54[±19.17] and females: IES-R=35.92[±19.25]) and also in the three domains. It was found that those who do not live with a partner were 74% more likely to have E/S dysfunction, but living with a partner during the pandemic had a greater impact on E/S function.
A negative interaction between the impact of the COVID-19 pandemic and erectile/sexual function of the Latin American population was observed, with greater implications among the individuals who live with their partners.
本研究旨在探讨新冠疫情、人口统计学特征与拉丁美洲个体的勃起/性功能之间是否存在交互作用。
本研究为横断面研究，纳入了年龄大于 18 岁的拉丁美洲个体，通过社交媒体招募，并于 2020 年 7 月至 8 月期间通过在线调查（Google 表单）以葡萄牙语和西班牙语进行访谈。勃起/性功能通过以下问卷进行评估：简化国际勃起功能指数（IIEF-5）和女性性功能指数（FSFI）；而新冠疫情引发的创伤后应激障碍（PTSD）通过修订后的事件影响量表（IES-R）进行评估。采用 T 检验、双变量和多变量逻辑回归对数据进行分析，采用 Wald 检验确定显著性（p<0.05），使用 R 软件 v4.0 进行分析。
在对调查做出回应的 2016 名个体中，纳入了 1986 名个体，其中 743 名个体存在勃起/性功能障碍。与无勃起/性功能障碍者相比，勃起/性功能障碍者的 PTSD 总评分（男性：IES-R=26.54[±19.17]和女性：IES-R=35.92[±19.25]）和三个领域的 PTSD 发生率更高。结果显示，与不与伴侣生活在一起的个体相比，不与伴侣生活在一起的个体发生勃起/性功能障碍的可能性增加了 74%，但在疫情期间与伴侣生活在一起对勃起/性功能的影响更大。
观察到新冠疫情对拉丁美洲人群勃起/性功能的影响存在负向交互作用，与伴侣生活在一起的个体受到的影响更大。
