Sexual Satisfaction and the Importance of Sexual Health to Quality of Life Throughout the Life Course of U.S. Adults

The Journal of Sexual Medicine - Tập 13 - Trang 1642-1650 - 2016
Kathryn E. Flynn1, Li Lin2, Deborah Watkins Bruner3, Jill M. Cyranowski4, Elizabeth A. Hahn5,6, Diana D. Jeffery7, Jennifer Barsky Reese8,9, Bryce B. Reeve10, Rebecca A. Shelby11, Kevin P. Weinfurt2,11
1Center for Patient Care and Outcomes Research, Medical College of Wisconsin, Milwaukee, WI, USA
2Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA
3Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA
4Chatham University, Pittsburgh, PA, USA
5Department of Medical Social Sciences, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA
6Center for Patient-Centered Outcomes, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
7Defence Health Agency, Department of Defense–Health Affairs, Falls Church, VA, USA
8Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA, USA
9Department of Social and Behavioral Sciences, Temple University, Philadelphia, PA, USA
10Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
11Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA

Tóm tắt

ABSTRACTIntroductionDiscussions about sexual health are uncommon in clinical encounters, despite the sexual dysfunction associated with many common health conditions. Understanding of the importance of sexual health and sexual satisfaction in U.S. adults is limited.AimTo provide epidemiologic data on the importance of sexual health for quality of life and people's satisfaction with their sex lives and to examine how each is associated with demographic and health factors.MethodsData are from a cross-sectional self-report questionnaire from a sample of 3,515 English-speaking U.S. adults recruited from an online panel that uses address-based probability sampling.Main Outcome MeasuresWe report ratings of importance of sexual health to quality of life (single item with five-point response) and the Patient-Reported Outcomes Measurement Information System Satisfaction With Sex Life score (five items, each with five-point responses, scores centered on the U.S. mean).ResultsHigh importance of sexual health to quality of life was reported by 62.2% of men (95% CI = 59.4–65.0) and 42.8% of women (95% CI = 39.6–46.1, P < .001). Importance of sexual health varied by sex, age, sexual activity status, and general self-rated health. For the 55% of men and 45% of women who reported sexual activity in the previous 30 days, satisfaction with sex life differed by sex, age, race-ethnicity (among men only), and health. Men and women in excellent health had significantly higher satisfaction than participants in fair or poor health. Women with hypertension reported significantly lower satisfaction (especially younger women), as did men with depression or anxiety (especially younger men).ConclusionIn this large study of U.S. adults' ratings of the importance of sexual health and satisfaction with sex life, sexual health was a highly important aspect of quality of life for many participants, including participants in poor health. Moreover, participants in poorer health reported lower sexual satisfaction. Accordingly, sexual health should be a routine part of clinicians' assessments of their patients. Health care systems that state a commitment to improving patients' overall health must have resources in place to address sexual concerns. These resources should be available for all patients across the lifespan.

Tài liệu tham khảo

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The Journal of Sexual Medicine

Tập 13

1642-1650

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