Mediation effects of individuals’ sexual quality of life on the relationship between sexual quality of life of partners and its predictors: a path analysis 10.55131/jphd/2022/200307

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Published: Sep 9, 2022
DOI: https://doi.org/10.55131/jphd/2022/200307
Keywords:
sexual quality of life path analysis indirect effects direct effects mediation analysis

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Huseini Alidu
Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.
David Adedia
Department of Basic Sciences, University of Health and Allied Sciences, Ho, Ghana.
Arnold Togiwe Luuse
Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.
Alice Koryo-Dabrah
Department of Nutrition and Dietetics, University of Health and Allied Sciences, Ho, Ghana.
Ahmed Tijani Bawah
Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.
Nii Korley Kortei
Department of Nutrition and Dietetics, University of Health and Allied Sciences, Ho, Ghana.
Ezekiel N. N. Nortey
Department of Statistics & Actuarial Science, School of Physical and Mathematical Sciences, University of Ghana, Legon, Accra, Ghana

Abstract

Sexual function and the sexual quality of life of an individual could be influenced by several factors. Sexual dysfunction could affect the sexual quality of life of the individual and, possibly, have an impact on their partners. Treatments that improve sexual function among individuals tend to improve the sexual quality of life of their partners. This study explored the mechanism by which an individual’s sexual quality of life mediates the relationship between  factors, such as age, sexual dysfunction, perception of IELT, and the partner’s sexual quality of life. Path analysis was used to determine if this effect was via direct or indirect mechanisms. Outpatients attending the Maamobi and Tema General Hospitals, as well as their partners, were recruited for this study. A total of 130 males and their partners, as well as 116 females and their partners, were recruited. The GRISS was used to evaluate the sexual function of participants. The sexual quality of life questionnaire was used to evaluate participants and their partners. Ageing in both sexes had a direct effect on the sexual quality of life of their partners. Ageing also indirectly compromises the sexual quality of life of male partners. Impotence indirectly affects the sexual quality of life of female partners. Vaginismus indirectly affected the sexual quality of life of their male partners. Among the male participants, avoidance of sexual activity had both direct and indirect effects on the sexual quality of life of their female partners. Avoidance of sexual activity by female participants only had an indirect effect on the sexual quality of life of the male partners. Ageing in both sexes, directly compromises the sexual quality of life of their partners.

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1.
Alidu H, Adedia D, Luuse AT, Koryo-Dabrah A, Bawah AT, Kortei NK, Nortey ENN. Mediation effects of individuals’ sexual quality of life on the relationship between sexual quality of life of partners and its predictors: a path analysis: 10.55131/jphd/2022/200307. J Public Hlth Dev [Internet]. 2022 Sep. 9 [cited 2024 Apr. 24];20(3):81-95. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/258496
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Vol. 20 No. 3 (2022): September-December
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Original Articles
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biographies

Huseini Alidu, Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.

Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.

David Adedia, Department of Basic Sciences, University of Health and Allied Sciences, Ho, Ghana.

Department of Basic Sciences, University of Health and Allied Sciences, Ho, Ghana.

Arnold Togiwe Luuse, Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.

Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.

Alice Koryo-Dabrah, Department of Nutrition and Dietetics, University of Health and Allied Sciences, Ho, Ghana.

Department of Nutrition and Dietetics, University of Health and Allied Sciences, Ho, Ghana.

Ahmed Tijani Bawah, Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.

Department of Medical Laboratory Science, University of Health and Allied Sciences, Ho, Ghana.

Nii Korley Kortei, Department of Nutrition and Dietetics, University of Health and Allied Sciences, Ho, Ghana.

Department of Nutrition and Dietetics, University of Health and Allied Sciences, Ho, Ghana.

Ezekiel N. N. Nortey, Department of Statistics & Actuarial Science, School of Physical and Mathematical Sciences, University of Ghana, Legon, Accra, Ghana

Department of Statistics & Actuarial Science, School of Physical and Mathematical Sciences, University of Ghana, Legon, Accra, Ghana

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References

McClelland, S. I. Measuring sexual quality of life: Ten recommendations for health psychologists. In A. Baum, T. A. Revenson, J. Singer, editors. Handbook of health psychology. Psychology Press; 2012. p. 247–69.

Lewis RW, Fugl‐Meyer KS, Bosch R, Fugl‐Meyer AR, Laumann EO, Lizza E, Martin‐Morales A. Epidemiology/risk factors of sexual dysfunction. J Sex Med 2004 Jul;1(1):35-9. doi: 10.1111/j.1743-6109.2004.10106.x.

Ponholzer A, Roehlich M, Racz U, Temml C, Madersbacher S. Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors. Eur Urol 2005;47(3):366-75. doi: 10.1016/j.eururo.2004.10.005.

Oksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol 2006; 175(2): 654-8. doi:10.1016/ S0022-5347(05) 00149-7.

Esposito K, Giugliano D. Obesity, the metabolic syndrome, and sexual dysfunction. Int J Impot Res 2005;17(5):391-8. doi: 10.1038/sj.ijir. 3901333.

Wang C, Jackson G, Jones TH, Matsumoto AM, Nehra A, Perelman MA, et al. Low testosterone associated with obesity and the metabolic syndrome contributes to sexual dysfunction and cardiovascular disease risk in men with type 2 diabetes. Diabetes care 2011;34(7):1669-75. doi: 10.2337/dc10-2339.

Veronelli A, Mauri C, Zecchini B, Peca MG, Turri O, Valitutti MT, et al. Sexual dysfunction is frequent in premenopausal women with diabetes, obesity, and hypothyroidism, and correlates with markers of increased cardiovascular risk. A preliminary report. J Sex Med. 2009;6(6):1561-8. doi:10.1111/j.1743-6109.2009. 01242.x.

Han TS, Tajar A, O'Neill TW, Jiang M, Bartfai G, Boonen S, et al. Impaired quality of life and sexual function in overweight and obese men: the European Male Ageing Study. Eur J Endocrinol. 2011;164(6):1003-11. doi: 10.1530/EJE-10-1129.

Nimbi FM, Paone E, Pierro L, Tripodi F, Fabrizi A. P-02-008 Obesity and sexual health: Study on a group of women asking for bariatric surgery. J Sex Med 2017;14(4):e184-5. doi: 10.1016/j.jsxm.2017.03.209.

Nimbi FM, Virginia C, Cinzia DM, Michela DT, Gianfranco S, Emanuela P. The relation between sexuality and obesity: the role of psychological factors in a sample of obese men undergoing bariatric surgery. Int J Impot Res 2020;34(2):203-214. doi: 10.1038/s41443-020-00388-2.

Baldassarre M, Alvisi S, Mancini I, Moscatiello S, Marchesini G, Seracchioli R, et al. Impaired lipid profile is a risk factor for the development of sexual dysfunction in women. J Sex Med 2016;13(1):46-54. doi: 10.1016/j.jsxm.2015.11.005.

Esposito K, Maiorino MI, Bellastella G, Giugliano F, Romano M, Giugliano D. Determinants of female sexual dysfunction in type 2 diabetes. Int J Impot Res 2010;22(3):179-84. doi: 10.1038/ijir.2010.6.

Forbes MK, Eaton NR, Krueger RF. Sexual quality of life and aging: A prospective study of a nationally representative sample. J Sex Res 2017;54(2):137-48. doi: 10.1080/00224499.2016.1233315.

Helgason AR, Adolfsson J, Dickman P, Arver S, Fredrikson M, GÖTHBER GM,et al. Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: a population-based study. Age Ageing 1996;25(4):285-91. doi: 10.1093/ageing/25.4.285.

Balsis S, Carpenter B. Sexual experience across midlife: Results from the MIDUS survey. Gerontologist. 2004;44:269-70.

Lindau ST, Gavrilova N. Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing. BMJ 2010;340:c810. doi: 10.1136/bmj.c810.

Alidu H, Owiredu WK, Amidu N, Gyasi-Sarpong CK, Dapare PP, Bawah AT, et al. Hypertension and obesity comorbidities increases coronary risk, affects domains of sexual function and sexual quality of life. Int J Impot Res 2018 ;30(1):8-13. doi: 10.1038/s41443-017-0003-5.

Manolis A, Doumas M. Sexual dysfunction: the ‘prima ballerina’of hypertension-related quality-of-life complications. J Hypertens 2008;26(11):2074-84. doi: 10.1097/HJH.0b013e32830dd0c6.

Ferrario CM, Levy P. Sexual dysfunction in patients with hypertension: implications for therapy. J Clin Hypertens 2002;4(6):424-32. doi:10.1111/j.1524-6175.2002. 00862.x.

Okeahialam BN, Ogbonna C. Impact of hypertension on sexual function in women. West Afr J Med 2010; 29(5):344-8.

Fisher WA, Rosen RC, Eardley I, Sand M, Goldstein I. Sexual experience of female partners of men with erectile dysfunction: the female experience of men's attitudes to life events and sexuality (FEMALES) study. J Sex Med 2005;2(5):675-84. doi: 10.1111/ j.1743-6109.2005.00118.x.

Goldstein I, Fisher WA, Sand M, Rosen RC, Mollen M, Brock G, et al. Women's sexual function improves when partners are administered vardenafil for erectile dysfunction: a prospective, randomized, double-blind, placebo-controlled trial. J Sex Med 2005;2(6): 819-32. doi: 10.1111/j.1743-6109. 2005.00147.x.

Martín‐Morales A, Graziottin A, Jaoudé GB, Debruyne F, Buvat J, Beneke M, Neuser D. Improvement in sexual quality of life of the female partner following vardenafil treatment of men with erectile dysfunction: A randomized, double‐blind, placebo‐controlled study. J Sex Med 2011;8(10):2831-40. doi: 10.1111/ j.1743-6109.2011.02352.x.

Li HJ, Bai WJ, Dai YT, Xu WP, Wang CN, Li HZ. An analysis of treatment preferences and sexual quality of life outcomes in female partners of Chinese men with erectile dysfunction. Asian J Androl 2016;18(5):773-9. doi: 10.4103/ 1008-682X.159719.

Rust J, Golombok S. The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav 1986;15(2):157-65. doi: 10.1007/BF01542223.

Abraham L, Symonds T, Morris MF. Psychometric validation of a sexual quality of life questionnaire for use in men with premature ejaculation or erectile dysfunction. J Sex Med 2008;5(3):595-601. doi: 10.1111/ j.1743-6109.2007.00749.x.

Symonds T, Boolell M, Quirk F. Development of a questionnaire on sexual quality of life in women. J Sex Marital Ther 2005;31(5):385-97. doi: 10.1080/00926230591006502.

Adedia D, Adebanji AO, Appiah SK. Comparative Analysis of Some Structural Equation Model Estimation Methods with Application to Coronary Heart Disease Risk. Journal of Probability and Statistics 2020;22. doi: https://doi.org/10.1155/2020/4181426.

Deng L, Yang M, Marcoulides KM. Structural equation modeling with many variables: A systematic review of issues and developments. Front Psychol 2018;9:580. doi: 10.3389/fpsyg. 2018.00580.

Maydeu-Olivares A. Maximum likelihood estimation of structural equation models for continuous data: Standard errors and goodness of fit. Structural Equation Modeling: A Multidisciplinary Journal 2017;(24)3, 383-94, doi:10.1080/10705511.2016. 1269606

Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online 2003; 8(2):23-74.

Anaman-Torgbor JA, Tarkang E, Adedia D, Attah OM, Evans A, Sabina N. Academic-Related Stress Among Ghanaian Nursing Students. Florence Nightingale J Nurs 2021;29(3):263-270. doi: 10.5152/FNJN.2021.21030.

Romero-Ortuno R. The Frailty Instrument of the Survey of Health, Ageing and Retirement in Europe (SHARE-FI) predicts mortality beyond age, comorbidities, disability, self-rated health, education and depression. Eur Geriatr Med 2011;2(6):323-326. doi: 10.1016/j.eurger.2011.08.005.

Morley JE, Kaiser FE, Perry III HM, Patrick P, Morley PM, Stauber PM, et al. Longitudinal changes in testosterone, luteinizing hormone, and follicle-stimulating hormone in healthy older men. Metabolism 1997;46(4): 410-3. doi: 10.1016/s0026-0495(97) 90057-3.

Feldman HA, Longcope C, Derby CA, Johannes CB, Araujo AB, Coviello AD, et al. Age trends in the level of serum testosterone and other hormones in middle-aged men: longitudinal results from the Massachusetts male aging study. J Clin Endocrinol Metab 2002;87(2):589-98. doi: 10.1210/jcem. 87.2.8201.

Avis NE, Stellato R, Crawford S, Johannes C, Longcope C. Is there an association between menopause status and sexual functioning? Menopause 2000;7(5):297-309. doi: 10.1097/ 00042192-200007050-00004.

De Graaff AA, Van Lankveld J, Smits LJ, Van Beek JJ, Dunselman GA. Dyspareunia and depressive symptoms are associated with impaired sexual functioning in women with endometriosis, whereas sexual functioning in their male partners is not affected. Hum Reprod 2016;31(11): 2577-86. doi: 10.1093/humrep/dew215.

Dogan S, Dogan M. The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample. Int J Impot Res 2008;20(2): 218-21. doi: 10.1038/sj.ijir.3901615.