Medication use and predictors of sexual activity in men and women with CVD
Steinke, Elaine E. Hill, Twyla J. Mosack, Victoria A.
Steinke, Elaine E.
Hill, Twyla J.
Mosack, Victoria A.
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Location
Time Period
Advisors
Original Date
Digitization Date
Issue Date
2016-02
Type
Article
Genre
Keywords
Sexual intimacy,Sexual health,Cardiovascular diseases,Medications
Subjects (LCSH)
Citation
Steinke, E. E., Hill, T. J. and Mosack, V. (2016), Medication use and predictors of sexual activity in men and women with CVD. American Assoc Nurse Prac, 28: 91–97. doi: 10.1002/2327-6924.12253
Abstract
PurposeTo examine the influence of cardiac and noncardiac medications on sexual activity by drug classification and generation of the drug, among men and women with cardiovascular disease.
Data sourcesThis study was a subanalysis (n = 224) of survey data from a cross-sectional sample of 336 cardiac patients. Self-reported medications were categorized by generic drug name, classification, and subclass and/or generation of the drug. Sexual activity was the presence or absence of current sexual activity in the last 2 months.
ConclusionsPatients taking generation one beta blockers, particularly men; diuretics as a class; and loop diuretics, were significantly less likely to be sexually active, with diuretics negatively influencing sexual activity in women, but not men. Certain antidepressant medications positively influenced sexual function, particularly for women. Nearly 20% of the variances in sexual activity were explained by younger age, fewer number of medications, higher education, and having a sexual partner.
Implications for practiceA new finding meriting further study was that loop diuretics negatively impacted sexual activity, particularly for women; and further studies of women overall are clearly needed. Advance practice nurses play an important role in evaluating medications, proactively choosing drugs within a class or subclass less likely to cause sexual problems, and in promoting sexual quality of life of cardiac patients.
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Publisher
Wiley Periodicals, Inc.
Journal
Book Title
Series
Journal of the American Association of Nurse Practitioners;v.28:no.2
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Archival Collection
PubMed ID
DOI
ISSN
2327-6886