Evaluation of the sexual health in people living with hemophilia
Background Knowledge about sexual health, difficulty with sexual activity and intimacy (sexual difficulty), in people with hemophilia is little understood. Objectives The objectives were to determine the prevalence of sexual difficulty in people living with hemophilia (PWH) compared to people with n...
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| Veröffentlicht in: | Haemophilia : the official journal of the World Federation of Hemophilia 2021-11, Vol.27 (6), p.993-1001 |
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| container_title | Haemophilia : the official journal of the World Federation of Hemophilia |
| container_volume | 27 |
| creator | Germini, Federico Chai‐Adisaksopha, Chatree Pete, Drashti Curtis, Randall Frick, Neil Nichol, Michael B. Noone, Declan O'Mahony, Brian Page, David Stonebraker, Jeffrey S. Thabane, Lehana Crowther, Mark A Skinner, Mark W Iorio, Alfonso |
| description | Background
Knowledge about sexual health, difficulty with sexual activity and intimacy (sexual difficulty), in people with hemophilia is little understood.
Objectives
The objectives were to determine the prevalence of sexual difficulty in people living with hemophilia (PWH) compared to people with no bleeding disorders (PWNoBD), and to determine factors associated with it.
Methods
This was an analysis of the PROBE study. We recruited individuals who had hemophilia A or B (PWH) and PWNoBD who were 18 years old or older. We calculated proportions of participants with sexual difficulty and odds ratios (ORs) adjusted for sex and age with 95% confidence intervals.
Results
There were 2007 PWH and 1972 PWNoBD. Mean (standard deviation) age was 41 (15) years in PWH and 42 (13) years in PWNoBD. Sexual difficulty was reported in 302 (15.1%) PWH and 79 (4.0%) PWNoBD. The odds of sexual difficulty were significantly higher in PWH (OR 3.82, 95% CI 2.85, 5.11). Among PWH, older age, experiencing acute or chronic pain in the past 12 months, bleeds within the past two weeks, ≥3 spontaneous joint bleeds (past six months), limitation of range of motion of any joints, and any life‐ or limb‐threatening bleeds in the past 12 months were associated with sexual difficulty.
Conclusions
Sexual difficulty is more prevalent in people living with hemophilia and associated with markers of disease severity. Sexual health issues should be incorporated in comprehensive hemophilia care, future research, and hemophilia related health policy. |
| doi_str_mv | 10.1111/hae.14410 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2574739325</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2574739325</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3300-32400b3398ff5a7fc5474a1dc1d72230044629da0f3a11f8b9ef24cff0a4c2ea3</originalsourceid><addsrcrecordid>eNp10E1LAzEQBuAgCtbqwX8Q8KKHbfO56d4spVqh4EXPId1O3JR0s266rf33pq4nwVwmDM8Mw4vQLSUjmt64MjCiQlByhgaU5zJjkubnp7-k2YTR_BJdxbghhHJG8gF6nO-N78zOhRoHi3cV4AhfnfG4AuN3FXY1biA0HrB3e1d_4INL3Qq2oamcd-YaXVjjI9z81iF6f5q_zRbZ8vX5ZTZdZiXnhGScCUJWnBcTa6VRtpRCCUPXJV0rxpIQImfF2hDLDaV2sirAMlFaS4woGRg-RPf93qYNnx3End66WIL3pobQRc2kEooXnMlE7_7QTejaOl2XVCGkIkyppB56VbYhxhasblq3Ne1RU6JPWeqUpf7JMtlxbw_Ow_F_qBfTeT_xDcoEc7Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2594570277</pqid></control><display><type>article</type><title>Evaluation of the sexual health in people living with hemophilia</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Germini, Federico ; Chai‐Adisaksopha, Chatree ; Pete, Drashti ; Curtis, Randall ; Frick, Neil ; Nichol, Michael B. ; Noone, Declan ; O'Mahony, Brian ; Page, David ; Stonebraker, Jeffrey S. ; Thabane, Lehana ; Crowther, Mark A ; Skinner, Mark W ; Iorio, Alfonso</creator><creatorcontrib>Germini, Federico ; Chai‐Adisaksopha, Chatree ; Pete, Drashti ; Curtis, Randall ; Frick, Neil ; Nichol, Michael B. ; Noone, Declan ; O'Mahony, Brian ; Page, David ; Stonebraker, Jeffrey S. ; Thabane, Lehana ; Crowther, Mark A ; Skinner, Mark W ; Iorio, Alfonso</creatorcontrib><description>Background
Knowledge about sexual health, difficulty with sexual activity and intimacy (sexual difficulty), in people with hemophilia is little understood.
Objectives
The objectives were to determine the prevalence of sexual difficulty in people living with hemophilia (PWH) compared to people with no bleeding disorders (PWNoBD), and to determine factors associated with it.
Methods
This was an analysis of the PROBE study. We recruited individuals who had hemophilia A or B (PWH) and PWNoBD who were 18 years old or older. We calculated proportions of participants with sexual difficulty and odds ratios (ORs) adjusted for sex and age with 95% confidence intervals.
Results
There were 2007 PWH and 1972 PWNoBD. Mean (standard deviation) age was 41 (15) years in PWH and 42 (13) years in PWNoBD. Sexual difficulty was reported in 302 (15.1%) PWH and 79 (4.0%) PWNoBD. The odds of sexual difficulty were significantly higher in PWH (OR 3.82, 95% CI 2.85, 5.11). Among PWH, older age, experiencing acute or chronic pain in the past 12 months, bleeds within the past two weeks, ≥3 spontaneous joint bleeds (past six months), limitation of range of motion of any joints, and any life‐ or limb‐threatening bleeds in the past 12 months were associated with sexual difficulty.
Conclusions
Sexual difficulty is more prevalent in people living with hemophilia and associated with markers of disease severity. Sexual health issues should be incorporated in comprehensive hemophilia care, future research, and hemophilia related health policy.</description><identifier>ISSN: 1351-8216</identifier><identifier>EISSN: 1365-2516</identifier><identifier>DOI: 10.1111/hae.14410</identifier><language>eng</language><publisher>Chichester: Wiley Subscription Services, Inc</publisher><subject>Chronic pain ; Hemophilia ; patient reported outcome ; Sexual health</subject><ispartof>Haemophilia : the official journal of the World Federation of Hemophilia, 2021-11, Vol.27 (6), p.993-1001</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3300-32400b3398ff5a7fc5474a1dc1d72230044629da0f3a11f8b9ef24cff0a4c2ea3</citedby><cites>FETCH-LOGICAL-c3300-32400b3398ff5a7fc5474a1dc1d72230044629da0f3a11f8b9ef24cff0a4c2ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fhae.14410$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhae.14410$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids></links><search><creatorcontrib>Germini, Federico</creatorcontrib><creatorcontrib>Chai‐Adisaksopha, Chatree</creatorcontrib><creatorcontrib>Pete, Drashti</creatorcontrib><creatorcontrib>Curtis, Randall</creatorcontrib><creatorcontrib>Frick, Neil</creatorcontrib><creatorcontrib>Nichol, Michael B.</creatorcontrib><creatorcontrib>Noone, Declan</creatorcontrib><creatorcontrib>O'Mahony, Brian</creatorcontrib><creatorcontrib>Page, David</creatorcontrib><creatorcontrib>Stonebraker, Jeffrey S.</creatorcontrib><creatorcontrib>Thabane, Lehana</creatorcontrib><creatorcontrib>Crowther, Mark A</creatorcontrib><creatorcontrib>Skinner, Mark W</creatorcontrib><creatorcontrib>Iorio, Alfonso</creatorcontrib><title>Evaluation of the sexual health in people living with hemophilia</title><title>Haemophilia : the official journal of the World Federation of Hemophilia</title><description>Background
Knowledge about sexual health, difficulty with sexual activity and intimacy (sexual difficulty), in people with hemophilia is little understood.
Objectives
The objectives were to determine the prevalence of sexual difficulty in people living with hemophilia (PWH) compared to people with no bleeding disorders (PWNoBD), and to determine factors associated with it.
Methods
This was an analysis of the PROBE study. We recruited individuals who had hemophilia A or B (PWH) and PWNoBD who were 18 years old or older. We calculated proportions of participants with sexual difficulty and odds ratios (ORs) adjusted for sex and age with 95% confidence intervals.
Results
There were 2007 PWH and 1972 PWNoBD. Mean (standard deviation) age was 41 (15) years in PWH and 42 (13) years in PWNoBD. Sexual difficulty was reported in 302 (15.1%) PWH and 79 (4.0%) PWNoBD. The odds of sexual difficulty were significantly higher in PWH (OR 3.82, 95% CI 2.85, 5.11). Among PWH, older age, experiencing acute or chronic pain in the past 12 months, bleeds within the past two weeks, ≥3 spontaneous joint bleeds (past six months), limitation of range of motion of any joints, and any life‐ or limb‐threatening bleeds in the past 12 months were associated with sexual difficulty.
Conclusions
Sexual difficulty is more prevalent in people living with hemophilia and associated with markers of disease severity. Sexual health issues should be incorporated in comprehensive hemophilia care, future research, and hemophilia related health policy.</description><subject>Chronic pain</subject><subject>Hemophilia</subject><subject>patient reported outcome</subject><subject>Sexual health</subject><issn>1351-8216</issn><issn>1365-2516</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp10E1LAzEQBuAgCtbqwX8Q8KKHbfO56d4spVqh4EXPId1O3JR0s266rf33pq4nwVwmDM8Mw4vQLSUjmt64MjCiQlByhgaU5zJjkubnp7-k2YTR_BJdxbghhHJG8gF6nO-N78zOhRoHi3cV4AhfnfG4AuN3FXY1biA0HrB3e1d_4INL3Qq2oamcd-YaXVjjI9z81iF6f5q_zRbZ8vX5ZTZdZiXnhGScCUJWnBcTa6VRtpRCCUPXJV0rxpIQImfF2hDLDaV2sirAMlFaS4woGRg-RPf93qYNnx3End66WIL3pobQRc2kEooXnMlE7_7QTejaOl2XVCGkIkyppB56VbYhxhasblq3Ne1RU6JPWeqUpf7JMtlxbw_Ow_F_qBfTeT_xDcoEc7Q</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Germini, Federico</creator><creator>Chai‐Adisaksopha, Chatree</creator><creator>Pete, Drashti</creator><creator>Curtis, Randall</creator><creator>Frick, Neil</creator><creator>Nichol, Michael B.</creator><creator>Noone, Declan</creator><creator>O'Mahony, Brian</creator><creator>Page, David</creator><creator>Stonebraker, Jeffrey S.</creator><creator>Thabane, Lehana</creator><creator>Crowther, Mark A</creator><creator>Skinner, Mark W</creator><creator>Iorio, Alfonso</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>202111</creationdate><title>Evaluation of the sexual health in people living with hemophilia</title><author>Germini, Federico ; Chai‐Adisaksopha, Chatree ; Pete, Drashti ; Curtis, Randall ; Frick, Neil ; Nichol, Michael B. ; Noone, Declan ; O'Mahony, Brian ; Page, David ; Stonebraker, Jeffrey S. ; Thabane, Lehana ; Crowther, Mark A ; Skinner, Mark W ; Iorio, Alfonso</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3300-32400b3398ff5a7fc5474a1dc1d72230044629da0f3a11f8b9ef24cff0a4c2ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Chronic pain</topic><topic>Hemophilia</topic><topic>patient reported outcome</topic><topic>Sexual health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Germini, Federico</creatorcontrib><creatorcontrib>Chai‐Adisaksopha, Chatree</creatorcontrib><creatorcontrib>Pete, Drashti</creatorcontrib><creatorcontrib>Curtis, Randall</creatorcontrib><creatorcontrib>Frick, Neil</creatorcontrib><creatorcontrib>Nichol, Michael B.</creatorcontrib><creatorcontrib>Noone, Declan</creatorcontrib><creatorcontrib>O'Mahony, Brian</creatorcontrib><creatorcontrib>Page, David</creatorcontrib><creatorcontrib>Stonebraker, Jeffrey S.</creatorcontrib><creatorcontrib>Thabane, Lehana</creatorcontrib><creatorcontrib>Crowther, Mark A</creatorcontrib><creatorcontrib>Skinner, Mark W</creatorcontrib><creatorcontrib>Iorio, Alfonso</creatorcontrib><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Haemophilia : the official journal of the World Federation of Hemophilia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Germini, Federico</au><au>Chai‐Adisaksopha, Chatree</au><au>Pete, Drashti</au><au>Curtis, Randall</au><au>Frick, Neil</au><au>Nichol, Michael B.</au><au>Noone, Declan</au><au>O'Mahony, Brian</au><au>Page, David</au><au>Stonebraker, Jeffrey S.</au><au>Thabane, Lehana</au><au>Crowther, Mark A</au><au>Skinner, Mark W</au><au>Iorio, Alfonso</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of the sexual health in people living with hemophilia</atitle><jtitle>Haemophilia : the official journal of the World Federation of Hemophilia</jtitle><date>2021-11</date><risdate>2021</risdate><volume>27</volume><issue>6</issue><spage>993</spage><epage>1001</epage><pages>993-1001</pages><issn>1351-8216</issn><eissn>1365-2516</eissn><abstract>Background
Knowledge about sexual health, difficulty with sexual activity and intimacy (sexual difficulty), in people with hemophilia is little understood.
Objectives
The objectives were to determine the prevalence of sexual difficulty in people living with hemophilia (PWH) compared to people with no bleeding disorders (PWNoBD), and to determine factors associated with it.
Methods
This was an analysis of the PROBE study. We recruited individuals who had hemophilia A or B (PWH) and PWNoBD who were 18 years old or older. We calculated proportions of participants with sexual difficulty and odds ratios (ORs) adjusted for sex and age with 95% confidence intervals.
Results
There were 2007 PWH and 1972 PWNoBD. Mean (standard deviation) age was 41 (15) years in PWH and 42 (13) years in PWNoBD. Sexual difficulty was reported in 302 (15.1%) PWH and 79 (4.0%) PWNoBD. The odds of sexual difficulty were significantly higher in PWH (OR 3.82, 95% CI 2.85, 5.11). Among PWH, older age, experiencing acute or chronic pain in the past 12 months, bleeds within the past two weeks, ≥3 spontaneous joint bleeds (past six months), limitation of range of motion of any joints, and any life‐ or limb‐threatening bleeds in the past 12 months were associated with sexual difficulty.
Conclusions
Sexual difficulty is more prevalent in people living with hemophilia and associated with markers of disease severity. Sexual health issues should be incorporated in comprehensive hemophilia care, future research, and hemophilia related health policy.</abstract><cop>Chichester</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/hae.14410</doi><tpages>9</tpages></addata></record> |
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| ispartof | Haemophilia : the official journal of the World Federation of Hemophilia, 2021-11, Vol.27 (6), p.993-1001 |
| issn | 1351-8216 1365-2516 |
| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Chronic pain Hemophilia patient reported outcome Sexual health |
| title | Evaluation of the sexual health in people living with hemophilia |
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