Prevalence, Predictors, and Longitudinal Course of Sexual Dysfunction in Adults With Atopic Dermatitis

被引:0
作者
Kaundinya, Trisha [1 ]
Rakita, Uros [2 ]
Silverberg, Jonathan I. [3 ,4 ]
机构
[1] Northwestern Feinberg Sch Med, Chicago, IL USA
[2] Rosalind Franklin Univ, Chicago Med Sch, N Chicago, IL USA
[3] George Washington Sch Med, Dept Dermatol, Washington, DC USA
[4] George Washington Univ, Sch Med & Hlth Sci, Ste 2B-425,2150 Penn Ave NW, Washington, DC 20037 USA
基金
美国医疗保健研究与质量局;
关键词
SEVERITY; ECZEMA; INDEX; ASSOCIATION; PSORIASIS; SCORAD; BURDEN; HEALTH; SLEEP; LIFE;
D O I
10.1097/der.0000000000000938
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Little is known about the burden of sexual dysfunction (SD) in atopic dermatitis (AD).Objective: The objective of this study is to determine the prevalence and associations of SD in adults with AD.Methods: A prospective dermatology practice-based study of adult patients (N = 677) with AD was performed. Sexual dysfunction in the past 7 days was assessed by patient report (4-point Likert scale). Atopic dermatitis severity was assessed using multiple validated clinician-reported and patient-reported outcomes.Results: At baseline, SD was reported by 19.35% of patients and was associated with being married (adjusted odds ratio [95% confidence interval], 2.252 [1.226-4.136]) and younger age (3.363 [1.768-6.397]) but not race or gender in models controlling for sociodemographics and AD severity. Adult-onset versus childhood-onset AD (2.781 [1.211-6.383]) was associated with significant SD. Sexual dysfunction and SD severity were associated with total and objective scoring AD, Eczema Area and Severity Index, body surface area, Investigator's Global Assessment, and their cross-product, Patient-Oriented Eczema Measure and Patient Global Assessment of AD. Atopic dermatitis lesions on the genitals (3.255 [1.405-7.541]), neck (2.244 [1.066-4.723]), and lower extremities (2.236 [1.265-3.951]) were particularly associated with SD.Conclusions: Sexual dysfunction is commonly reported by adults with AD and is associated with marriage, adult-onset AD, AD severity, and lesions on the genitals.
引用
收藏
页码:233 / 240
页数:8
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