Are depression and poor sexual health neglected comorbidities? Evidence from a population sample

被引：26

作者：

Field, Nigel ^{[1
]}

Prah, Philip ^{[1
]}

Mercer, Catherine H. ^{[1
]}

Rait, Greta ^{[2
]}

King, Michael ^{[3
]}

Cassell, Jackie A. ^{[4
]}

Tanton, Clare ^{[1
]}

Heath, Laura ^{[5
]}

Mitchell, Kirstin R. ^{[5
]}

Clifton, Soazig ^{[1
]}

Datta, Jessica ^{[5
]}

Wellings, Kaye ^{[5
]}

Johnson, Anne M. ^{[1
]}

Sonnenberg, Pam

机构：

[1] UCL, Res Dept Infect & Populat Hlth, London, England

[2] UCL, Res Dept Primary Care & Populat Hlth, London, England

[3] UCL, Fac Brain Sci, Div Psychiat, London, England

[4] Univ Brighton, Div Primary Care & Publ Hlth, Brighton, E Sussex, England

[5] London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London WC1, England

来源：

BMJ OPEN | 2016年 / 6卷 / 03期

基金：

英国医学研究理事会; 英国惠康基金;

关键词：

Depression; Sexual health; Sexual health services; 3RD NATIONAL-SURVEY; NOCTURNAL PENILE TUMESCENCE; LIFE-STYLES; BRITAIN FINDINGS; TRANSMITTED INFECTION; MENTAL-HEALTH; PRIMARY-CARE; RISK BEHAVIOR; ATTITUDES; SYMPTOMS;

D O I：

10.1136/bmjopen-2015-010521

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective To examine associations between sexual behaviour, sexual function and sexual health service use of individuals with depression in the British general population, to inform primary care and specialist services. Setting British general population. Participants 15162 men and women aged 16-74years were interviewed for the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), undertaken in 2010-2012. Using age-adjusted ORs (aAOR), relative to a comparator group reporting no treatment or symptoms, we compared the sexual health of those reporting treatment for depression in the past year. Outcome measures Sexual risk behaviour, sexual function, sexual satisfaction and sexual health service use. Results 1331 participants reported treatment for depression (5.2% men; 11.8% women). Relative to the comparator group, treatment for depression was associated with reporting 2 or more sexual partners without condoms (men aAOR 2.07 (95% CI 1.38 to 3.10); women 2.22 (1.68 to 2.92)), and concurrent partnerships (men 1.80 (1.18 to 2.76); women 2.06 (1.48 to 2.88)), in the past year. Those reporting depression treatment were more likely to be dissatisfied with their sex lives (men 2.32 (1.74 to 3.11); women 2.30 (1.89 to 2.79)), and to score in the lowest quintile on the Natsal-sexual function measure. They were also more likely to report a recent chlamydia test (men 1.92 (1.15 to 3.20)); women (1.27 (1.01 to 1.60)), and to have sought help regarding their sex life from a healthcare professional (men 2.92 (1.98 to 4.30); women (2.36 (1.83 to 3.04)), most commonly from a family doctor. Women only were more likely to report attending a sexual health clinic (1.91 (1.42 to 2.58)) and use of emergency contraception (1.98 (1.23 to 3.19)). Associations were broadly similar for individuals with depressive symptoms but not reporting treatment. Conclusions Depression, measured by reported treatment, was strongly associated with sexual risk behaviours, reduced sexual function and increased use of sexual health services, with many people reporting help doing so from a family doctor. The sexual health of depressed people needs consideration in primary care, and mental health assessment might benefit people attending sexual health services.

引用

页数：14

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