Evidence map›Paper›PMID 23640604›Full record

ArticleJournal of hypertension2013

Sexual activity and function among middle-aged and older men and women with hypertension.

Erica S Spatz, Maureen E Canavan, Mayur M Desai, Harlan M Krumholz, Stacy T Lindau

Open access · greenAbstract read
In one paragraph

Article in Journal of hypertension, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Erica S SpatzSection of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, CT 06520-8088, USA. erica.spatz@yale.edu
Maureen E Canavan
Mayur M Desai
Harlan M Krumholz
Stacy T Lindau
Yale University · USNational Opinion Research Center · USYale New Haven Hospital · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI MARSHALL H CHIN · 2011 to 2026
$10.0M
Center for Cardiovascular Outcomes Research at Yale UniversityU01HL105270 · NHLBI · YALE UNIVERSITY · PI CURTIS, JEPTHA PELHAM, KRUMHOLZ, HARLAN MARC · 2010 to 2013
$5.8M
PROGRAM DEVELOPMENT COREP30AG012857 · NIA · NATIONAL OPINION RESEARCH CENTER · PI WAITE, LINDA · 1999 to 2013
$5.7M
Sexuality, Aging and Heart Disease: Translating from Population to PatientK23AG032870 · NIA · UNIVERSITY OF CHICAGO · PI LINDAU, STACY TESSLER · 2009 to 2012
$747k
NHLBI NIH HHS U01 HL105270NHLBI NIH HHS U01 HL105270-03NHLBI NIH HHS U01-HL105270-03NIA NIH HHS 1K23AG032870-01A1NIA NIH HHS 5P30 AG012857NIA NIH HHS K23 AG032870NIA NIH HHS P30 AG012857NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

objectiveTo determine the association of hypertension (HTN) and its treatment with sexual function in middle-aged and older adults.

methodsWe studied a nationally representative sample of community-residing adults aged 57-85 years (n = 3005) from the National Social Health, Life and Aging Project. Adults were categorized by HTN status (treated, untreated, and no HTN). Antihypertensive medication use was classified into calcium channel blocker; β-blocker; angiotensin-converting enzyme inhibitor/angiotensin receptor blocker; diuretic; and α-blocker. For each HTN and medication group, we determined the prevalence and adjusted odds of being sexually active and of having any sexual problem.

resultsAmong men, comparing treated HTN with untreated HTN and no HTN, sexual activity was less prevalent (66.5 vs. 75.9 vs.71.5%, P <0.01) and sexual problems were more prevalent (69.1 vs. 57.7 vs. 54.3%; P ≤ 0.01). There was no association between treated HTN and sexual activity [odds ratio, OR = 0.86 (95% confidence interval 0.51-1.45)] and a nonsignificant association between treated HTN and sexual problems [OR = 1.49 (0.94-2.37)]. Among women, the prevalence of sexual activity was lower in the treated and untreated HTN groups than the no HTN group (35.2 vs. 38.3 vs. 58.0%, P <0.01); the prevalence of sexual problems was similar (73.7 vs. 65.3 vs. 71.7%; P = 0.301). Women in the treated HTN [OR = 0.61 (0.39-0.95)] and untreated HTN [0.54 (0.30-0.96)] groups had a lower odds of sexual activity compared with no HTN. There were no significant associations between antihypertensive medication class and sexual activity or problems in men or women.

conclusionThe relationship between HTN and sexual health is different for older men and women. Prospective, comparative effectiveness trials are needed.

Indexed as

Sexual BehaviorAgedAged, 80 and overAntihypertensive AgentsFemaleHumansHypertensionMaleMiddle AgedSex FactorsSexual Dysfunction, PhysiologicalUnited StatesAntihypertensive Agents

Identifiers

PMID23640604
PMCPMC3837567
OpenAlexW1966138309

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.