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Sexual Dysfunction in Male Iraq and Afghanistan War Veterans: Association with Posttraumatic Stress Disorder and Other Combat-Related Mental Health Disorders: A Population-Based Cohort Study

机译:伊拉克和阿富汗退伍军人男性中的性功能障碍:与创伤后应激障碍和其他与战斗有关的心理健康障碍的关联:一项基于人群的队列研究

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Introduction: Mental health disorders are prevalent in the United States, Iraq, and Afghanistan war veterans. Mental illness, including posttraumatic stress disorder (PTSD) with or without psychiatric medications, can increase the risk for male sexual dysfunction, threatening quality of life. Aims: We sought to determine the prevalence and correlates of sexual dysfunction among male Iraq and Afghanistan veterans. Methods: We performed a retrospective cohort study of 405,275 male Iraq and Afghanistan veterans who were new users of U.S. Department of Veterans Affairs healthcare from October 7, 2001 to September 30, 2009 and had 2-year follow-up. Main Outcome Measures: We determined the independent association of mental health diagnoses and sexual dysfunction after adjusting for sociodemographic and military service characteristics, comorbidities, and medications. Results: Veterans with PTSD were more likely to have a sexual dysfunction diagnosis, be prescribed medications for sexual dysfunction, or both (10.6%), compared with veterans having a mental diagnosis other than PTSD (7.2%), or no mental health diagnosis (2.3%). In a fully adjusted model, PTSD increased the risk of sexual dysfunction by more than threefold (adjusted risk ratio=3.61, 95% CI=3.48-3.75). Veterans with mental health disorders, particularly PTSD, were at the highest risk of sexual dysfunction when prescribed psychiatric medications (adjusted risk ratio=4.59, 95% CI=4.41-4.77). Conclusions: Among U.S. combat veterans, mental health disorders, particularly PTSD, increased the risk of sexual dysfunction independent of the use of psychiatric medications.
机译:简介:心理健康障碍在美国,伊拉克和阿富汗的退伍军人中普遍存在。精神疾病,包括有或没有精神药物的创伤后应激障碍(PTSD),都可能增加男性性功能障碍的风险,威胁生活质量。目的:我们试图确定男性和伊拉克退伍军人中性功能障碍的患病率及其相关性。方法:我们进行了一项回顾性队列研究,研究对象为从2001年10月7日至2009年9月30日在美国退伍军人事务部医疗保健部门新使用过的405275名伊拉克和阿富汗男性退伍军人。主要结果指标:我们在调整了社会人口统计学和军事服务特征,合并症和药物后,确定了心理健康诊断和性功能障碍的独立关联。结果:与患有除PTSD以外的精神疾病诊断(7.2%)或无精神健康诊断的退伍军人相比,患有PTSD的退伍军人更有可能进行性功能障碍诊断,开具针对性功能障碍的处方药或两者兼有(10.6%)。 2.3%)。在完全调整的模型中,PTSD将性功能障碍的风险增加了三倍以上(调整后的风险比= 3.61,95%CI = 3.48-3.75)。患有精神疾病的退伍军人,尤其是PTSD,在开具精神科药物时发生性功能障碍的风险最高(调整后的风险比= 4.59,95%CI = 4.41-4.77)。结论:在美国退伍军人中,心理健康障碍,尤其是PTSD,增加了性功能障碍的风险,而与使用精神科药物无关。

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