Sexual Health Problems among Service Men: The Influence of Posttraumatic Stress Disorder

Kolaja, Claire A.; Roenfeldt, Kimberly A.; Armenta, Richard F.; Schuyler, Ashley C.; Orman, Jean A.; Stander, Valerie A.; LeardMann, Cynthia A.

doi:10.1080/00224499.2020.1855622

Cited by 3 publications

(2 citation statements)

References 76 publications

(111 reference statements)

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“…Evidence suggests that military service members and veterans may be at increased risk for ED. 39 ; however, this study did not incorporate Veterans Affairs and Tricare data.…”

Section: Discussionmentioning

confidence: 99%

Quantifying the number of US men with erectile dysfunction who are potential candidates for penile prosthesis implantation

et al. 2023

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Introduction Penile prosthesis implantation (PPI) is a treatment option recommended in clinical guidelines for erectile dysfunction (ED). However, a limited number of urologists perform PPI procedures in the United States. Aim To quantify the number of insured men with ED in the United States and project the number of potential candidates for PPI in 2022. Methods An Excel-based disease impact model was constructed using a top-down estimation approach. The starting US male population consisted of adult men from 2022 US Census data after exclusion of age-specific mortality rates from the National Vital Statistics Reports. Men with health insurance were included in the model based on insurance status data from the US Census database. ED prevalence and ED treatment rates were obtained from administrative claims data analyses—the Merative MarketScan Commercial Database (18-64 years) and the 5% Medicare Standard Analytical Files (≥65 years)—and literature-based estimates of patient-reported ED prevalence. Outcomes The number of men with ED in the United States and the number of potential candidates for PPI were estimated. Results By utilizing ED prevalence based on administrative claims, an estimated 8.3% of insured men (10,302,540 estimated men [8,882,548 aged 18-64 years and 1,419,992 aged ≥65 years]) had a diagnosis of ED and sought ED care, out of 124,318,519 eligible US men aged ≥18 years in 2022. An estimated 17.1% of men with an ED diagnosis claim could benefit from PPI in 2022 (1,759,248 men aged ≥18 years). Patient self-reported ED prevalence across all ages ranged from 5.1% to 70.2%. Scenario analyses applying the patient self-reported ED prevalence range revealed the number of men in the United States who could benefit from PPI could have been higher than 1.7 million if their ED symptoms were diagnosed by health care providers. Clinical Implications Most men with ED in the United States are undertreated, and many could benefit from PPI. Strengths and Limitations This analysis is a US population–level estimation. However, given this study utilized a variety of assumptions, the results may vary if different model assumptions are applied. Conclusions This disease impact model estimated that approximately 10.3 million men were diagnosed with ED by their health care providers and sought ED care in the United States in 2022. Of those, 1.7 million men could be PPI candidates and benefit from the treatment option.

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“…Evidence suggests that military service members and veterans may be at increased risk for ED. 39 ; however, this study did not incorporate Veterans Affairs and Tricare data.…”

Section: Discussionmentioning

confidence: 99%

Quantifying the number of US men with erectile dysfunction who are potential candidates for penile prosthesis implantation

et al. 2023

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“…On the other hand, several prior studies have identified the direct impact of trauma on sexual problems among male veterans irrespective of their PTSD symptoms [ 15 , 16 ]. The recent study of Kolaja and colleagues found that PTSD symptoms mediated the impact of traumatic experiences on sexual health problems among veterans [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Sexual Dysfunctions among Veterans with and without PTSD

2023

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Background: Research on the relationship between posttraumatic stress disorder (PTSD) and sexual dysfunctions (SD) has clearly recognized the association among these conditions. The main objective of this research was to compare the levels of the overall and the level of certain domains of sexual functioning among veterans with and those without PTSD. Methods: Two hundred and fifty veterans with PTSD and 187 veterans without PTSD were included in the comparative study. The following assessments were conducted: LEC-5, PCL-5, ITQ, IIEF, PEDT, and MINI. Results: Veterans with PTSD had significantly higher levels of all types of SD in the PTSD group compared with the non-PTSD veterans. Veterans with PTSD more frequently experienced psychiatric and somatic comorbidities and use of medication that may contribute to the occurrence and severity of SD. Conclusions: The present study emphasized that SDs are an important issue among patients with PTSD. The study comprehensively accounted for conditions that may contribute to the occurrence and severity of SD among veterans with PTSD. Future directions of the research that could further improve the healthcare of the patients were indicated.

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The Millennium Cohort Study: The first 20 years of research dedicated to understanding the long-term health of US Service Members and Veterans

Belding

Castañeda

Jacobson

et al. 2022

Annals of Epidemiology

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Sexual Health Problems among Service Men: The Influence of Posttraumatic Stress Disorder

Cited by 3 publications

References 76 publications

Quantifying the number of US men with erectile dysfunction who are potential candidates for penile prosthesis implantation

Quantifying the number of US men with erectile dysfunction who are potential candidates for penile prosthesis implantation

Sexual Dysfunctions among Veterans with and without PTSD

The Millennium Cohort Study: The first 20 years of research dedicated to understanding the long-term health of US Service Members and Veterans

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