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Predictors of Sexual Intercourse Frequency Among Couples Trying to Conceive.
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- Author(s): Gaskins AJ;Gaskins AJ;Gaskins AJ; Sundaram R; Sundaram R; Buck Louis GM; Buck Louis GM; Chavarro JE; Chavarro JE; Chavarro JE; Chavarro JE
- Source:
The journal of sexual medicine [J Sex Med] 2018 Apr; Vol. 15 (4), pp. 519-528. Date of Electronic Publication: 2018 Mar 06.- Publication Type:
Journal Article; Multicenter Study; Research Support, N.I.H., Extramural- Language:
English - Source:
- Additional Information
- Source: Publisher: Oxford University Press Country of Publication: Netherlands NLM ID: 101230693 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1743-6109 (Electronic) Linking ISSN: 17436095 NLM ISO Abbreviation: J Sex Med Subsets: MEDLINE
- Publication Information: Publication: 2023- : [Oxford] : Oxford University Press
Original Publication: Malden, MA : Blackwell Pub. - Subject Terms:
- Abstract: Background: Little is known about the predictors of sexual intercourse frequency (SIF) among couples trying to conceive despite the well-established link between SIF and fecundity.
Aim: To evaluate men's and women's demographic, occupational, and lifestyle predictors of SIF among couples.
Methods: 469 Couples without a history of infertility participating in the Longitudinal Investigation of Fertility and the Environment Study (2005-2009) were followed up for ≤1 year while trying to conceive. At enrollment, both partners were interviewed about demographic, occupational, lifestyle, and psychological characteristics using standardized questionnaires. Multivariable generalized linear mixed models with Poisson distribution were used to estimate the adjusted percent difference in SIF across exposure categories.
Outcomes: SIF was recorded in daily journals and summarized as average SIF/mo.
Results: The median (interquartile range) SIF during follow-up was 6 (4-9) acts/mo. For every year increase in age for women and men, SIF decreased by -0.8% (95% CI -2.5 to 1.0%) and -1.7% (95% CI -3.1 to -0.3%). Women with high school education or less and those of non-white race had 34.4% and 16.0% higher SIF, respectively. A similar trend was seen for men's education and race. Only couples where both partners (but not just 1 partner) worked rotating shifts had -39.1% (95% CI -61.0 to -5.0%) lower SIF compared to couples where neither partner worked rotating shifts. Men's (but not women's) exercise was associated with 13.2% (95% CI 1.7-26.0%) higher SIF. Diagnosis of a mood or anxiety disorder in men (but not women) was associated with a 26.0% (95% CI -42.7 to -4.4%) lower SIF. Household income, smoking status, body mass index, night work, alcohol intake, and psychosocial stress were not associated with SIF.
Clinical Translation: Even among couples trying to conceive, there was substantial variation in SIF. Both partners' age, education, race, and rotating shift work as well as men's exercise and mental health play an important role in determining SIF.
Conclusions: As this was a secondary analysis of an existing study, we lacked information on many pertinent psychological and relationship quality variables and the hormonal status of participants, which could have affected SIF. The unique population-based couple design, however, captured both partners' demographics, occupational characteristics, and lifestyle behaviors in advance of their daily, prospective reporting of SIF, which was a major strength. Important predictors of SIF among couples attempting to conceive include men's exercise and mental health and both partners' age, education, race, and rotating shift work. Gaskins AJ, Sundaram R, Buck Louis GM, et al. Predictors of Sexual Intercourse Frequency Among Couples Trying to Conceive. J Sex Med 2018;15:519-528.
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- Contributed Indexing: Keywords: Alcohol; Body Weight; Exercise; Intercourse; Libido; Sexual Activity; Shift Work; Smoking; Stress
- Publication Date: Date Created: 20180311 Date Completed: 20191007 Latest Revision: 20191007
- Publication Date: 20240628
- Accession Number: PMC5882561
- Accession Number: 10.1016/j.jsxm.2018.02.005
- Accession Number: 29523477
- Source:
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