Center for Sexology Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
J Adolesc Health. 2023 Aug;73(2):252-261. doi: 10.1016/j.jadohealth.2023.02.039. Epub 2023 May 5.
Sexual ramifications of physical disease are well-documented in adult populations, but are scarcely investigated among adolescents and young adults (AYA). This study compared measures of sexuality and sexual health among 8,696 15-year-old to 24-year-old Danes with and without a history of treatment for long-lasting or severe physical disease.
Using baseline data from Project SEXUS, a nationally representative cohort study on sexual health in the Danish population, differences in various domains of sexual behaviors and sexual health between AYA who have and AYA who have not been treated for long-lasting or severe physical disease were investigated. Logistic regression analyses yielded demographically weighted age-adjusted odds ratios (ORs) for associations between physical diseases and sexual outcomes.
AYA treated for long-lasting or severe physical disease resembled their healthy peers on fundamental aspects of sexual interest, activity and satisfaction. However, significantly increased odds ratios of various sexual difficulties and dysfunctions, early sexual debut, high sex partner numbers, discontentment with body or genital appearance, gender nonconformity, nonheterosexuality, and exposure to sexual assaults were observed, overall or within specific disease categories.
The overall similarity in sexual profiles between AYA treated for physical disease and healthy peers indicates that clinicians should routinely address questions related to sexuality and relationships when encountering AYA with chronic health conditions. Moreover, the observed excess of certain adversities, including sexual assaults, among physically ill AYA highlights the need for preventive measures and counseling services specifically targeted at AYA afflicted by physical disease.
身体疾病对成年人的性行为影响已有充分的文献记载，但在青少年和年轻人（AYA）中研究甚少。本研究比较了 8696 名 15 至 24 岁的丹麦青少年和年轻人，其中一些人有长期或严重的身体疾病治疗史，一些人没有。
使用性健康全国代表性队列研究项目 SEXUS 的基线数据，调查了有和没有接受长期或严重身体疾病治疗的 AYA 在性行为和性健康的各个领域的差异。逻辑回归分析得出了身体疾病与性结果之间的人口统计学加权年龄调整优势比（OR）。
接受长期或严重身体疾病治疗的 AYA 在性兴趣、性活动和性满意度的基本方面与健康同龄人相似。然而，与性困难和性功能障碍、性早期开始、性伴侣数量高、对身体或生殖器外观不满、性别不一致、非异性恋和性侵犯的各种风险因素显著增加。
患有身体疾病的 AYA 和健康同龄人在性特征上的总体相似性表明，临床医生在遇到患有慢性健康状况的 AYA 时，应常规询问与性行为和关系相关的问题。此外，观察到身体不适的 AYA 中某些逆境（包括性侵犯）的发生率过高，这突出了需要针对患有身体疾病的 AYA 采取预防措施和咨询服务。
