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Intercourse avoidance among women with coronary artery disease

机译:患有冠心病的女性避免性交

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Introduction: Avoidance of sexual intercourse has not been frequently studied among patients with chronic medical conditions and patients with coronary artery disease (CAD) are not exception. Aim: We aimed to (i) compare intercourse avoidance during the past 2 weeks among women with CAD and healthy controls; and (ii) to determine factors associated with intercourse avoidance during the past 2 weeks among women with CAD. Methods: This study was conducted in an outpatient cardiology clinic in Tehran, Iran. The study included 152 married women with CAD and 50 controls. Socio-demographic and clinical data including the severity of angina (WHO Rose Questionnaire), risk factors (cigarette smoking, hyperlipidemia, diabetes, and obesity), fatigue, physical function (visual analogue scale [VAS]) and somatic comorbidities [Ifudu index], symptoms of anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), and dyadic adjustment (Revised-Dyadic Adjustment Scale [R-DAS]) were considered as independent variables. Logistic regression was used to determine predictors of sexual avoidance during the past 2 weeks. Main Outcome Measures: The main outcome was intercourse avoidance over a 2-week period, measured by the Relation and Sexuality Scale (RSS). Result: Avoidance of intercourse during the past 2 weeks was higher among women with CAD than controls (73.0% vs. 56%, P=0.024). According to the logistic regression, intercourse avoidance was positively associated with age (Odds ratio [OR]=1.127, 95% confidence interval [CI]=1.073, 1.185), somatic comorbidities (OR=1.137, 95% CI=1.061, 1.218) and depressive symptoms (OR=1.150, 95% CI=1.022, 1.293). Conclusion: Our study suggests that among women with CAD, age, depressive symptoms and somatic comorbidities are associated with avoidance of intercourse. As having intercourse is safe among patients with stable CAD, all health professionals should discuss sexual behaviors with their female CAD patients, especially those that are older, with higher depressive symptoms or multiple comorbidities so as to allay fears about sexual functioning.
机译:简介:避免慢性病患者中经常避免性交,冠心病(CAD)患者也不例外。目的:我们旨在(i)比较过去2周内患有CAD和健康对照的女性的性交避免; (ii)确定过去2周内患有CAD的女性与避免性交有关的因素。方法:这项研究是在伊朗德黑兰的一家门诊心脏病诊所进行的。该研究包括152名已婚妇女,50名对照者。社会人口统计学和临床​​数据,包括心绞痛的严重程度(WHO玫瑰问卷),危险因素(吸烟,高脂血症,糖尿病和肥胖症),疲劳,身体功能(视觉模拟量表[VAS])和躯体合并症[Ifudu index] ,焦虑和抑郁症状(医院焦虑和抑郁量表[HADS])和二元调整(修订后的二元调整量表[R-DAS])被视为独立变量。使用Logistic回归确定过去2周内避免性行为的预测因子。主要结果指标:主要结果是在两周内避免性交,这是通过关系和性别量表(RSS)衡量的。结果:CAD患者在过去2周内避免性交的发生率高于对照组(73.0%vs. 56%,P = 0.024)。根据逻辑回归,避免性交与年龄(赔率[OR] = 1.127,95%置信区间[CI] = 1.073,1.185),躯体合并症(OR = 1.137,95%CI = 1.061,1.218)呈正相关。和抑郁症状(OR = 1.150,95%CI = 1.022,1.293)。结论:我们的研究表明,患有CAD的女性中,年龄,抑郁症状和躯体合并症与避免性交有关。由于在稳定的CAD患者中进行性交是安全的,因此所有卫生专业人员都应与女性CAD患者(尤其是年龄较大,抑郁症状较高或有多种合并症的女性CAD患者)讨论性行为,以减轻对性功能的恐惧。

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