title: Patterns and loss of sexual activity in the year following hospitalization for acute myocardial infarction (a United States National Multisite Observational Study).
abstract: A multisite observational study of sexual activity-related outcomes in patients enrolled in the TRIUMPH registry during hospitalization for an acute myocardial infarction (AMI) was conducted to identify patterns and loss of sexual activity 1 year after hospitalization for AMI. Gender-specific multivariable hierarchical models were used to identify correlates of loss of sexual activity including physician counseling. Main outcome measurements included "loss of sexual activity" (less frequent or no sexual activity 1 year after an AMI in those who were sexually active in the year before the AMI) and 1-year mortality. Mean ages were 61.1 years for women (n = 605) and 58.6 years for men (n = 1,274). Many were sexually active in the year before and 1 year after hospitalization (44% and 40% of women, 74% and 68% of men, respectively). One third of women and 47% of men reported receiving hospital discharge instructions about resuming sex. Those who did not receive instructions were more likely to report loss of sexual activity (women, adjusted relative risk 1.44, 95% confidence interval 1.16 to 1.79; men, adjusted relative risk 1.27, 95% confidence interval 1.11 to 1.46). One year mortality after AMI was similar in those who reported sexual activity in the first month after AMI (2.1%) and those who were sexually inactive (4.1%, p = 0.08). In conclusion, although many patients were sexually active before AMI, only a minority received discharge counseling about resuming sexual activity. Lack of counseling was associated with loss of sexual activity 1 year later. Mortality was not significantly increased in patients who were sexually active soon after their AMI.
authors.affiliation: Department of Obstetrics and Gynecology - Medicine and Geriatrics, University of Chicago Medical Center, Illinois, USA. slindau@uchicago.edu
authors.forename: Stacy Tessler
authors.initials: ST
authors.lastname: Lindau
authors.forename: Emily
authors.initials: E
authors.lastname: Abramsohn
authors.forename: Kensey
authors.initials: K
authors.lastname: Gosch
authors.forename: Kristen
authors.initials: K
authors.lastname: Wroblewski
authors.forename: Erica S
authors.initials: ES
authors.lastname: Spatz
authors.forename: Paul S
authors.initials: PS
authors.lastname: Chan
authors.forename: John
authors.initials: J
authors.lastname: Spertus
authors.forename: Harlan M
authors.initials: HM
authors.lastname: Krumholz
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000523:psychology* / Q000628:therapy; D012042:Registries; D012189:Retrospective Studies; D012307:Risk Factors; D012725:Sexual Behavior; D015996:Survival Rate / Q000639:trends; D013997:Time Factors; D014481:United States / Q000453:epidemiology