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Laumann EO, Paik A, Rosen RC. Sexual Dysfunction in the United States: Prevalence and Predictors. JAMA. 1999;281(6):537–544. doi:10.1001/jama.281.6.537
Author Affiliations: Department of Sociology, University of Chicago, Chicago, Ill (Dr Laumann and Mr Paik); and Department of Psychiatry, University of Medicine and Denistry of New Jersey—Robert Wood Johnson Medical School, Piscataway (Dr Rosen).
Context While recent pharmacological advances have generated
increased public interest and demand for clinical services regarding
erectile dysfunction, epidemiologic data on sexual dysfunction are
relatively scant for both women and men.
Objective To assess the prevalence and risk of experiencing sexual
dysfunction across various social groups and examine the determinants
and health consequences of these disorders.
Design Analysis of data from the National Health and Social Life
Survey, a probability sample study of sexual behavior in a
demographically representative, 1992 cohort of US adults.
Participants A national probability sample of 1749 women and 1410
men aged 18 to 59 years at the time of the survey.
Main Outcome Measures Risk of experiencing sexual dysfunction as
well as negative concomitant outcomes.
Results Sexual dysfunction is more prevalent for women (43%) than
men (31%) and is associated with various demographic characteristics,
including age and educational attainment. Women of different racial
groups demonstrate different patterns of sexual dysfunction.
Differences among men are not as marked but generally consistent with
women. Experience of sexual dysfunction is more likely among women and
men with poor physical and emotional health. Moreover, sexual
dysfunction is highly associated with negative experiences in sexual
relationships and overall well-being.
Conclusions The results indicate that sexual dysfunction is an
important public health concern, and emotional problems likely
contribute to the experience of these problems.
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