Public health · 2026
Associations of age, health literacy, BMI, tobacco use, and COVID-19 infection history with sexual dysfunction among COVID-19 survivors: A multicenter study.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Tran Tu Tuan, Dang Loan Thi, Do Binh N, Do Tinh X, Nguyen Tan T, Pham Khue M, Vu Vinh H, Pham Linh V, Nguyen Hoang C, Nguyen Trung H, Nguyen Anh T, Nguyen Hoan V, Nguyen Phuoc B, Pham Thu T M, Le Thuy T, Nguyen Thao T P, Tran Cuong Q, Duong Tuyen V
Аннотация
OBJECTIVES: Sexual dysfunction is a prevalent and often overlooked issue among COVID-19 survivors. This study aimed to investigate the factors associated with sexual dysfunction in this population.
STUDY DESIGN: A cross-sectional study.
METHODS: A multicenter survey was conducted involving 2809 COVID-19 survivors. Sexual dysfunction was assessed using the 14-item Sexual Functioning Questionnaire (CSFQ-14). Unadjusted and adjusted logistic regression analyses were performed to determine the factors associated with sexual dysfunction.
RESULTS: The CSFQ-14 scores indicated that 52.2% of the participants experienced sexual dysfunction, with higher rates observed among males (53.1%) compared to females (46.9%). Several risk factors were identified, including higher age (odds ratio, OR, 2.20; 95% confident interval, 95%CI, 1.58, 3.07; p < 0.001), a greater number of family members with COVID-19 (OR, 1.28; 95%CI, 1.02, 1.62; p = 0.037), multiple COVID-19 infections (OR, 2.13; 95%CI, 1.20, 3.77; p = 0.01), higher body mass index (BMI) (OR, 1.50; 95%CI, 1.23, 1.81; p < 0.001), COVID-19 treatment at the hospital (OR, 1.26; 95%CI, 1.06, 1.50; p = 0.01), and a history of tobacco use (OR,1.48; 95%CI, 1.13, 1.95; p = 0.005). Conversely, higher education levels (OR, 0.66; 95%CI, 0.53, 0.84; p = 0.001), current employment (OR, 0.64; 95%CI, 0.44, 0.93; p = 0.019), and greater health literacy (OR, 0.98; 95%CI, 0.97, 0.99; p = 0.004) were found to be protective factors against sexual dysfunction.
CONCLUSION: This study highlights the significant burden of sexual dysfunction among COVID-19 survivors. Targeted interventions should focus on weight management, smoking cessation, and improving education and health literacy to enhance sexual well-being in this population.
STUDY DESIGN: A cross-sectional study.
METHODS: A multicenter survey was conducted involving 2809 COVID-19 survivors. Sexual dysfunction was assessed using the 14-item Sexual Functioning Questionnaire (CSFQ-14). Unadjusted and adjusted logistic regression analyses were performed to determine the factors associated with sexual dysfunction.
RESULTS: The CSFQ-14 scores indicated that 52.2% of the participants experienced sexual dysfunction, with higher rates observed among males (53.1%) compared to females (46.9%). Several risk factors were identified, including higher age (odds ratio, OR, 2.20; 95% confident interval, 95%CI, 1.58, 3.07; p < 0.001), a greater number of family members with COVID-19 (OR, 1.28; 95%CI, 1.02, 1.62; p = 0.037), multiple COVID-19 infections (OR, 2.13; 95%CI, 1.20, 3.77; p = 0.01), higher body mass index (BMI) (OR, 1.50; 95%CI, 1.23, 1.81; p < 0.001), COVID-19 treatment at the hospital (OR, 1.26; 95%CI, 1.06, 1.50; p = 0.01), and a history of tobacco use (OR,1.48; 95%CI, 1.13, 1.95; p = 0.005). Conversely, higher education levels (OR, 0.66; 95%CI, 0.53, 0.84; p = 0.001), current employment (OR, 0.64; 95%CI, 0.44, 0.93; p = 0.019), and greater health literacy (OR, 0.98; 95%CI, 0.97, 0.99; p = 0.004) were found to be protective factors against sexual dysfunction.
CONCLUSION: This study highlights the significant burden of sexual dysfunction among COVID-19 survivors. Targeted interventions should focus on weight management, smoking cessation, and improving education and health literacy to enhance sexual well-being in this population.