Sexual activity and concerns in people with coronary heart disease from a population-based study
Key result
CHD is linked to a ~38% lower likelihood of sexual activity in men.
- OR 0.62
- 95% CI 0.47 to 0.81
- n=6,690
Why the study?
Does coronary heart disease impair sexual activity and increase sexual concerns in older adults?
Population
6,690 adults aged 50 and older from the English Longitudinal Study of Ageing, including 376 men and 279…
Comparison
Presence of coronary heart disease (CHD) vs Absence of coronary heart disease (CHD)
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
CHD linked to lower sexual activity in older adults, especially men recently diagnosed; leaves open whether counseling improves function or quality of life.
Study Design
Type
Cross-Sectional (n=6,690)
Multicenter
Yes
Structured PICO
Does coronary heart disease impair sexual activity and increase sexual concerns in older adults?
P
Population
6,690 adults aged 50 and older from a nationally representative English cohort, including 655 with coronary heart disease, assessed for sexual behavior and concerns.
E
Exposure
Presence of coronary heart disease (CHD)
C
Comparator
Absence of coronary heart disease (CHD)
O
Outcome
Sexual behaviour and concerns assessed by validated self-completion questionnairepatient reported
Main Result
Odds Ratio: 0.62 (95% CI 0.47–0.81)
Absolute Event Rate: 68.7% vs 80%
Coronary heart disease is associated with reduced sexual activity and increased erectile difficulties, particularly in men and those recently diagnosed, highlighting the need for better post-diagnosis counseling.
Cite This Study
Steptoe et al. (2016) conducted a cross-sectional in Coronary heart disease (n=6,690). Coronary heart disease vs. No coronary heart disease was evaluated on Sexually active (men) (OR 0.62, 95% CI 0.47 to 0.81). Coronary heart disease was associated with a lower likelihood of being sexually active in men (68.7% vs 80.0%; OR 0.62, 95% CI 0.47-0.81) compared to those without the condition.