Table 4.
Sexual Activity Health-Related Quality of Life Measures by Ostomy Status
| Characteristic | Ostomy (n = 182) |
Anastomosis (n = 394) |
Unadjusted | Adjusted | ||
|---|---|---|---|---|---|---|
| (%) | (%) | OR1 | 95% CI | OR1 | 95% CI | |
| Sexually inactive before surgery 2 | 19.4 | 21.7 | 0.87 | 0.56, 1.36 | 1.01 | 0.63, 1.62 |
| Sexually inactive since surgery 2,3 | 58.9 | 44.3 | 1.80 | 1.25, 2.59 | 1.77 | 1.15, 2.71 |
| Sexually inactive currently 2 | 74.4 | 68.2 | 1.36 | 0.91, 2.03 | 1.03 | 0.65, 1.62 |
| Fearful of resuming sexual activity, if not sexually active 4 |
19.0 | 13.5 | 1.50 | 0.84, 2.71 | 2.19 | 1.13, 4.25 |
| Sexual activity not satisfying 5 | 36.8 | 34.5 | 1.11 | 0.63, 1.94 | 0.97 | 0.54, 1.76 |
| Undressing in front of partner a problem 6 |
41.2 | 10.6 | 5.92 | 3.56, 9.87 | 7.62 | 4.30 13.50 |
| Social Support: “I get love and affection”7 |
40.0 | 35.0 | 1.24 | 0.86, 1.78 | 1.17 | 0.78, 1.76 |
| Total HRQOL 8 | 44.4 | 27.4 | 2.12 | 1.47, 3.06 | 2.41 | 1.60, 3.62 |
| Interference with personal relationships 8 |
41.2 | 18.9 | 3.00 | 2.03, 4.45 | 3.63 | 2.32, 5.69 |
| Interference with ability to be intimate 8, 9 |
54.7 | 34.3 | 2.31 | 1.60, 3.33 | 2.55 | 1.68, 3.88 |
| Satisfaction with appearance 9 | 39.1 | 24.2 | 2.01 | 1.37, 2.93 | 2.38 | 1.57, 3.61 |
OR associated with having an ostomy
Not stated: before surgery 6 ostomy, 16 anastomosis; since surgery 6 ostomy, 28 anastomosis; currently 5 ostomy, 26 anastomosis
Effect modification by year of surgery (p=.005): earlier years adjusted OR 2.68 (95% CI 1.46, 4.94); later years adjusted OR 1.22 (95% CI 0.62, 2.47)
Percent of those reporting not being currently sexually active (133 ostomy, 251 anastomosis); whether fearful not stated 10 ostomy, 14 anastomosis
Not limited to those who reported being sexually active; not included in total are 93 ostomy/177 anastomosis who responded “Not Applicable” and 14 ostomy/40 anastomosis with no response to satisfaction question.
34 ostomy and 85 anastomosis answered “Not Applicable;”not stated 11 ostomy, 25 anastomosis
Lower support, indicated by responses other than “As much as I would like”
Score < 7 on a scale 0–10 where 10 = best HRQOL
not stated 9 ostomy, 15 anastomosis