| Beyond the Abstract - Sexual Function Reported by Japanese and American Men |
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| Tuesday, 15 January 2008 | ||
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BERKELEY, CA (UroToday.com) - We conducted a cross-cultural comparison of sexual function and bother in men with localized prostate cancer in the U.S. and Japan. Japanese men were more likely than American men to report poor sexual desire (OR = 21.2; 95% CI = 12.2–37.0), poor erection ability (OR = 16.2; 95% CI = 9.7–27.1), poor overall ability to function sexually (OR = 16.7; 95% CI = 9.7–28.9), poor ability to attain orgasm (OR = 1.7; 95% CI = 1.3–2.3), poor quality of erections (OR = 2.5; 95% CI = 1.9–3.5), infrequency of sexual erections (OR = 2.3; 95% CI = 1.7–3.1), infrequency of morning erections (OR = 2.7; 95% CI = 1.8–4.2), and intercourse in the previous 4 weeks (OR = 2.7; 95% CI = 1.9–3.8). However, Japanese men were less likely than American men to be bothered by their sexual function (OR = 0.36, 95% CI = 0.24–0.54). In addition, Japanese-American men tended to report sexual function that more closely resembled their counterparts in Japan than in the US. From these data, Japanese men with localized prostate cancer report worse sexual function and less bother from the reduced function than do American men. Cultural differences appear to have played an important role in the reporting of sexual activity and the perception of related distress. Written by
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