Sexual function in F-111 maintenance workers: the study of health outcomes in aircraft maintenance personnel.
BACKGROUND
In Australia, four formal F-111 fuel tank deseal/reseal (DSRS) repair programs were implemented over more than two decades, each involving different processes and using a range of hazardous substances. However, health concerns were raised by a number of workers. The "Study of Health Outcomes in Aircraft Maintenance Personnel" was commissioned by the Australian Department of Defence to investigate potential adverse health outcomes as a result of being involved in the deseal/reseal processes.


OBJECTIVE
To compare measures of sexual function in F-111 aircraft fuel tank DSRS maintenance workers, against two appropriate comparison groups.


METHODS
Exposed and comparison participants completed a postal questionnaire which included general questions of health and health behavior, and two specific questions on sexual functioning. They also completed the International Index of Erectile Function (IIEF) questionnaire. Logistic regression was used to explore exposure status and outcome while adjusting for potential confounders.


METHODS
The three outcomes of interest for this study were the proportion of participants with erectile dysfunction (ED) according to the IIEF, the proportion with self-reported loss of interest in sex, and the proportion with self-reported problems with sexual functioning.


RESULTS
Compared with each of the comparison groups, a larger proportion of the exposed group reported sexual problems and were classified as having ED according to the IIEF. In logistic regression, the odds of all three outcomes were higher for exposed participants relative to each comparison group and after adjustment for potentially confounding variables including anxiety and depression.


CONCLUSIONS
There was a consistent problem with sexual functioning in the exposed group that is not explained by anxiety and depression, and it appears related to DSRS activities.
Brown
Anthony
A
Greater Western Area Health Service, Population Health, Dubbo, NSW, Australia.
Gibson
Richard
R
Centre for Clinical Epidemiology & Biostatistics, The University of Newcastle, Callaghan, NSW, Australia.
Tavener
Meredith
M
Centre for Clinical Epidemiology & Biostatistics, The University of Newcastle, Callaghan, NSW, Australia;. Electronic address: meredith.tavener@newcastle.edu.au.
Guest
Maya
M
Centre for Clinical Epidemiology & Biostatistics, The University of Newcastle, Callaghan, NSW, Australia.
D'Este
Catherine
C
Centre for Clinical Epidemiology & Biostatistics, The University of Newcastle, Callaghan, NSW, Australia.
Byles
Julie
J
Priority Research Centre for Gender, Health and Ageing, The University of Newcastle, Callaghan, NSW, Australia.
Attia
John
J
Centre for Clinical Epidemiology & Biostatistics, The University of Newcastle, Callaghan, NSW, Australia.
Horsley
Keith
K
Department of Veterans' Affairs, Health Studies, Australian Government, Canberra, ACT, Australia.
Harrex
Warren
W
Department of Veterans' Affairs, Primary Care Policy Group, Canberra, ACT, Australia.
Ross
James
J
Defence Health Service Division, Department of Defence, Canberra, ACT, Australia.
D000401:Aircraft; D001359:Aviation; D039721:Diagnostic and Statistical Manual of Mental Disorders; D015386:Hazardous Substances / Q000009:adverse effects; D006304:Health Status; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D009784:Occupational Diseases / Q000139:chemically induced / Q000175:diagnosis* / Q000453:epidemiology*; D009790:Occupations; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires
D015386:Hazardous Substances