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Published on: June 10, 2025
Risk factors as predictors of sexual activity in heart failure
Elaine E Steinke1, Victoria Mosack, David W Wright
1School of Nursing, Wichita State University, Wichita, Kansas 67260-0041, USA. elaine.steinke@wichita.edu
Insights
Sexual activity in heart failure (HF) patients is impacted by lifestyle factors. Tobacco use, alcohol, diabetes, and medication count significantly decrease the likelihood of sexual activity in HF patients.
Area of Science:
- Cardiology
- Sexual Health
- Public Health
Background:
- Heart failure (HF) patients frequently experience concerns regarding sexual activity.
- Limited understanding exists regarding factors influencing sexual activity and dysfunction in HF populations.
Purpose of the Study:
- To identify demographic variables and risk factors predicting sexual activity in patients with heart failure.
- To inform healthcare providers about key factors affecting sexual health in HF patients.
Main Methods:
- A sample of 97 heart failure patients was analyzed.
- Statistical analysis examined the association between risk factors (tobacco use, alcohol use, diabetes, medication count, exercise, hypertension) and demographic variables (age, sex, education, BMI) with sexual activity.
Main Results:
- Tobacco use, alcohol consumption, diabetes, and a higher number of medications were significant predictors of decreased odds of sexual activity.
- Non-exercise and hypertension were not significant predictors.
- No significant differences in sexual activity were found based on cardiac medication classes.
Conclusions:
- Specific lifestyle and health factors, including tobacco use, alcohol use, diabetes, and medication burden, are associated with reduced sexual activity in heart failure patients.
- Healthcare professionals should consider these factors when counseling HF patients on sexual health.
Abstract:
Patients with heart failure (HF) often have concerns about sexual activity while living with HF. Little is known about factors that contribute to sexual activity and sexual dysfunction in HF. This study examined selected risk factors and demographic variables as predictors of sexual activity in HF patients. The sample (N = 97) was mostly male and white and had some college education. Four risk factors, tobacco use, alcohol use, having diabetes, and number of medications, were statistically significant in showing decreased odds of being sexually active, when controlling for age, sex, education, and body mass index. Nonexercisers and hypertension were not significant predictors of sexual activity. Among cardiac medication classes, there were no statistically significant differences between those HF patients who were and were not sexually active. Health professionals need to be mindful of these predictive factors as they provide sexual counseling to patients with HF.
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