Tags

Type your tag names separated by a space and hit enter

Sexual dysfunction among male veterans returning from Iraq and Afghanistan: prevalence and correlates.
J Sex Med. 2013 Feb; 10(2):516-23.JS

Abstract

INTRODUCTION

Sexual dysfunction (SD) is not well described in the Iraq/Afghanistan veteran population despite high prevalence of multiple risk factors for this issue.

AIM

To estimate the prevalence and examine the association of various sociodemographic, mental health, comorbid conditions and life style factors with sexual dysfunction in Iraq/Afghanistan veterans.

METHODS

This exploratory cross-sectional study was conducted using data from the VA administrative database. A total of 4,755 Iraq/Afghanistan veterans were identified who sought treatment from the Michael E. DeBakey Veterans Affairs Medical Center inpatient and outpatient clinic between September 2007 and August 2009.

MAIN OUTCOME MEASURES

Sexual dysfunction was determined by ICD9-CM codes related to sexual health issues and/or by specific medications, primarily phosphodiesterase-5 inhibitors (PDE5i), prescribed for erectile dysfunction.

RESULTS

The overall prevalence of sexual dysfunction was 5.5% (N = 265). By age category, it was 3.6% (N = 145) for Iraq/Afghanistan veterans aged 18-40 years and 15.7% (N = 120) for Iraq/Afghanistan veterans aged > 40 years, respectively. A multivariate logistic-regression model revealed that annual income, marital status, post-traumatic stress disorder, and hypertension were significant risk factors of SD (all P < 0.05) among younger Iraq/Afghanistan veterans, whereas among the older Iraq/Afghanistan veterans, being African American and having PTSD and hypertension were significant risk factors of SD (all P < 0.05). There was marked discrepancy between documented erectile dysfunction and prescription of a PDE5i.

CONCLUSIONS

These data demonstrate that a significant proportion of Iraq/Afghanistan veterans have SD and that the risk factors differ between younger and older veterans. Our findings also suggest that SD is likely under-coded. To better identify the scope of the problem, systematic screening for sexual dysfunction may be appropriate perhaps as part of an initial post-deployment health evaluation.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Hosain GM
Houston VA HSR&D Center of Excellence, Houston, TX 77030, USA. monawarhosain@gmail.com
Latini DM
No affiliation info available
Kauth M
No affiliation info available
Goltz HH
No affiliation info available
Helmer DA
No affiliation info available

MeSH

AdolescentAdultAfghan Campaign 2001-Age FactorsComorbidityCross-Sectional StudiesHumansIraq War, 2003-2011Life StyleMaleMental DisordersPhosphodiesterase InhibitorsRisk FactorsSexual Dysfunction, PhysiologicalSexual Dysfunctions, PsychologicalStress Disorders, Post-TraumaticUnited StatesVeteransYoung Adult

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

23088675

Citation

Hosain, G M Monawar, et al. "Sexual Dysfunction Among Male Veterans Returning From Iraq and Afghanistan: Prevalence and Correlates." The Journal of Sexual Medicine, vol. 10, no. 2, 2013, pp. 516-23.
Hosain GM, Latini DM, Kauth M, et al. Sexual dysfunction among male veterans returning from Iraq and Afghanistan: prevalence and correlates. J Sex Med. 2013;10(2):516-23.
Hosain, G. M., Latini, D. M., Kauth, M., Goltz, H. H., & Helmer, D. A. (2013). Sexual dysfunction among male veterans returning from Iraq and Afghanistan: prevalence and correlates. The Journal of Sexual Medicine, 10(2), 516-23. https://doi.org/10.1111/j.1743-6109.2012.02978.x
Hosain GM, et al. Sexual Dysfunction Among Male Veterans Returning From Iraq and Afghanistan: Prevalence and Correlates. J Sex Med. 2013;10(2):516-23. PubMed PMID: 23088675.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual dysfunction among male veterans returning from Iraq and Afghanistan: prevalence and correlates. AU - Hosain,G M Monawar, AU - Latini,David M, AU - Kauth,Michael, AU - Goltz,Heather Honoré, AU - Helmer,Drew A, Y1 - 2012/10/22/ PY - 2012/10/24/entrez PY - 2012/10/24/pubmed PY - 2013/8/6/medline SP - 516 EP - 23 JF - The journal of sexual medicine JO - J Sex Med VL - 10 IS - 2 N2 - INTRODUCTION: Sexual dysfunction (SD) is not well described in the Iraq/Afghanistan veteran population despite high prevalence of multiple risk factors for this issue. AIM: To estimate the prevalence and examine the association of various sociodemographic, mental health, comorbid conditions and life style factors with sexual dysfunction in Iraq/Afghanistan veterans. METHODS: This exploratory cross-sectional study was conducted using data from the VA administrative database. A total of 4,755 Iraq/Afghanistan veterans were identified who sought treatment from the Michael E. DeBakey Veterans Affairs Medical Center inpatient and outpatient clinic between September 2007 and August 2009. MAIN OUTCOME MEASURES: Sexual dysfunction was determined by ICD9-CM codes related to sexual health issues and/or by specific medications, primarily phosphodiesterase-5 inhibitors (PDE5i), prescribed for erectile dysfunction. RESULTS: The overall prevalence of sexual dysfunction was 5.5% (N = 265). By age category, it was 3.6% (N = 145) for Iraq/Afghanistan veterans aged 18-40 years and 15.7% (N = 120) for Iraq/Afghanistan veterans aged > 40 years, respectively. A multivariate logistic-regression model revealed that annual income, marital status, post-traumatic stress disorder, and hypertension were significant risk factors of SD (all P < 0.05) among younger Iraq/Afghanistan veterans, whereas among the older Iraq/Afghanistan veterans, being African American and having PTSD and hypertension were significant risk factors of SD (all P < 0.05). There was marked discrepancy between documented erectile dysfunction and prescription of a PDE5i. CONCLUSIONS: These data demonstrate that a significant proportion of Iraq/Afghanistan veterans have SD and that the risk factors differ between younger and older veterans. Our findings also suggest that SD is likely under-coded. To better identify the scope of the problem, systematic screening for sexual dysfunction may be appropriate perhaps as part of an initial post-deployment health evaluation. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/23088675/Sexual_dysfunction_among_male_veterans_returning_from_Iraq_and_Afghanistan:_prevalence_and_correlates_ DB - PRIME DP - Unbound Medicine ER -