Should information about sexual health be included in education directed toward men with cardiovascular diseases?

Kałka, Dariusz; Zdrojowy, Romuald; Womperski, Krzysztof; Gebala, Jana; Smoliński, Ryszard; Dulanowska, A.; Stolarczyk, Karolina; Dulanowski, J.; Pilecki, Witold; Rusiecki, Lesław

doi:10.1080/13685538.2018.1439911

Cited by 16 publications

(20 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One would expect that the accumulation of risk factors could be linked to patients’ socioeconomic factors, insofar as a lower status could indicate a lack of awareness of their negative influence on sexual functioning and the resulting lack of need to address them. However, Kałka et al (2018) showed in a group of 417 men at a mean age of 61.10 ± 9 years with CVD and ED that both a higher education ( p < .0001) and a higher economic status ( p < .0004) were significantly correlated with a higher number of known risk factors for ED.…”

Section: Discussionmentioning

confidence: 94%

“…It should be kept in mind that the patients analyzed in this group had atherosclerosis, and a substantial number of them did not present with any significant past coronary incidents. In such patients, the presence of ED is caused by restrictions that result from the underlying disease, such as a substantially limited exercise tolerance, a lowered left ventricular ejection fraction, pharmacotherapy for IHD, or hormonal changes (Kałka, Karpiński, et al, 2017; Kałka et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Influence of Socioeconomic Status on the Presence and Degree of Erectile Dysfunction in Men With Coronary Artery Disease—A Cross-Sectional Study

et al. 2019

Self Cite

View full text Add to dashboard Cite

Impairment of social functioning and low economic status may lead to the development of cardiovascular disease (CVD). This study aimed to evaluate the relationship between socioeconomic status (SES) and erectile dysfunction (ED) in patients with clinically significant CVD. A total of 808 male patients with ischemic heart disease (IHD) were recruited. Socioeconomic and demographic data as well as occupational data and the presence of modifiable risk factors were collected. Erection quality was assessed using the International Index of Erectile Function 5 (IIEF-5), while physical activity was evaluated using a modified Framingham questionnaire. Relationships among the presence of socioeconomic factors (marital status, education, income, occupational status, nature of work conducted, and demographic data), intensity of ED, and time from diagnosis of IHD were assessed. ED was diagnosed in 618 men (76.49% overall; severe in 23.14%, moderate to severe in 13.11%, moderate in 32.20%, mild in 31.55%). Patients with ED were older (61 ± 8.6 vs. 53 ± 9.1 years; p < .0001), were less active (6.97 ± 2.18 vs. 8.31 ± 2.34 Metabolic Equivalent [METs]; p < .0001), and had more modifiable risk factors (3.4 ± 1.1 vs. 3.2 ± 1.0; p < .0300). Higher education was associated with a lower probability of the occurrence of ED (OR = 0.7546; 95% CI [0.6221, 0.9153]). In patients with newly diagnosed IHD, SES correlated significantly with the presence of ED (p = .009). Education in patients suffering from CVD has a significant relationship with both the occurrence and degree of ED. Economic status was significantly linked to the presence and degree of ED only in patients with IHD diagnosed less than 2 months before entering the study.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

The Influence of Socioeconomic Status on the Presence and Degree of Erectile Dysfunction in Men With Coronary Artery Disease—A Cross-Sectional Study

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Of all the factors connected with ED, the patients were least informed on the effect of leisure-time physical activity on penile erection. 61 , 62 The men themselves do not draw the parallel that physical activity reduces both their arteriosclerosis and at the same time their (risk of developing) vascular ED. Therefore, cardiac HPs are recommended to address how and why the PAVED intervention works.…”

Section: Discussionmentioning

confidence: 99%

Acceptability of Health Professionals’ Address of Sexuality and Erectile Dysfunction - A Qualitative Interview Study with Men in Cardiac Rehabilitation

et al. 2021

View full text Add to dashboard Cite

Introduction In the developing phase of the complex health intervention: Physical Activity to reduce Vascular Erectile Dysfunction (PAVED), it is crucial to explore whether men can accept the communicative component regarding information that regular aerobe Physical Activity can reduce Erectile Dysfunction (i-PAVED). This information is provided by health professionals (HPs) in cardiac rehabilitation, where sexuality issues such as erectile dysfunction (ED) are otherwise rarely addressed. Aim To explore how acceptance of cardiac HPs’ address of sexuality, ED, and i-PAVED can be identified in men's narratives. Methods In this descriptive qualitative study, we conducted semi-structured individual interviews with 20 men (range 48-78 years of age) attending municipal cardiac secondary prevention and rehabilitation programmes on their acceptance of HPs’ address of sexuality, ED, and i-PAVED. The Theoretical Framework of Acceptability components (affective attitude, burden, ethicality, intervention coherence, perceived effectiveness, opportunity costs and self-efficacy) and three temporal perspectives (retrospective, concurrent and prospective) were used in the concept-driven first step of a content analysis, which was followed by a thematically data-driven second step. Main Outcome Measures Men anticipated and experiential acceptance was identified in six out of seven components of Theoretical Framework of Acceptability. Results Men acceptance was identified as “expression of interest,” “addressing sexuality,” “attitudes and values,” “understandable and meaningful,” “insights” and “motivation,” whereas no narratives were identified in relation to the component of opportunity costs. Conclusion As an aspect of the development of the complex cardiovascular health care intervention PAVED, this qualitative study showed that men attending cardiac secondary prevention and rehabilitation seemed to prospectively accept the communicative component of PAVED being HPs’ address of sexuality, ED, and i-PAVED, if the HPs are professional, educated and competent in the field of sexual health. Gerbild H, Areskoug-Josefsson K, Larsen CM, et al. Acceptability of Health Professionals’ Address of Sexuality and Erectile Dysfunction - A Qualitative Interview Study with Men in Cardiac Rehabilitation. Sex Med 2021;9:100369.

show abstract

“…The lower interest in sexual health among patients with ED may result from too little knowledge about the nature of ED and a lack of motivation to fight for improvement in sexual function. 6 13 Shabsigh et al . 24 drew attention to the low awareness of the occurrence of ED.…”

Section: Discussionmentioning

confidence: 99%

“…The study is a part of the PREVANDRO project as an introduction to targeted education aimed at educating patients on risk factors for ED, its main symptoms, possible therapeutic methods, as well as lifestyle modifications, with the aim of fulfilling the recommendations included in the European documents regarding cardiovascular disease prevention. 3 6 12 13 The education was performed by using a PowerPoint presentation, traditional printed materials (brochures, IIEF-5 questionnaire), and a website (www.kardioseksuologia.pl). The educational activities between 2011 and 2018 have reached 17 942 patients.…”

Section: Methodsmentioning

confidence: 99%

Sexual health in Polish elderly men with coronary artery disease: importance, expectations, and reality

Rusiecki¹,

Zdrojowy

Gebala³

et al. 2020

Asian J Androl

Self Cite

View full text Add to dashboard Cite

Deterioration in overall health, hormonal disturbances, and erectile dysfunction (ED) contributes to limitations in sexual activity in the elderly, which is further limited by incorrect beliefs about the hazards of sexual activity in cardiac patients. We aimed to analyze the occurrence of ED in elderly men, their perception of the relevance of good sexual function, and their expectations of physicians. A cross-sectional study encompassed 731 patients with coronary artery disease (CAD) subjected to cardiac rehabilitation. Demographic data and data on modifiable risk factors and patient expectations were collected. ED was assessed using the IIEF-5 questionnaire. Relationships among the risk factors for ED, occurrence of ED, and patient expectations, as well as the changes in the indicators between 2012 and 2016, were analyzed. The mean age of men was 70.7 ± 5.1 years. The prevalence of ED was 93.0%. The IIEF-5 score was significantly associated with age, tobacco smoking, exercise tolerance, time to diagnosis of CAD, and treatment with calcium channel blockers and diuretics. Patients declared that sexual activity was overall important (47.9%) or very important (25.6%). Three hundred and sixty (49.3%) patients expected their physician to show interest in their sexual health, but the topic was addressed in only 12.5%. Over the past few years, we have observed an increase in the awareness and importance of sexual health as well as a significant increase in patients' expectations of physicians to show interest in their sexual health. Patients' expectations of discussing and receiving treatment for ED remain an unmet medical need.

show abstract

Should information about sexual health be included in education directed toward men with cardiovascular diseases?

Abstract: Cardiac patients with ED know more about risk factors for CVD than ED. It is necessary to include information about the negative impact of modifiable risk factors on sexual health into education programs promoting healthy lifestyles in men with cardiovascular diseases.

Cited by 16 publications

References 40 publications

The Influence of Socioeconomic Status on the Presence and Degree of Erectile Dysfunction in Men With Coronary Artery Disease—A Cross-Sectional Study

The Influence of Socioeconomic Status on the Presence and Degree of Erectile Dysfunction in Men With Coronary Artery Disease—A Cross-Sectional Study

Acceptability of Health Professionals’ Address of Sexuality and Erectile Dysfunction - A Qualitative Interview Study with Men in Cardiac Rehabilitation

Sexual health in Polish elderly men with coronary artery disease: importance, expectations, and reality

Contact Info

Product

Resources

About