Biomarkers of Inflammation Mediate an Association Between Sexual Activity and Quality of Life in Older Adulthood

2017 ◽  
Vol 14 (5) ◽  
pp. 654-658 ◽  
Author(s):  
Mark S. Allen
2015 ◽  
Vol 20 (4) ◽  
pp. 1075-1084 ◽  
Author(s):  
Gabriella Barreto Soares ◽  
Cléa Adas Saliba Garbin ◽  
Tânia Adas Saliba Rovida ◽  
Artênio José Ísper Garbin

The aim of this study is to establish the factors that influence the quality of life of people living with HIV/AIDS being treated at a specialized public service. The participants answered the questionnaire on sociodemographic conditions, issues related to HIV and daily habits. The quality of life was analyzed using the HIV/AIDS-targeted quality of life (HAT-QoL) instrument with 42 items divided into 9 fields: General Activity, Sexual Activity, Confidentiality Concerns, Health Concerns, Financial Concerns, HIV Awareness, Satisfaction with Life, Issues related to Medication and Trust in the Physician. Bivariate and multiple linear regressions were performed. Of the participants, 53.1% were women and had a mean age of 42 years. In analyzing the quality of life, the HAT-QoL domain with the lowest average was Financial Concerns (39.4), followed by Confidentiality Concerns (43.2), Sexual Activity (55.2) and Health Concerns (62. 88). There was an association between the variables: not being gainfully employed (p < 0.001), being mulatto or black (p = 0.045) and alcohol consumption (p = 0.041) with the worst quality of life scores. Inadequate socioeconomic and health conditions had a negative impact on the quality of life of people with HIV/AIDS.


2017 ◽  
Vol 7 (8) ◽  
pp. 104
Author(s):  
Cristilene Akiko Kimura ◽  
Ivone Kamada ◽  
Dirce Bellezi Guilhem ◽  
Breno Silva de Abreu De Abreu ◽  
Renata Costa Fortes ◽  
...  

The colostomized person's perceptions regarding sexuality and sexual activity is a major component of quality of life and nursing care, however due to several limitations, the questionnaire only approach, although validated for such applications, has not enough resolution, due to its qualitative approach, to capture more delicate aspects of the impact of an ostomy onto a otherwise healthy patient. In order to correct such bias, a exploratory-descriptive study of a qualitative approach based on Bardain’s content analysis was conducted.  80 colostomized participants were recruited from Stomatology Outpatient Clinics in the Hospital de Base, Regional Hospital of Asa Norte and the Regional Hospital of Gama, Distrito Federal, Brazil. Data was collected through a clinical and sociodemographic questionnaire, as well as an individual interview. The results are presented in five categories: self-concept, leakage issues, odor and gases, stigma, sexual activity and companionship. The analysis suggests that the fulfillment of nursing care ideals, through clear and objective communication, results in the colostomized person's care and can favor in the acceptance of their new way of living. The exchange of knowledge and practices between the colostomized patient and the medical care support crew, in special the nursing care, allows the establishment of strategies that contribute gradually to the full health care, promoting the improvement of the QoL of both the colostomized person as well his/her partner. It is concluded that health services should provide care process in health and nursing, with the purpose of guaranteeing means for the planning of a holistic implementation of health care. This planning should include the psychological support and the educational process that develops one's ability for self-care, which may interfere in the role of sexuality and sexual activity, in addition to the physiological, psychological and social issues.


2018 ◽  
Vol 299 (1) ◽  
pp. 191-201 ◽  
Author(s):  
Sebastian Mayer ◽  
Severine Iborra ◽  
Donata Grimm ◽  
Lisa Steinsiek ◽  
Sven Mahner ◽  
...  

2018 ◽  
Vol 75 (3) ◽  
pp. 246-252
Author(s):  
Gora Miljanovic ◽  
Milan Marjanovic ◽  
Sonja Radakovic ◽  
Miljojko Janosevic ◽  
Tatjana Mraovic ◽  
...  

Background/Aim. Chronic renal disease is one of the growing problems all over the world. Health-related quality of life (HRQoL) is an important indicator for those with a chronic disease, such as chronic renal disease, because it may serve as predictor of mortality and hospitalization. The aim of this study was to assess HRQoL in patients on chronic maintenance hemodialysis (HD), and compare it with patients suffering from hypertension (HTA), and normal controls of the same age and gender (C). Methods. The study enrolled 224 males and females older than 18 years: 67 in the HD group, 78 in the HTA group, and 79 in the C group. HRQoL was assessed in all groups using 15-D questionnaire. Results. Significantly higher level of education was recorded in the HD group compared to other two groups. In the HD group there were significantly less employed persons (9%) and significantly more retired (67.2%). All groups were similar regarding an average monthly income and marital status. We found significantly lower total HRQoL score in patients in the HD group, compared to normal controls (0.78 ? 0.16 vs. 0.89 ? 0.10 in the HTA and 0.95 ? 0.06 in the C group) as well as specific scores in almost all investigated domains, except in speech, eating and mental functions. Patients in the HD and HTA groups had similar self-reported quality of life in additional 3 domains: hearing, elimination and distress, while the HD group reported significantly lower scores in remaining 9 domains: mobility, vision, breathing, sleeping, usual activities, discomfort and symptoms, depression, vitality and sexual activity. Patients in the HTA group had significantly lower scores than normal controls in 8 domains (hearing, sleeping, elimination, usual activities, discomfort and symptoms, depression, distress and vitality) as well as in total quality of life, while in remaining 4 domains there was no significant difference (mobility, vision, breathing, sexual activity). Conclusion. Both investigated chronic diseases lead to impairment of HRQoL, which is substantially stronger in hemodialysis than in hypertension. Considering the relationship between depression and HRQoL measures, it may be useful to treat depression of HD patients in order to improve their quality of life.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S211-S211
Author(s):  
Wendy Rogers

Abstract Evidence that loneliness and isolation are precursors to myriad negative health issues is accumulating. For older adults, social engagement may be particularly important due to life-changing events that can accompany older adulthood, including retirement, disease, or mobility limitations. Individuals vary in their levels of social engagement, and these differences may have consequential effects on quality of life. Technology has the potential to create and enhance social engagement opportunities for older adults at risk for social isolation. For such technology innovations to be effective and widely adopted, designers must consider the unique needs, capabilities, limitations, and preferences of older adults. I will describe technologies that currently exist (e.g., apps, mobile devices, social networking) or are being developed (e.g., robotics, telepresence, virtual reality) to support social engagement, connectedness, and community participation. I will discuss the potential of these technologies as well as the design and training challenges unique to older adults.


2020 ◽  
Vol 37 (5) ◽  
pp. 1451-1471
Author(s):  
Jeffrey E. Stokes ◽  
Elizabeth Gallagher ◽  
Remona Kanyat ◽  
Cindy Bui ◽  
Celeste Beaulieu

Marital status and marital status transitions have known implications for adults’ mental and physical quality of life. Less attention has been paid, however, to the implications of marital status and transitions for sexual quality of life, particularly among the aging population. The present study analyzed three-wave longitudinal data from the National Survey of Midlife Development in the U.S. (1995–2014) in order to examine the effects of marital status/transitions on adults’ frequency of sexual activity, sexual satisfaction, effort put into sexual life, and control over sexual life. Further, this study assessed whether the implications of marital status/transitions for adults’ sexual quality of life varied according to (a) pre-transition reports of sexual quality of life, (b) gender, and/or (c) age. Multilevel lagged dependent variable models analyzed 2,869 observations drawn from 1,769 midlife and older adults over a two-decade span. Results indicated that the implications of marital status and marital status transitions for sexual life (a) were contingent upon baseline context across all four sexual quality of life outcomes, (b) varied by gender across three of the four sexual quality of life outcomes, and (c) varied only slightly by age concerning frequency of sexual activity. Overall, findings indicated that marital status transitions may be either beneficial or detrimental for adults’ sexual lives, depending on prior context; marital status transitions were most beneficial for sexual quality of life when baseline reports of sexual life were poor. Moreover, women were less likely to reap the potential rewards of marital status transitions such as divorce and widowhood, reflecting stronger social and normative constraints upon unmarried women’s sexuality, particularly for older women. We situate these findings within the growing literature concerning marital status transitions, the “graying of divorce,” and sexual life among the aging population.


2017 ◽  
Vol 35 (6_suppl) ◽  
pp. 268-268
Author(s):  
Peter Hammerer ◽  
Lukas Manka ◽  
Manfred Wirth

268 Background: LHRH analogs are the gold standard for treatment of patients with hormone-sensitive advanced PCa. In this study, we investigated the quality of life (QoL) of PCa patients under long-term treatment with leuprorelin acetate in microcapsules (1, 3, and 6 month depot formulation) for up to 19.8 years. Methods: Observational and retrospective analysis of data from 536 PCa patients treated with leuproreline and 116 patients of a control group (CG, ≥ 77 years of age, > 5 years urological treatment, no cancer, no ADT). Data was collected in 30 German office based urological practices using EORTC questionnaires QLQ-C30 and QLQ-PR25. Results: Mean treatment duration was 8.6 years (range: 4.5 - 19.8 years). Mean age ± SD of PCa patients (79.6 ± 6.3 years) was comparable to CG (80.5 ± 3.1 years), as were body height, weight, BMI, and Karnofsky-Index (88.0 ± 12.7 vs. 88.4 ± 12.0). The general health status (QLQ-C30) was comparable for PCa patients vs. CG: 64.6 ± 20.5 vs. 66.8 ± 20.3; p = 0.3117. Marginal differences were observed regarding physical functioning (73.2 ± 23.1 vs. 78.1 ± 21.0; p = 0.0402) and role functioning (70.6 ± 30.4 vs. 74.4 ± 25.7; p = 0.1648). PCa patients rated fatigue (33.6 ± 25.1 vs. 28.8 ± 23.3; p = 0.0629), dyspnoea (24.0 ± 28.5 vs. 19.6 ± 26.9; p = 0.1307), and insomnia (28.9 ± 32.6 vs. 23.7 ± 27.2; p = 0.0751) slightly worse than CG. As assessed by QLQ-PR25, PCa patients scored lower on sexual activity (12.0 ± 20.6 vs. 23.7 ± 25.7; p < 0.0001) and sexual function (43.3 ± 25.8 vs. 55.9 ± 27.0; p = 0.0067) compared to CG. PCa patients had less urinary tract symptoms (28.2 ± 19.8 vs. 31.2 ± 19.2; p = 0.1472) but stronger symptoms of androgen deprivation (21.4 ± 17.3 vs. 10.8 ± 13.2; p < 0.0001), and they had a higher need of incontinence aids (29.6 ± 34.2 vs. 16.7 ± 20.5; p = 0.0056) – however, 136 of the 536 PCa patients had a prostatectomy. Conclusions: In this study, PCa patients treated with leuprorelin for up to 19.8 years (8.6 years on average) had an overall QoL comparable to an age-matched control group. As expected, sexual activity and sexual function were lower in PCa patients under ADT. Overall, treatment with leuprorelin is a well-tolerated long-term therapy for patients with hormone-sensitive advanced PCa. Clinical trial information: ENA E005(a) / DE-N-LEU-019(a).


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Pinja Ilmarinen ◽  
Hind Juboori ◽  
Leena E. Tuomisto ◽  
Onni Niemelä ◽  
Harri Sintonen ◽  
...  

Abstract Health-related quality of life (HRQoL) is a well-established aspect of health that can be measured by both disease-specific and general instruments. The effect of uncontrolled asthma on generic HRQoL has not been shown in patients with clinically confirmed adult-onset asthma and with asthma control defined according to the Global Initiative for Asthma, so the aim of this study was to determine this. In the 12-year follow-up cohort of the Seinäjoki Adult Asthma Study (n = 203), patients with uncontrolled and partially controlled asthma had lower generic HRQoL as determined by 15D compared to the controlled group. On 10 out of 15 dimensions of 15D, the mean scores were significantly lower in patients with uncontrolled asthma compared with those with controlled asthma. The affected dimensions were mobility, breathing, sleeping, usual activities, mental function, discomfort and symptoms, depression, distress, vitality and sexual activity. In the Tobit regression analysis, a poorer 15D score was associated with uncontrolled asthma, lower postbronchodilator FEV1, female sex, depression, treated dyspepsia and poorer 15D score at diagnosis. Our results show that uncontrolled asthma affects everyday life in several aspects, including previously unknown components such as sexual activity and vitality.


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