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J Trauma Stress. 2016 Jun;29(3):229-36. doi: 10.1002/jts.22097. Epub 2016 Apr 29.

Sexual Health in Male and Female Iraq and Afghanistan U. S. War Veterans With and Without PTSD: Findings From the VALOR Cohort.

Author information

1
Department of Urology, University of California San Francisco, San Francisco, California, USA.
2
Division of Epidemiology, New England Research Institutes, Watertown, Massachusetts, USA.
3
Departments of Medicine and Psychiatry, University of California, San Francisco, Veterans Administration Medical Center, San Francisco, California, USA.
4
VA Boston Healthcare System, Boston, Massachusetts, USA.
5
Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA.
6
National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA.

Abstract

We sought to determine whether posttraumatic stress disorder (PTSD) was associated with sexual health in returned warzone-deployed veterans from the recent Iraq and Afghanistan conflicts. We studied 1,581 males and females from the Veterans After-Discharge Longitudinal Registry, a gender-balanced U.S. Department of Veterans Affairs registry of health care-seeking veterans with and without PTSD. Approximately one quarter (25.1%) of males (n = 198) and 12.7% of females (n = 101) had a sexual dysfunction diagnosis and/or prescription treatment for sexual dysfunction. Both genders were more likely to have a sexual dysfunction diagnosis and/or prescription treatment if they had PTSD compared with those without PTSD (male: 27.3% vs. 21.1%, p = .054; female: 14.9% vs. 9.4%, p = .022). Among the 1,557 subjects analyzed here, males with PTSD had similar levels of sexual activity compared to those without PTSD (71.2% vs. 75.4%, p = .22), whereas females with PTSD were less likely to be sexually active compared to females without PTSD (58.7% vs. 72.1%, p < .001). Participants with PTSD were also less likely to report sex-life satisfaction (male: 27.6% vs. 46.0%, p < .001; female: 23.0% vs. 45.7%, p < .001) compared with those without PTSD. Although PTSD was not associated with sexual dysfunction after adjusting for confounding factors, it was significantly negatively associated with sex-life satisfaction in female veterans with a prevalence ratio of .71, 95% confidence interval [.57, .90].

PMID:
27128485
PMCID:
PMC4899252
DOI:
10.1002/jts.22097
[Indexed for MEDLINE]
Free PMC Article

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