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Job-Related Strain and Sexual Health Difficulties among Heterosexual Men from Three European Countries: The Role of Culture and Emotional Support

机译:来自三个欧洲国家的异性恋男子的与工作有关的劳累和性健康困难:文化和情感支持的作用

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Introduction. Epidemiological evidence for the association between job-related stress and sexual difficulties in men is largely lacking. Little is known about the factors that may mediate or moderate this relationship. Aim. This study analyzes the association between job-related difficulties and men's sexual difficulties. Main Outcome Measures. Job-related difficulties were measured by 10 yeso questions that addressed a range of adverse workplace situations. The experience of sexual difficulties in the past 12 months was assessed by using seven dichotomous indicators developed in the National Study of Sexual Attitudes and Lifestyles (NATSAL) 2000. Method. Analyses were carried out using data from a 2011 online study of Portuguese, Croatian, and Norwegian men (N=2,112). Multivariate logistic regression and mediation analysis were used to test the hypothesized association. Results. Men with job-related concerns reported lower sexual satisfaction than men without such concerns did (F=7.53, P<0.001). Multivariate analysis confirmed the association between job-related and sexual health concerns. The odds of experiencing one or more sexual health difficulties in the past 12 months were about 1.8 times higher among men who reported the highest levels of workplace difficulties than among men who experienced no such difficulties. The odds of reporting sexual health difficulties were significantly reduced by a higher income (adjusted odds ratio [AOR]=0.87, P<0.01), emotional intimacy with one's partner (AOR=0.93, P<0.001), having children (AOR=0.62-0.66, P<0.01), and country-specific effects (AOR=1.98-2.22, P<0.001). In all three countries, the relationship between job-related and sexual health difficulties was mediated by anxiety and depression. Conclusions. The findings suggest that negative mood is the mechanism behind the association between workplace strain and sexual difficulties. Emotional support, such as couple intimacy and fatherhood, can reduce-independently from sociocultural and socioeconomic factors-the risk of sexual health concerns. ? 2012 International Society for Sexual Medicine.
机译:介绍。男性缺乏与工作相关的压力与性障碍之间的关联的流行病学证据。关于可能介导或调节这种关系的因素知之甚少。目标。这项研究分析了与工作有关的困难和男性性困难之间的联系。主要观察指标。与工作相关的困难通过10个是/否问题来衡量,这些问题解决了一系列不利的工作环境。在过去的12个月中,通过使用《全国性态度与生活方式研究》(NATSAL)2000中开发的七个二分指标评估了性困难的经历。使用2011年对葡萄牙,克罗地亚和挪威男性进行的在线研究(N = 2,112)的数据进行了分析。多元逻辑回归和中介分析用于检验假设的关联。结果。与工作相关的担忧的男性报告的性满意度低于没有工作相关的担忧的男性(F = 7.53,P <0.001)。多变量分析证实了工作相关性健康与性健康之间的关联。在过去的12个月中,经历过最高水平工作困难的男性罹患一种或多种性健康困难的几率是没有经历过此类疾病的男性的1.8倍。较高的收入(经调整的优势比[AOR] = 0.87,P <0.01),与伴侣的情感亲密关系(AOR = 0.93,P <0.001),有孩子(AOR = 0.62)显着降低了报告性健康困难的几率。 -0.66,P <0.01)和特定国家/地区的效果(AOR = 1.98-2.22,P <0.001)。在这三个国家中,与工作有关的性健康困难与性健康困难之间的关系是由焦虑和抑郁介导的。结论。研究结果表明,负面情绪是工作压力和性障碍之间关联的机制。感情上的支持,例如夫妻的亲密关系和父亲身份,可以独立于社会文化和社会经济因素而减少性健康问题的风险。 ? 2012年国际性医学学会。

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