Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Department of Clinical Medicine, Center for Sexology Research, Aalborg University, Aalborg, Denmark.
J Sex Med. 2022 Oct;19(10):1562-1579. doi: 10.1016/j.jsxm.2022.07.004. Epub 2022 Aug 13.
Physical and mental health are important to sexual function and wellbeing. Yet, associations of ill-health with sexual inactivity and dysfunctions are scarcely researched at population level.
To explore and document associations of self-rated health and physical and mental health problems with inter-personal sexual inactivity and sexual dysfunctions.
We used data from a probability-based, nationally representative sample of 60,958 sexually experienced Danes aged 15-89 years who participated in the 2017-18 Project SEXUS cohort study. Logistic regression analyses provided demographically weighted odds ratios for associations between health measures and sexual outcomes adjusted for partner status and other potential confounders.
Inter-personal sexual inactivity and a range of male and female sexual dysfunctions.
Inter-personal sexual inactivity was more common among individuals with bad or very bad self-rated health compared to peers rating their health as good or very good (men: adjusted odds ratio 1.93, 95% confidence interval 1.66-2.25; women: 1.66, 1.42-1.94). Individuals rating their health as bad or very bad were also consistently more likely to report sexual dysfunctions, with associated statistically significant adjusted odds ratios ranging from 1.66 to 6.38 in men and from 2.25 to 3.20 in women. Patient groups at high risk of sexual dysfunctions comprised individuals afflicted by cardiovascular diseases, pain conditions, diabetes, gastrointestinal and liver diseases, cancer, skin diseases, nervous system diseases, gynecological diseases, benign prostatic hyperplasia, other physical health problems, stress, anxiety, affective disorders, self-injury or suicide ideation and attempts, posttraumatic stress disorder, personality disorders, eating disorders, psychoses and other mental health problems.
These findings warrant heightened awareness among healthcare professionals, public health promoters and researchers concerning insufficiently appreciated sexual challenges among individuals with poor health.
STRENGTHS & LIMITATIONS: The major strengths of our investigation include the large size of the study cohort, the detailed assessment of health-related variables, potential confounders and sexual outcomes, and the fact that we provide new population-based knowledge about less common and sparsely researched sexual dysfunctions and diseases. Limitations of our study include its cross-sectional nature and its modest response rate (35%).
Findings from our large and nationally representative cohort study provide evidence that poor self-rated health and a range of specific physical and mental health problems are associated with statistically significantly increased rates of inter-personal sexual inactivity and sexual dysfunctions. Bahnsen MK, Graugaard C, Andersson M, et al. Physical and Mental Health Problems and Their Associations With Inter-Personal Sexual Inactivity and Sexual Dysfunctions in Denmark: Baseline Assessment in a National Cohort Study. J Sex Med 2022;19:1562-1579.
身心健康对于性功能和幸福感至关重要。然而，在人群水平上，健康状况与性行为不活跃和性功能障碍之间的关联研究甚少。
探讨和记录自我评估的健康状况以及身体和心理健康问题与人际间性行为不活跃和性功能障碍之间的关联。
我们使用了来自丹麦一项基于概率的、具有全国代表性的、年龄在 15-89 岁之间的 60958 名有性经验的参与者的 2017-18 年项目 SEXUS 队列研究的数据。使用逻辑回归分析，对健康指标与性结果之间的关联进行了调整，调整了伴侣状况和其他潜在混杂因素的人口统计学加权优势比。
人际间性行为不活跃以及一系列男性和女性性功能障碍。
我们的大型全国代表性队列研究结果表明，自我评估的健康状况较差和一系列特定的身体和心理健康问题与人际间性行为不活跃和性功能障碍的发生率显著增加相关。
