Intercourse Avoidance among Women with Coronary Artery Disease

摘要

Introduction Avoidance of sexual intercourse has not been frequently studied among patients with chronic medical conditions and patients with coronary artery disease ( CAD ) are not exception. Aim We aimed to (i) compare intercourse avoidance during the past 2 weeks among women with CAD and healthy controls; and (ii) to determine factors associated with intercourse avoidance during the past 2 weeks among women with CAD . Methods This study was conducted in an outpatient cardiology clinic in T ehran, I ran. The study included 152 married women with CAD and 50 controls. Socio‐demographic and clinical data including the severity of angina ( WHO R ose Q uestionnaire), risk factors (cigarette smoking, hyperlipidemia, diabetes, and obesity), fatigue, physical function (visual analogue scale [ VAS ]) and somatic comorbidities [ I fudu index], symptoms of anxiety and depression ( H ospital A nxiety and D epression S cale [ HADS ]), and dyadic adjustment ( R evised‐ D yadic A djustment S cale [ R ‐ DAS ]) were considered as independent variables. Logistic regression was used to determine predictors of sexual avoidance during the past 2 weeks. Main Outcome Measures The main outcome was intercourse avoidance over a 2‐week period, measured by the R elation and S exuality S cale ( RSS ). Result Avoidance of intercourse during the past 2 weeks was higher among women with CAD than controls (73.0% vs. 56%, P  = 0.024). According to the logistic regression, intercourse avoidance was positively associated with age (Odds ratio [ OR ] = 1.127, 95% confidence interval [ CI ] = 1.073, 1.185), somatic comorbidities ( OR  = 1.137, 95% CI  = 1.061, 1.218) and depressive symptoms ( OR  = 1.150, 95% CI  = 1.022, 1.293). Conclusion Our study suggests that among women with CAD , age, depressive symptoms and somatic comorbidities are associated with avoidance of intercourse. As having intercourse is safe among patients with stable CAD , all health professionals should discuss sexual behaviors with their female CAD patients, especially those that are older, with higher depressive symptoms or multiple comorbidities so as to allay fears about sexual functioning. Assari S . Intercourse avoidance among women with coronary artery disease. J Sex Med 2014;11:1709–1716.