Kathryn E Flynn1, Li Lin2, Deborah Watkins Bruner3, Jill M Cyranowski4, Elizabeth A Hahn5, Diana D Jeffery6, Jennifer Barsky Reese7, Bryce B Reeve8, Rebecca A Shelby9, Kevin P Weinfurt10. 1. Center for Patient Care and Outcomes Research, Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address: kflynn@mcw.edu. 2. Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA. 3. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA. 4. Chatham University, Pittsburgh, PA, USA. 5. Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Center for Patient-Centered Outcomes, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 6. Defence Health Agency, Department of Defense-Health Affairs, Falls Church, VA, USA. 7. Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA, USA; Department of Social and Behavioral Sciences, Temple University, Philadelphia, PA, USA. 8. Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. 9. Department of Psychiatry and Behavioral Sciences Duke University School of Medicine, Durham, NC, USA. 10. Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences Duke University School of Medicine, Durham, NC, USA.
Abstract
INTRODUCTION: Discussions about sexual health are uncommon in clinical encounters, despite the sexual dysfunction associated with many common health conditions. Understanding of the importance of sexual health and sexual satisfaction in U.S. adults is limited. AIM: To provide epidemiologic data on the importance of sexual health for quality of life and people's satisfaction with their sex lives and to examine how each is associated with demographic and health factors. METHODS: Data are from a cross-sectional self-report questionnaire from a sample of 3,515 English-speaking U.S. adults recruited from an online panel that uses address-based probability sampling. MAIN OUTCOME MEASURES: We report ratings of importance of sexual health to quality of life (single item with five-point response) and the Patient-Reported Outcomes Measurement Information System Satisfaction With Sex Life score (five items, each with five-point responses, scores centered on the U.S. mean). RESULTS: High importance of sexual health to quality of life was reported by 62.2% of men (95% CI = 59.4-65.0) and 42.8% of women (95% CI = 39.6-46.1, P < .001). Importance of sexual health varied by sex, age, sexual activity status, and general self-rated health. For the 55% of men and 45% of women who reported sexual activity in the previous 30 days, satisfaction with sex life differed by sex, age, race-ethnicity (among men only), and health. Men and women in excellent health had significantly higher satisfaction than participants in fair or poor health. Women with hypertension reported significantly lower satisfaction (especially younger women), as did men with depression or anxiety (especially younger men). CONCLUSION: In this large study of U.S. adults' ratings of the importance of sexual health and satisfaction with sex life, sexual health was a highly important aspect of quality of life for many participants, including participants in poor health. Moreover, participants in poorer health reported lower sexual satisfaction. Accordingly, sexual health should be a routine part of clinicians' assessments of their patients. Health care systems that state a commitment to improving patients' overall health must have resources in place to address sexual concerns. These resources should be available for all patients across the lifespan.
INTRODUCTION: Discussions about sexual health are uncommon in clinical encounters, despite the sexual dysfunction associated with many common health conditions. Understanding of the importance of sexual health and sexual satisfaction in U.S. adults is limited. AIM: To provide epidemiologic data on the importance of sexual health for quality of life and people's satisfaction with their sex lives and to examine how each is associated with demographic and health factors. METHODS: Data are from a cross-sectional self-report questionnaire from a sample of 3,515 English-speaking U.S. adults recruited from an online panel that uses address-based probability sampling. MAIN OUTCOME MEASURES: We report ratings of importance of sexual health to quality of life (single item with five-point response) and the Patient-Reported Outcomes Measurement Information System Satisfaction With Sex Life score (five items, each with five-point responses, scores centered on the U.S. mean). RESULTS: High importance of sexual health to quality of life was reported by 62.2% of men (95% CI = 59.4-65.0) and 42.8% of women (95% CI = 39.6-46.1, P < .001). Importance of sexual health varied by sex, age, sexual activity status, and general self-rated health. For the 55% of men and 45% of women who reported sexual activity in the previous 30 days, satisfaction with sex life differed by sex, age, race-ethnicity (among men only), and health. Men and women in excellent health had significantly higher satisfaction than participants in fair or poor health. Women with hypertension reported significantly lower satisfaction (especially younger women), as did men with depression or anxiety (especially younger men). CONCLUSION: In this large study of U.S. adults' ratings of the importance of sexual health and satisfaction with sex life, sexual health was a highly important aspect of quality of life for many participants, including participants in poor health. Moreover, participants in poorer health reported lower sexual satisfaction. Accordingly, sexual health should be a routine part of clinicians' assessments of their patients. Health care systems that state a commitment to improving patients' overall health must have resources in place to address sexual concerns. These resources should be available for all patients across the lifespan.
Authors: Alice K Fortune-Greeley; Kathryn E Flynn; Diana D Jeffery; Megan S Williams; Francis J Keefe; Bryce B Reeve; Gordon B Willis; Kevin P Weinfurt Journal: Qual Life Res Date: 2009-08-12 Impact factor: 4.147
Authors: Kevin P Weinfurt; Li Lin; Deborah Watkins Bruner; Jill M Cyranowski; Carrie B Dombeck; Elizabeth A Hahn; Diana D Jeffery; Richard M Luecht; Susan Magasi; Laura S Porter; Jennifer Barsky Reese; Bryce B Reeve; Rebecca A Shelby; Ashley Wilder Smith; John T Willse; Kathryn E Flynn Journal: J Sex Med Date: 2015-09-07 Impact factor: 3.802
Authors: Alison J Huang; Leslee L Subak; David H Thom; Stephen K Van Den Eeden; Arona I Ragins; Miriam Kuppermann; Hui Shen; Jeanette S Brown Journal: J Am Geriatr Soc Date: 2009-06-24 Impact factor: 5.562
Authors: Kathryn E Flynn; Bryce B Reeve; Li Lin; Jill M Cyranowski; Deborah Watkins Bruner; Kevin P Weinfurt Journal: Health Qual Life Outcomes Date: 2013-03-11 Impact factor: 3.186
Authors: Kathryn E Flynn; Dane Whicker; Li Lin; Rachel Cusatis; Alan Nyitray; Kevin P Weinfurt Journal: J Gen Intern Med Date: 2019-08-26 Impact factor: 5.128
Authors: Allison G Smith; Shoshana H Bardach; Justin M Barber; Andrea Williams; Elizabeth K Rhodus; Kelly K Parsons; Gregory A Jicha Journal: Clin Gerontol Date: 2021-02-14 Impact factor: 2.619
Authors: Kari L Bjornard; Carrie R Howell; James L Klosky; Wassim Chemaitilly; Deo Kumar Srivastava; Tara M Brinkman; Daniel M Green; Victoria W Willard; Lisa M Jacola; Matthew J Krasin; Melissa M Hudson; Leslie L Robison; Kirsten K Ness Journal: J Sex Med Date: 2020-07-25 Impact factor: 3.802