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首页> 外文期刊>The journal of sexual medicine >Sex with Animals (SWA): Behavioral Characteristics and Possible Association with Penile Cancer. A Multicenter Study
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Sex with Animals (SWA): Behavioral Characteristics and Possible Association with Penile Cancer. A Multicenter Study

机译：与动物发生性行为（SWA）：行为特征以及与阴茎癌的可能关联。多中心研究

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Introduction. Zoophilia has been known for a long time but, underreported in the medical literature, is likely a risk factor for human urological diseases. Aim. To investigate the behavioral characteristics of sex with animals (SWA) and its associations with penile cancer (PC) in a case-control study. Methods. A questionnaire about personal and sexual habits was completed in interviews of 118 PC patients and 374 controls (healthy men) recruited between 2009 and 2010 from 16 urology and oncology centers. Main Outcome Measures. SWA rates, geographic distribution, duration, frequency, animals involved, and behavioral habits were investigated and used to estimate the odds of SWA as a PC risk factor. Results. SWA was reported by 171 (34.8%) subjects, 44.9% of PC patients and 31.6% of controls (P<0.008). The mean ages at first and last SWA episode were 13.5 years (standard deviation [SD] 4.4 years) and 17.1 years (SD 5.3 years), respectively. Subjects who reported SWA also reported more venereal diseases (P<0.001) and sex with prostitutes (P<0.001), and were more likely to have had more than 10 lifetime sexual partners (P<0.001) than those who did not report SWA. SWA with a group of men was reported by 29.8% of subjects and SWA alone was reported by 70.2%. Several animals were used by 62% of subjects, and 38% always used the same animal. The frequency of SWA included single (14%), weekly or more (39.5%), and monthly episodes (15%). Univariate analysis identified phimosis, penile premalignancies, smoking, nonwhite race, sex with prostitutes, and SWA as PC risk factors. Phimosis, premalignant lesions, smoking, and SWA remained as risk factors in multivariate analysis. However, SWA did not impact the clinicopathological outcomes of PC. Conclusion. SWA is a risk factor for PC and may be associated with venereal diseases. New studies are required in other populations to test other possible nosological links with SWA.
机译：介绍。人畜共患病已为人所知很长时间，但医学文献中并未对此进行报道，这很可能是人类泌尿系统疾病的危险因素。目标。在病例对照研究中调查与动物发生性行为（SWA）的行为特征及其与阴茎癌（PC）的关联。方法。在2009年至2010年之间从16个泌尿科和肿瘤学中心招募的118名PC患者和374名对照（健康男性）的访谈中，完成了有关个人和性习惯的问卷调查。主要观察指标。调查了SWA发生率，地理分布，持续时间，频率，所涉动物和行为习惯，并将其估计为PC危险因素的SWA几率。结果。 171名（34.8％）受试者，44.9％的PC患者和31.6％的对照组报告了SWA（P <0.008）。首次和最后一次SWA发作的平均年龄分别为13.5岁（标准差[SD] 4.4岁）和17.1岁（SD 5.3岁）。报告SWA的受试者还报告了更多的性病（P <0.001）和与妓女发生性行为（P <0.001），并且与未报告SWA的受试者相比，有超过10个终生性伴侣（P <0.001）。 29.8％的受试者报告了一组男性的SWA，而70.2％的受试者仅报告了SWA。 62％的受试者使用了几只动物，而38％的人总是使用同一只动物。 SWA的频率包括单身（14％），每周或更多（39.5％）和每月发作（15％）。单因素分析确定包茎，阴茎早发，吸烟，非白人，与妓女发生性行为和SWA是PC的危险因素。包茎，恶变前病变，吸烟和SWA仍是多因素分析中的危险因素。但是，SWA不会影响PC的临床病理结果。结论。 SWA是PC的危险因素，可能与性病有关。其他人群需要进行新的研究，以测试与SWA的其他可能的病因学联系。

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