Document Detail


Patterns and loss of sexual activity in the year following hospitalization for acute myocardial infarction (a United States National Multisite Observational Study).
MedLine Citation:
PMID:  22546209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A multisite observational study of sexual activity-related outcomes in patients enrolled in the TRIUMPH registry during hospitalization for an acute myocardial infarction (AMI) was conducted to identify patterns and loss of sexual activity 1 year after hospitalization for AMI. Gender-specific multivariable hierarchical models were used to identify correlates of loss of sexual activity including physician counseling. Main outcome measurements included "loss of sexual activity" (less frequent or no sexual activity 1 year after an AMI in those who were sexually active in the year before the AMI) and 1-year mortality. Mean ages were 61.1 years for women (n = 605) and 58.6 years for men (n = 1,274). Many were sexually active in the year before and 1 year after hospitalization (44% and 40% of women, 74% and 68% of men, respectively). One third of women and 47% of men reported receiving hospital discharge instructions about resuming sex. Those who did not receive instructions were more likely to report loss of sexual activity (women, adjusted relative risk 1.44, 95% confidence interval 1.16 to 1.79; men, adjusted relative risk 1.27, 95% confidence interval 1.11 to 1.46). One year mortality after AMI was similar in those who reported sexual activity in the first month after AMI (2.1%) and those who were sexually inactive (4.1%, p = 0.08). In conclusion, although many patients were sexually active before AMI, only a minority received discharge counseling about resuming sexual activity. Lack of counseling was associated with loss of sexual activity 1 year later. Mortality was not significantly increased in patients who were sexually active soon after their AMI.
Authors:
Stacy Tessler Lindau; Emily Abramsohn; Kensey Gosch; Kristen Wroblewski; Erica S Spatz; Paul S Chan; John Spertus; Harlan M Krumholz
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of cardiology     Volume:  109     ISSN:  1879-1913     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-01     Completed Date:  2012-07-16     Revised Date:  2013-06-25    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1439-44     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology - Medicine and Geriatrics, University of Chicago Medical Center, Illinois, USA. slindau@uchicago.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Follow-Up Studies
Hospitalization*
Humans
Male
Middle Aged
Myocardial Infarction / mortality,  psychology*,  therapy
Registries*
Retrospective Studies
Risk Factors
Sexual Behavior*
Survival Rate / trends
Time Factors
United States / epidemiology
Grant Support
ID/Acronym/Agency:
1K23AG032870-01A1K23/AG/NIA NIH HHS; 5P30 AG 012857/AG/NIA NIH HHS; 5P30 AG012857/AG/NIA NIH HHS; K23 AG032870/AG/NIA NIH HHS; K23 AG032870-01A1/AG/NIA NIH HHS; K23AG032870/AG/NIA NIH HHS; P50 HL077113/HL/NHLBI NIH HHS; P50 HL77113/HL/NHLBI NIH HHS; U01 HL105270-02/HL/NHLBI NIH HHS
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