Table 3.
Gender Combined Models of Loss of Sexual Activity after an AMI among VIRGO Participants Who Were Sexually Active at Baseline (N=1492)
| Models | Covariates | Late Resumersa vs. Early Resumersa | Never Resumersa vs. Early Resumersa |
|---|---|---|---|
|
| |||
| Odds Ratio (95% CI) | Odds Ratio (95% CI) | ||
| Gender only | Female gender | 1.45 (1.15 – 1.81) | 1.62 (0.98 – 2.69) |
|
| |||
| All covariates | Female gender | 1.39 (1.10 – 1.76) | 1.29 (0.76 – 2.21) |
| Age at baseline (per 10 year increase) | 1.20 (1.00 – 1.45) | 1.58 (1.01 – 2.47) | |
| Spain (vs. US) | 1.20 (0.90 – 1.61) | 1.58 (0.83 – 2.99) | |
| Married/cohabitating/committed relationshipb (vs. not) | 0.76 (0.59 – 0.98) | 0.24 (0.14 – 0.40) | |
| White Race (vs. non-white) | 1.20 (0.84 – 1.71) | 1.31 (0.65 – 2.67) | |
| Stressb,c (per 10 point increase) | 1.11 (0.97 – 1.27) | 1.36 (1.01 – 1.84) | |
| Depressionb,d (vs. not) | 1.00 (0.74 – 1.34) | 1.17 (0.64 – 2.14) | |
| Physical functionb,e (per 10 point decrease) | 1.02 (0.92 – 1.14) | 1.08 (0.87 – 1.34) | |
| Hypertensionb (vs. not) | 1.19 (0.94 – 1.50) | 1.25 (0.72 – 2.18) | |
| Diabetesb (vs. not) | 1.05 (0.82 – 1.35) | 1.88 (1.14 – 3.11) | |
| Presence of at least 1 sexual problemf (vs. none) | 0.96 (0.76 – 1.21) | 1.47 (0.85 – 2.52) | |
| Communication with physician at one month--No (vs. Yes) | 1.48 (1.09 – 2.00) | 1.31 (0.66 – 2.61) | |
| Fearful of another heart attack at one year (agree/strongly agree vs. disagree/strongly disagree) | 0.99 (0.72 – 1.36) | 1.40 (0.78 – 2.50) | |
|
| |||
| All covariates plus significant interactionsg | White Race (vs. non-white) | 1.11 (0.77 – 1.59) | 1.33 (0.65 – 2.72) |
| Stressb,c (per 10 point increase) | 1.11 (0.97 – 1.27) | 1.36 (1.01 – 1.83) | |
| Depressionb,d (vs. not) | 0.96 (0.71 – 1.29) | 1.18 (0.65 – 2.17) | |
| Physical functionb,e (per 10 point decrease) | 1.02 (0.92 – 1.13) | 1.09 (0.88 – 1.34) | |
| Hypertensionb (vs. not) | 1.21 (0.96 – 1.54) | 1.24 (0.71 – 2.15) | |
| Diabetesb (vs. not) | 1.07 (0.84 – 1.38) | 1.90 (1.15 – 3.13) | |
| Presence of at least one sexual problemf (vs. none) | 0.95 (0.75 – 1.20) | 1.47 (0.86 – 2.53) | |
| Communication with physician at one month--No (vs. Yes) | 1.51 (1.11 – 2.05) | 1.31 (0.66 – 2.60) | |
| Fearful of another heart attack at one year (agree/strongly agree vs. disagree/strongly disagree) | 0.99 (0.72 – 1.35) | 1.40 (0.78 – 2.51) | |
| Gender x Married (partnered) interaction | |||
| Married vs. not, female | 1.01 (0.73 – 1.39) | 0.23 (0.13 – 0.42) | |
| Married vs. not, male | 0.45 (0.30 – 0.69) | 0.28 (0.11 – 0.68) | |
| Female vs. male, married | 1.71 (1.29 – 2.25) | 1.07 (0.51 – 2.24) | |
| Female vs. male, not married | 0.77 (0.49 – 1.21) | 1.29 (0.59 – 2.81) | |
| Age x Country interaction | |||
| Age for US | 1.35 (1.10 – 1.67) | 1.60 (0.97 – 2.63) | |
| Age for Spain | 0.75 (0.50 – 1.12) | 1.48 (0.57 – 3.82) | |
a
Early Resumers: Patient had resumed sexual activity by one month and continued to be sexually activity by one year; Late Resumers: Patient had not yet resumed sexual activity by one month, but had resumed by one year; Never Resumer: Patient did not resume sexual activity by one month or by one year.
b
Measured at baseline
c
Perceived Stress Scale (PSS)
d
Patient Health Questionnaire (PHQ-9≥10)
e
Short-Form Health Survey Physical Composite Score (SF-12 PCS)
f
Ascertained at the one month interview
g
Generalized Hosmer-Lemeshow Goodness-of-Fit test p=0.38