INTRODUCTION: The prevalence and associations of sexual bother in male medical students has not been extensively studied. AIMS: The aim of this study is to analyze predictors of sexual bother in a survey of male North American medical students. METHODS: Students enrolled in allopathic and osteopathic medical schools in North America between February 2008 and July 2008 were invited to participate in an internet-based survey of sexuality and sexual function. MAIN OUTCOME MEASURES: The principle outcome measure was a single-item question inquiring about global satisfaction with sexual function. The survey also consisted of a questionnaire that included ethnodemographic factors, student status, sexual history, and a validated scale for the assessment of depression. Respondents completed the International Index of Erectile Function, the premature ejaculation diagnostic tool, and the Self-Esteem and Relationship Quality survey (SEAR). Descriptive statistics, analysis of variance, and multivariable logistic regression were utilized to analyze responses. RESULTS: There were 480 male subjects (mean age 26.3 years) with data sufficient for analysis. Forty-three (9%) reported sexual bother. Sexual bother was significantly more common in men with erectile dysfunction (ED), high risk of premature ejaculation (HRPE), depressive symptoms, and lower sexual frequency. However, after multivariate analysis including SEAR scores, ED, and HRPE were no longer independently predictive of sexual bother. Higher scores for all domains of the SEAR were associated with lower odds of sexual bother. CONCLUSIONS: ED and HRPE are associated with sexual bother in this young and presumably healthy population. However, after controlling for relationship factors neither ED nor HRPE independently predicted sexual bother. It is plausible to hypothesize that sexual dysfunction from organic causes is rare in this population and is seldom encountered outside of relationship perturbations. Attention to relationship and psychological factors is likely of key importance in addressing sexual concerns in this population.
INTRODUCTION: The prevalence and associations of sexual bother in male medical students has not been extensively studied. AIMS: The aim of this study is to analyze predictors of sexual bother in a survey of male North American medical students. METHODS: Students enrolled in allopathic and osteopathic medical schools in North America between February 2008 and July 2008 were invited to participate in an internet-based survey of sexuality and sexual function. MAIN OUTCOME MEASURES: The principle outcome measure was a single-item question inquiring about global satisfaction with sexual function. The survey also consisted of a questionnaire that included ethnodemographic factors, student status, sexual history, and a validated scale for the assessment of depression. Respondents completed the International Index of Erectile Function, the premature ejaculation diagnostic tool, and the Self-Esteem and Relationship Quality survey (SEAR). Descriptive statistics, analysis of variance, and multivariable logistic regression were utilized to analyze responses. RESULTS: There were 480 male subjects (mean age 26.3 years) with data sufficient for analysis. Forty-three (9%) reported sexual bother. Sexual bother was significantly more common in men with erectile dysfunction (ED), high risk of premature ejaculation (HRPE), depressive symptoms, and lower sexual frequency. However, after multivariate analysis including SEAR scores, ED, and HRPE were no longer independently predictive of sexual bother. Higher scores for all domains of the SEAR were associated with lower odds of sexual bother. CONCLUSIONS: ED and HRPE are associated with sexual bother in this young and presumably healthy population. However, after controlling for relationship factors neither ED nor HRPE independently predicted sexual bother. It is plausible to hypothesize that sexual dysfunction from organic causes is rare in this population and is seldom encountered outside of relationship perturbations. Attention to relationship and psychological factors is likely of key importance in addressing sexual concerns in this population.
Authors: Tara Symonds; Michael A Perelman; Stanley Althof; François Giuliano; Mona Martin; Kathryn May; Lucy Abraham; Anna Crossland; Mark Morris Journal: Eur Urol Date: 2007-01-16 Impact factor: 20.096
Authors: T Symonds; M Perelman; S Althof; F Giuliano; M Martin; L Abraham; A Crossland; M Morris; K May Journal: Int J Impot Res Date: 2007-06-14 Impact factor: 2.896
Authors: Edoardo S Pescatori; Bruno Giammusso; Giorgio Piubello; Vincenzo Gentile; Furio Pirozzi Farina Journal: J Sex Med Date: 2007-04-13 Impact factor: 3.802
Authors: Lisa S Rotenstein; Marco A Ramos; Matthew Torre; J Bradley Segal; Michael J Peluso; Constance Guille; Srijan Sen; Douglas A Mata Journal: JAMA Date: 2016-12-06 Impact factor: 56.272