Impact of Women's Sexual Health on Prostate Cancer Risk in Men

Mboudou Michel Salomon
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Abstract

Introduction: Prostate cancer is a significant health issue for men. This study investigates whether women’s sexual health and relationship satisfaction influence prostate cancer risk in their male partners. Methods: We conducted a prospective cohort study involving 1,000 heterosexual couples where the male partner was over 40 years old. Couples in stable relationships with no prior history of prostate cancer were included. Baseline data included demographic information, medical history, lifestyle factors, the Female Sexual Function Index (FSFI) and the Dyadic Adjustment Scale (DAS) to assess women’s sexual health and relationship satisfaction. Sexual activity frequency was also recorded. Participants were followed annually for 10 years to track prostate cancer incidence in men. We used Pearson correlation and multivariate Cox proportional hazards regression for statistical analysis. Results: We found a significant negative correlation between FSFI scores and prostate cancer incidence (r = -0.42, p < 0.05). Higher DAS scores and more frequent sexual activity were also associated with a reduced risk of prostate cancer (r = -0.35 and r = -0.38, respectively, both p < 0.05). These results suggest that better sexual function and relationship satisfaction in women are linked to a lower risk of prostate cancer in their male partners. Conclusion: Women’s positive sexual health and relationship satisfaction may reduce prostate cancer risk in men. These findings underscore the importance of considering partner dynamics in prostate cancer prevention strategies and encourage further research into underlying mechanisms.
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女性性健康对男性前列腺癌风险的影响
导言前列腺癌是男性的重大健康问题。本研究调查了女性的性健康和关系满意度是否会影响其男性伴侣患前列腺癌的风险:我们进行了一项前瞻性队列研究,涉及 1000 对男性伴侣年龄超过 40 岁的异性伴侣。研究对象包括关系稳定、无前列腺癌病史的夫妇。基线数据包括人口统计学信息、病史、生活方式因素、女性性功能指数(FSFI)以及用于评估女性性健康和夫妻关系满意度的 "夫妻适应量表"(DAS)。此外,还记录了性活动频率。每年对参与者进行为期 10 年的跟踪调查,以追踪男性前列腺癌的发病率。我们使用皮尔逊相关性和多变量考克斯比例危险回归进行统计分析:我们发现,FSFI 评分与前列腺癌发病率之间存在明显的负相关(r = -0.42,p < 0.05)。更高的 DAS 评分和更频繁的性活动也与前列腺癌风险的降低有关(r = -0.35 和 r = -0.38,均 p <0.05)。这些结果表明,女性较好的性功能和关系满意度与其男性伴侣患前列腺癌的风险较低有关:结论:女性积极的性健康和关系满意度可降低男性患前列腺癌的风险。这些发现强调了在前列腺癌预防策略中考虑伴侣动态的重要性,并鼓励进一步研究其潜在机制。
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