Relation Between Sexuality and Health-Related Quality of Life

Shamspour, Navvab; Assari, Shervin; Lankarani, MM

doi:10.1007/978-0-387-78665-0_200

Cited by 4 publications

(2 citation statements)

References 43 publications

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“…Sexual health is a state of physical, emotional, mental, and social well-being related to sexuality. Sexual functioning and quality of life are interwoven phenomena ( Shamspour, Assari, & Lankarani, 2010 ). In Human Immunodeficiency Virus (HIV) infection, sexual health has always been an issue of interest.…”

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confidence: 99%

Clinical and Emotional Factors Related to Erectile Dysfunction in HIV-Infected Men

et al. 2016

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The prevalence and associated factors of erectile dysfunction (ED) in Human Immunodeficiency Virus (HIV)–infected men remain controversial. The authors evaluated ED, clinical, and emotional variables in a group of 501 HIV-infected men in a cross-sectional 4-month observational study. ED was assessed using the International Index of Erectile Function–5 and emotional status using the Hospital Anxiety and Depression (HAD) questionnaire. Median age (interquartile range) was 42 (35, 48) years. Time since HIV diagnosis was 6.3 (2.6, 17.1) years, 92% were taking antiretroviral treatment and 81.8% had an HIV-RNA viral load <50 copies. The prevalence of ED was 58.5%. ED was mild in 30.1%, mild to moderate in 19.5%, moderate in 6.1%, and severe in 2.5%. ED medications were used by 19% of men. In the univariate analysis, the variables associated with all degrees of ED were older age, longer time since HIV diagnosis, higher scores in HAD, not taking efavirenz, taking etravirine, taking ritonavir, HIV/Hepatitis C Virus coinfection, and taking a protease inhibitor-containing regimen. For mild to moderate, moderate, and severe ED, the same variables were significant, as were lower nadir CD4 cell count, lower social support, taking atazanavir, concomitant conditions, and concomitant treatments. The variables that remained significant in the multivariate analyses, considering all degrees of ED or excluding mild ED were the following: older age and higher scores in HAD total. In summary, ED affected more than half of this cohort of well controlled HIV-infected men. Age and emotional status seemed to play a fundamental role in its presence.

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confidence: 99%

Clinical and Emotional Factors Related to Erectile Dysfunction in HIV-Infected Men

et al. 2016

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“…6,22 However, this preliminary study is one of the first to look at sexual function, satisfaction, and aid use in middle-aged individuals with physical disability. Our data emphasize the importance of sexual activity for people with disabilities, with 38% of our sample reporting sexual activity in the 29,30 and that some antidepressants (and particularly the selective serotonin reuptake inhibitor [SSRI] class) may be associated with anorgasmia and less vaginal lubrication.…”

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confidence: 96%

Brief Report: Sexual Function, Satisfaction, and Use of Aids for Sexual Activity in Middle-Aged Adults with Long-Term Physical Disability

Smith

Molton

McMullen

et al. 2015

Topics in Spinal Cord Injury Rehabilitation

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Background: Sexuality is an important aspect of quality of life in individuals with disabilities, yet little is known about what factors contribute to sexual satisfaction as these individuals age. Method: Middle-aged adults with physical disabilities completed a cross-sectional survey that included measures of sexual activity, function, and satisfaction. Results: Consistent with studies of able-bodied adults, sexual function was the strongest predictor of satisfaction. However, depression also predicted sexual satisfaction for women. Use of aids for sexual activity varied by disability type and was generally associated with better function. Lowest levels of sexual satisfaction were reported by men with SCI. Conclusion: Depression may negatively impact sexual satisfaction in women, beyond contributions of sexual dysfunction, and effective use of sexual aids may improve function in this population.

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