000			04518nam a22007217a 4500
008			180928s20192019 xxu||||| |||| 00| 0 eng d
022			_a0937-3462
024			_a10.1007/s00192-018-3739-7 [doi]
024			_a10.1007/s00192-018-3739-7 [pii]
040			_aOvid MEDLINE(R)
099			_a30178126
245			_aAssociation between comorbidities and female sexual dysfunction: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).
251			_aInternational Urogynecology Journal. 30(3):377-383, 2019 Mar.
252			_aInt Urogynecol J Pelvic Floor Dysfunct. 30(3):377-383, 2019 Mar.
253			_aInternational urogynecology journal
260			_c2019
260			_fFY2019
265			_saheadofprint
265			_sppublish
266			_d2018-09-28
501			_aAvailable online through MWHC library: 2010 - present
520			_aCONCLUSIONS: Comorbidities were associated with FSD and specific comorbidities associated with dysfunction in specific domains. Urogynecologists and urologists must assess for comorbidities, as women presenting with sexual dysfunction may provide an opportunity for early diagnosis of life-threatening conditions.
520			_aINTRODUCTION AND HYPOTHESIS: Although medical comorbidities are widely recognized to be associated with erectile dysfunction, less research has been done on their association with female sexual dysfunction (FSD). The purpose of this study was to assess whether FSD is associated with comorbidities; we hypothesized that there is an association.
520			_aMETHODS: This is a secondary analysis of the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a prospective stratified probability sample of individuals aged 16-74. We assessed for association between sexual function scores and heart attack, heart disease, hypertension, stroke, diabetes, chronic lung disease, depression, other mental health condition, other neurologic conditions, and incontinence, as well as menopause and smoking status. Correlation between comorbidities and specific domains of sexual function was also assessed.
520			_aRESULTS: A total of 6777 women, with an average age of 35.4 (14.1), responded to the survey and reported sexual activity in the past year. There was an association between sexual function score and age, menopause, hysterectomy, heart disease, hypertension, diabetes, obesity, smoking, depression, other mental health condition, stroke, other neurological condition, and homosexual attraction (p < 0.05). On multivariate analysis, age, sexual attraction, smoking status, depression, and other mental health conditions remained significantly correlated with sexual function (p < 0.05). Comorbidities were found to be correlated with specific domains.
546			_aEnglish
650			_a*Cardiovascular Diseases/ep [Epidemiology]
650			_a*Depression/ep [Epidemiology]
650			_a*Diabetes Mellitus/ep [Epidemiology]
650			_a*Lung Diseases/ep [Epidemiology]
650			_a*Sexual Dysfunction, Physiological/ep [Epidemiology]
650			_aAdult
650			_aAge Factors
650			_aAttitude
650			_aChronic Disease
650			_aComorbidity
650			_aFemale
650			_aHumans
650			_aHypertension/ep [Epidemiology]
650			_aLife Style
650			_aMenopause
650			_aMiddle Aged
650			_aMyocardial Infarction/ep [Epidemiology]
650			_aNervous System Diseases/ep [Epidemiology]
650			_aSexuality/sn [Statistics & Numerical Data]
650			_aSmoking/ep [Epidemiology]
650			_aStroke/ep [Epidemiology]
650			_aSurveys and Questionnaires
650			_aUnited States/ep [Epidemiology]
650			_aYoung Adult
651			_aMedStar Health Research Institute
651			_aMedStar Washington Hospital Center
656			_aObstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
657			_aJournal Article
700			_aDavis, Meghan
700			_aIglesia, Cheryl B
700			_aPolland, Allison
700			_aZeymo, Alexander
790			_aDavis M, Iglesia CB, Polland AR, Zeymo A
856			_uhttps://dx.doi.org/10.1007/s00192-018-3739-7 _zhttps://dx.doi.org/10.1007/s00192-018-3739-7 _zhttps://dx.doi.org/10.1007/s00192-018-3739-7
856			_uhttps://dx.doi.org/10.1007/s00192-018-3739-7 _zhttps://dx.doi.org/10.1007/s00192-018-3739-7 _zhttps://dx.doi.org/10.1007/s00192-018-3739-7
942			_cART _dArticle
999			_c3741 _d3741