Tobacco smoking and sexual difficulties among Australian adults: a cross-sectional study

Wen, Li Ming; Rissel, Chris; Cheng, Yan; Richters, Juliet; Visser, Richard O. de

doi:10.1071/sh17005

Cited by 13 publications

(5 citation statements)

References 18 publications

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“…In multivariable analyses, we found former smokers had statistically significant less self‐reported low libido compared to current smokers, which implies a potential benefit of smoking cessation. These findings are consistent with earlier studies [29,30].…”

Section: Discussionsupporting

confidence: 94%

The impact of smoking on sexual function

et al. 2022

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To evaluate the hypothesis that there is an improvement in sexual function following smoking cessation (as smoking is a well-established risk factor for sexual dysfunction), we analysed the association between cigarette smoking and smoking cessation with sexual function among participants of the REduction by DUtasteride of prostate Cancer Events (REDUCE) study. Subjects and MethodsWe analysed baseline data of 6754 men, aged 50-75 years divided into: lifelong non-smokers, former smokers, and current smokers. We examined total testosterone (TT, normal range ≥10 nmol/L) and sexual function variables: self-reported sexual activity, low libido, and erectile dysfunction (ED). Differences between current vs non-smokers and former vs current smokers were analysed using the chi-square test, linear and logistic regressions. ResultsA total of 3069 (45.4%) men were non-smokers, 2673 (39.6%) former smokers, and 1012 (15%) current smokers. Current smokers were significantly younger than former and non-smokers (mean age 61.6, 63.2, and 62.7 years, respectively), leaner (mean body mass index 27.0, 27.7, and 27.2 kg/m 2 , respectively), and had less hypertension (32.4%, 41.6%, and 36.8%, respectively; all P < 0.01). In uni-and multivariable analysis, current smokers had higher mean TT than non-smokers (485.4 vs 451.2 nmol/L, P < 0.001), higher prevalence of low libido (25.6% vs 21.0%, P = 0.002) and ED (31.6% vs 26.0%, P < 0.001) with comparable sexual activity (81.7% vs 82.8%, P = 0.420). In multivariable analysis, former smokers had statistically significantly less prevalence of low libido (odds ratio [OR] 0.8, P = 0.013) and ED (OR 0.8, P = 0.006) compared to current smokers. ConclusionCigarette smoking was associated with worse sexual health compared to non-smokers, while former smokers had better erectile function and libido than current smokers. Smoking cessation may improve male sexual health and counselling on smoking cessation may be considered at the time of sexual health evaluations.

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Section: Discussionsupporting

confidence: 94%

The impact of smoking on sexual function

et al. 2022

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“…We found a 95.6% prevalence of current smoking in Chinese MMT patients, which is consistent with the high smoking rates among patients receiving ORT in other countries (87.2%–98.1%) (26, 28), suggesting that smoking is also a very common issue in HDPs of Chinese MMT clinics. Results of our multiple regression analysis revealed a 1.95 times risk of sexual dissatisfaction in heroin-dependent smokers than non-smokers of MMT clinics, replicating the higher risk of sexual dysfunction in smokers than non-smokers in the general population (5–9). This association was further strengthened by the significantly higher risk of sexual dissatisfaction in heavy than in light smokers (OR = 1.80) and in severely than in mildly nicotine-dependent smokers (OR = 3.27), after controlling for potential socio-demographic and clinical confounders.…”

Section: Discussionsupporting

confidence: 53%

“…Smoking also adversely affects sexual health. For example, cross-sectional and prospective studies have confirmed the independent contribution of smoking to the presence of sexual dysfunction in both men and women, and there is a dose-response relationship between cigarette exposure and the risk of sexual dysfunction (5–9). Further, growing evidence has shown significant improvement in sexual function as a result of smoking cessation (10–12).…”

Section: Introductionmentioning

confidence: 99%

Cigarette Smoking Is Significantly Linked to Sexual Dissatisfaction in Chinese Heroin-Dependent Patients Receiving Methadone Maintenance Treatment

Zhong

Xie

et al. 2019

Front. Psychiatry

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Background: Cigarette smoking is associated with sexual dysfunction in the general population. Both smoking and sexual dysfunction are common in heroin-dependent patients (HDPs) receiving methadone maintenance treatment (MMT), but their association in MMT HDPs is rarely studied. This study examined the association between smoking and sexual dissatisfaction in Chinese HDPs receiving MMT. Methods: In total, 480 Chinese HDPs, who had sex with their regular or irregular sex partners within one month prior to the study, were included from three MMT clinics in Wuhan, China. Sexual dissatisfaction was assessed with one single question. Socio-demographic and clinical data and smoking characteristics were collected with a standardized questionnaire. Multiple binary logistic regression was used to analyze the association between smoking and sexual dissatisfaction, as well as the associations between levels of smoking and nicotine dependence and sexual dissatisfaction. Results: The prevalence of current smoking was 95.6% in HDPs receiving MMT. Rates of sexual dissatisfaction were higher in current smokers than non-smokers (32.9% vs. 14.3%) with a borderline significant P value of 0.074. After adjusting potential socio-demographic and clinical confounders, current smoking was significantly linked to sexual dissatisfaction (OR = 1.95, P = 0.026), and heavy smoking and severe nicotine dependence were significantly linked to sexual dissatisfaction (OR = 1.80, P = 0.025; OR = 3.27, P < 0.001). Conclusion: Smoking is significantly associated with sexual dysfunction in HDPs receiving MMT. It deserves further investigation as to whether quitting smoking can improve the sexual function of methadone-maintained patients.

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“…Indeed, a previous study involving 18,427 sexually active Australian adults demonstrated that smoking was a significant risk of decreased libido with an odds ratio (OR) of 2.18. 22 The accumulation of harmful chemicals in the body that accompanied cigarette smoking directly damages cells and gonadal tissues. 23 , 24 Furthermore, smoking causes the dysregulation of the hypothalamic–pituitary–gonadal axis, which negatively cascades into an imbalance of sex hormones that causes decreased libido.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors Affecting Decreased Libido Among Middle-Aged to Elderly Men; Nocturnal Voiding is an Independent Risk Factor of Decreased Libido

et al. 2021

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Introduction Decreased libido in middle-aged and elderly men is often difficult to treat, and identifying the risk factors affecting decreased libido is important for the clinical management of decreased libido. However, limited information is available regarding specific risk factors in this population. Aim The present study investigated the risk factors for decreased libido among middle-aged and elderly men. Methods Patients who attended our male andropausal outpatient clinic between 2009 and 2015 were enrolled. All patients completed a self-administered questionnaire, which included the Aging Male Symptoms (AMS) scale, International Prostate Symptom Score (IPSS), and Sexual Health Inventory for Men (SHIM). Information on waist size, body mass index, present illness, present use of any medication, and lifestyle habits were collected by each attending physician. Blood biochemical data such as free testosterone, total cholesterol, triglyceride, high density lipoprotein-cholesterol (HDL-Chol), and hemoglobin A1c values were assessed. Libido was assessed based on AMS scale question 17, and a score of 4 or higher was defined as severely decreased libido (severe group). Main Outcome Measure The clinical factors associated with severely decreased libido were analyzed based on multiple regression analysis. Results A total of 292 subjects were included in the analysis, 111 (38%) of which belonged to the severe group. The mean age of study subjects was 66.2 years, and the mean FT value was 7.1 ± 2.2. Comparisons of each variable among the severe and not severe groups showed significant differences in older age, current cigarette smoking, AMS scale, IPSS, frequency of nocturnal voiding, SHIM score, and HDL-Chol value. Multivariate regression analysis revealed that current cigarette smoking, frequent nocturnal voiding, and a low SHIM score were the independent risk factors for severely decreased libido. Furthermore, the frequency of nocturnal voiding significantly increased with severity of decreased libido. Conclusion Current cigarette smoking, frequent nocturnal voiding, and a low SHIM score were the independent risk factors for a severely low libido. K Shigehara, Y Kato, M Iijima, et al. Risk Factors Affecting Decreased Libido Among Middle-Aged to Elderly Men; Nocturnal Voiding is an Independent Risk Factor of Decreased Libido. Sex Med 2021;9:100426.

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Tobacco smoking and sexual difficulties among Australian adults: a cross-sectional study

Cited by 13 publications

References 18 publications

The impact of smoking on sexual function

The impact of smoking on sexual function

Cigarette Smoking Is Significantly Linked to Sexual Dissatisfaction in Chinese Heroin-Dependent Patients Receiving Methadone Maintenance Treatment

Risk Factors Affecting Decreased Libido Among Middle-Aged to Elderly Men; Nocturnal Voiding is an Independent Risk Factor of Decreased Libido

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