与对照组相比,乳腺癌后性功能障碍的患病率,来自CONSTANCES队列的研究
Manon Mangiardi-Veltin1, Jimmy Mullaert2, Mireille Coeuret-Pellicer2
1Inserm, Paris, France. manon.mangiardi1@gmail.com.
概括
与没有乳腺癌 (BC) 的女性相比,有乳腺癌 (BC) 史的女性的性功能障碍率明显更高. 这包括性兴趣的减少,性交期间的疼痛,以及对性生活的不满,强调了需要有针对性的支持.
科学领域:
- 在瘤学瘤学.
- 性健康 性的健康
- 流行病学 流行病学
背景情况:
- 性欲是生活质量的组成部分,乳腺癌 (BC) 治疗可能会对其产生负面影响.
- 乳腺癌的诊断和治疗可以深刻地影响女性的女性感和性福利.
研究的目的:
- 为了确定性功能障碍在有乳腺癌病史的女性中的流行率.
- 为了比较有乳腺癌史和没有乳腺癌史的女性之间的性功能障碍率.
主要方法:
- 来自法国一般流行病学队列CONSTANCES (超过20万名成年人) 的纳入调查问卷的分析.
- 使用单变量分析,将有乳腺癌史的女性 (n=2,680) 与对照组进行比较.
- 多变量分析以确定性功能障碍的人口风险因素.
主要成果:
- 患有乳腺癌史的女性报告说,性兴趣显著减少 (OR 1.79),性交期间疼痛增加 (OR 1.10),性生活不满更大 (OR 1.58).
- 在调整了诸如年龄,更年期状态,BMI和抑郁症等人口因素后,这些发现仍然存在.
- 具体的功能障碍包括34%的人没有发生性关系,34%的人经历疼痛,30%的人对性生活不满意.
结论:
- 乳腺癌的病史是发展性障碍的重要危险因素.
- 需要积极选和解决乳腺癌幸存者的性健康问题.
- 在BC幸存者中实施性功能障碍的支持性护理策略至关重要.
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