Breathlessness and sexual activity in older adults: the Australian Longitudinal Study of Ageing

被引:19
作者
Ekstrom, Magnus [1 ,2 ]
Johnson, Miriam J. [3 ]
Taylor, Bridget [4 ]
Luszcz, Mary [5 ,6 ]
Wohland, Pia [7 ]
Ferreira, Diana H. [8 ]
Currow, David C. [2 ,3 ]
机构
[1] Lund Univ, Inst Clin Sci, Dept Resp Med & Allergol, Lund, Sweden
[2] Univ Technol Sydney, Fac Hlth, IMPACCT, Ultimo, NSW, Australia
[3] Univ Hull, Wolfson Palliat Care Res Ctr, Hull York Med Sch, Kingston Upon Hull, N Humberside, England
[4] Oxford Univ Hosp NHS Fdn Trust, Sobell House Hosp, Oxford, England
[5] Flinders Univ S Australia, Sch Psychol, Adelaide, SA, Australia
[6] Flinders Univ S Australia, Ctr Ageing Studies, Adelaide, SA, Australia
[7] Univ Hull, Hull York Med Sch, Inst Clin & Appl Hlth Res, Kingston Upon Hull, N Humberside, England
[8] Flinders Univ S Australia, Discipline Palliat & Support Serv, Adelaide, SA, Australia
来源
NPJ PRIMARY CARE RESPIRATORY MEDICINE | 2018年 / 28卷
基金
英国医学研究理事会; 澳大利亚研究理事会;
关键词
AMYOTROPHIC-LATERAL-SCLEROSIS; QUALITY-OF-LIFE; ATTITUDES; PREVALENCE; ISSUES; DEPRESSION; INTIMACY; DISEASE; WOMEN; SCALE;
D O I
10.1038/s41533-018-0090-x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Sexual activity is important to older adults (65 +). Breathlessness affects about 25% of older adults but impact on sexual activity is unknown. We evaluated the relationships between breathlessness and sexual inactivity and self-reported health among older community-dwelling adults in the Australian Longitudinal Study of Ageing. Associations between self-reported breathlessness (hurrying on level ground or walking up a slight hill) at baseline, self-reported sexual activity, overall health and health compared to people of the same age were explored using logistic regression at baseline and 2 years, adjusted for potential confounders (age, sex, marital status, smoking status and co-morbidities). Of 798 participants (mean age 76.4 years [SD, 5.8] 65 to 103; 53% men, 73% married), 688 (86.2%) had 2-year follow-up data. People with breathlessness had higher prevalence and duration of sexual inactivity (77.7% vs. 65.6%; p < 0.001; 12 [IQR, 5-17] vs. 9.5 [IQR, 5-16] years; p = 0.043). Breathlessness was associated with more sexual inactivity, (adjusted OR 1.75; [95% CI] 1.24-2.45), worse health (adjusted OR 2.02; 1.53-2.67) and worse health compared to peers (adjusted OR 1.72; 1.25-2.38). Baseline breathlessness did not predict more sexual inactivity at 2 years. In conclusion, breathlessness contributes to sexual inactivity and worse perceived health in older adults, which calls for improved assessment and management.
引用
收藏
页数:6
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