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患 Peyronie 病男性的关系分离风险:一项瑞典匹配队列研究。

Risk of relationship separation in men with Peyronie's disease in a matched Swedish cohort.

机构信息

Department of Clinical Science, Intervention, and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.

Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Södra Grev Rosengatan 30, 70362, Örebro, Sweden.

出版信息

Sci Rep. 2024 Sep 10;14(1):21143. doi: 10.1038/s41598-024-72390-3.

DOI:10.1038/s41598-024-72390-3
PMID:39256558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11387766/
Abstract

Peyronie's disease (PD) has detrimental effects on the quality of life, mental health, sexual functioning and several other aspects that increase the risk of relationship problems. However, no study to date has assessed the risk of relationship separation in med with PD. Herein, we utilized data from Swedish national registers to examine the risk of relationship separation in men with PD. We conducted a matched cohort study on men born 1933-1992, followed from 1997 to 2013. PD was defined as a physician-assigned diagnosis according to the International Classification of Diseases, Tenth version. Each man with PD (n = 8020) was matched with 10 comparison men. We defined relationship separation as (1) ever separated, and (2) separation rate. We used log-linear regression to estimate the risk ratio, and rate ratio of relationship separation. We adjusted for matching variables (birth year and country of birth), and an indicator of each follow-up year. We found that men with PD had a 13% increased risk of relationship separation (risk ratio 1.13, 95% confidence interval [CI] 1.08-1.17). The rate of relationship separation events, measured on a yearly basis, was increased by 18% (rate ratio 1.18, CI 1.12-1.24), and remained similar when adjusting for follow-up year and socio-economic status.

摘要

佩罗尼氏病(PD)对生活质量、心理健康、性功能和其他几个方面都有不利影响,这些都会增加人际关系问题的风险。然而,迄今为止,尚无研究评估 PD 患者的人际关系分离风险。在此,我们利用瑞典国家登记处的数据,来研究 PD 患者的人际关系分离风险。我们对出生于 1933 年至 1992 年的男性进行了匹配队列研究,随访时间从 1997 年到 2013 年。PD 根据国际疾病分类,第十版,由医生诊断。每个患有 PD 的男性(n=8020)都与 10 名对照男性匹配。我们将人际关系分离定义为(1)曾经分离,以及(2)分离率。我们使用对数线性回归来估计风险比和分离率的风险比。我们调整了匹配变量(出生年份和出生地)和每个随访年份的指标。我们发现,患有 PD 的男性发生人际关系分离的风险增加了 13%(风险比 1.13,95%置信区间[CI]1.08-1.17)。每年衡量的人际关系分离事件的发生率增加了 18%(比率比 1.18,CI 1.12-1.24),并且在调整随访年份和社会经济地位后仍然相似。

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本文引用的文献

1
Mental Disorders in Peyronie's Disease: A Swedish Cohort Study of 3.5 Million Men.《佩罗尼病中的精神障碍:一项涉及 350 万男性的瑞典队列研究》
J Urol. 2021 Mar;205(3):864-870. doi: 10.1097/JU.0000000000001426. Epub 2020 Oct 20.
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The longitudinal integrated database for health insurance and labour market studies (LISA) and its use in medical research.医疗保险和劳动力市场研究的纵向综合数据库(LISA)及其在医学研究中的应用。
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佩罗尼氏病的心理方面
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4
Registers of the Swedish total population and their use in medical research.瑞典总人口登记册及其在医学研究中的应用。
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A Population-Based Study of Peyronie's Disease: Prevalence and Treatment Patterns in the United States.一项基于人群的佩罗尼氏病研究:美国的患病率及治疗模式
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External review and validation of the Swedish national inpatient register.瑞典全国住院患者登记处的外部审查和验证。
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8
Risk factors for emotional and relationship problems in Peyronie's disease.佩罗尼氏病中情绪和人际关系问题的风险因素。
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9
Impact of Peyronie's disease on sexual and psychosocial functioning: qualitative findings in patients and controls.佩罗尼氏病对性功能和心理社会功能的影响:患者及对照的定性研究结果
J Sex Med. 2008 Aug;5(8):1977-84. doi: 10.1111/j.1743-6109.2008.00883.x. Epub 2008 Jun 28.
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Conditional generalized estimating equations for the analysis of clustered and longitudinal data.用于分析聚类和纵向数据的条件广义估计方程。
Biometrics. 2008 Sep;64(3):772-780. doi: 10.1111/j.1541-0420.2007.00944.x. Epub 2007 Nov 19.