Age disparity in couples and the sexual and general health of the male partner.

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-08-19 DOI:10.1111/andr.13738
Clotilde Sparano, Giulia Rastrelli, Giovanni Corona, Linda Vignozzi, Daniele Vignoli, Mario Maggi
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Abstract

Introduction: Several robust epidemiological studies suggest that men are often engaged in sexual relationships with younger women with a variable, age-dependent age difference. However, the ageing process determines a significant worsening of the andrological status, which favors the onset of erectile dysfunction and hypogonadism.

Objectives: To analyze the effects of differences in age between the partners [delta (Δ) age (M - F)] on patients referring to the Andrology Unit of Careggi University Hospital for male sexual dysfunction.

Materials and methods: A monocentre cohort of 4055 male subjects was evaluated by SIEDY structured interview. The cross-sectional analysis assessed the psychobiological and relational correlates. The rate of forthcoming major cardiovascular events (MACE) was investigated in the longitudinal analysis. All the models have been adjusted for age, education, lifestyle, and chronic disease score.

Results: ∆ age (M-F) shows a stepwise increase, according to the increasing age bands of the male partner. ∆ age (M-F) was associated with a greater number of children, at the cost of more conflictual relationships within the family. The phenotype of these relationships is characterized by the report of a partner with a higher sexual desire and a higher ability to reach climax. Men seeking a younger partner show more often a histrionic personality (p = 0.023) and higher testosterone levels (p = 0.032). However, having a younger partner doesn't improve the ability to obtain a full erection. Kaplan-Maier analysis of a longitudinal subgroup of patients followed longitudinally (N = 1402) for 4.3 ± 2,59 years, showed that patients in the fourth quartile had a higher rate of forthcoming MACE versus those in the first quartile (p = 0.005).

Discussion and conclusion: In subjects with sexual dysfunctions (as in the general population) age-different relationships increase as a function of male ageing. A greater Δ age (M-F) is associated with specific men and relationship features and a higher risk of MACE.

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夫妻年龄差距与男性伴侣的性健康和总体健康。
介绍:几项可靠的流行病学研究表明,男性经常与年轻女性发生性关系,其年龄差异各不相同。然而,衰老过程决定了性功能状况的显著恶化,这有利于勃起功能障碍和性腺功能减退症的发生:分析伴侣之间的年龄差异[Δ (Δ)年龄(男-女)]对因男性性功能障碍而到卡雷吉大学医院男性学科就诊的患者的影响:通过SIEDY结构化访谈对4055名男性受试者进行了单中心队列评估。横断面分析评估了心理生物学和关系相关性。纵向分析调查了即将发生的重大心血管事件(MACE)的发生率。所有模型均已根据年龄、教育程度、生活方式和慢性病评分进行了调整:随着男性伴侣年龄段的增加,∆ 年龄(M-F)呈阶梯式增长。∆ 年龄(男-女)与更多的子女有关,但代价是家庭内部更多的冲突关系。这些关系的表型特征是,性伴侣的性欲更强,达到高潮的能力更高。寻找年轻伴侣的男性更经常表现出组织型人格(p = 0.023)和更高的睾酮水平(p = 0.032)。然而,拥有年轻伴侣并不会提高完全勃起的能力。对纵向随访(N = 1402)4.3 ± 2.59 年的患者亚组进行的 Kaplan-Maier 分析显示,第四四分位数患者与第一四分位数患者相比,即将发生 MACE 的比例更高(p = 0.005):在性功能障碍患者中(与普通人群一样),年龄差异关系随着男性年龄的增长而增加。较大的Δ年龄(M-F)与特定男性和关系特征以及较高的MACE风险相关。
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CiteScore
7.20
自引率
4.30%
发文量
567
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