The association of sexual dysfunction and substance use among a community epidemiological sample
Abstract
This study examines the prevalence of DSM-III sexual dysfunctions and their association with comorbid drug and alcohol use in a community epidemiologic sample. The data for these analyses are based on the Epidemiological Catchment Area Project, a multistage probability study of the incidence and prevalence of psychiatric disorders in the general population conducted in 1981-83. Only the sample of 3,004 adult community residents in the St. Louis area was queried on DSM-III sexual dysfunctions of inhibited orgasm, functional dyspareunia (painful sex), inhibited sexual excitement (i.e., lack of erection/arousal), and inhibited sexual desire. There was a prevalence rate of 11% for inhibited orgasm, 13% for painful sex, 5% for inhibited sexual excitement, 7% for inhibited sexual desire, and 26% for any of these sexual dysfunctions (14% for men and 33% for women). The prevalence of qualifying lifetime substance use among the population was 37%, with males meeting more drug and alcohol use criteria than females. After controlling for demographics, health status variables, and psychiatric comorbidity (depression disorder, generalized anxiety disorder, antisocial personality disorder, and residual disorders), inhibited orgasm was associated with marijuana and alcohol use. Painful sex was associated with illicit drug use and marijuana use. Inhibited sexual excitement was more likely among illicit drug users. Inhibited sexual desire was not associated with drug or alcohol use.
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In other studies, the prevalence of orgasmic dysfunction was much lower (11% to 16%).
“In other studies, 16,18,19,26,27,32 the prevalence of orgasmic dysfunction was much lower (11% e 16%)”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [27]
Other studies found that dyspareunia was present in as many as 14% to 27% of women.
“whereas other studies found that dyspareunia was present in as many as 14% to 27% of women.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [27]
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Effects of Cannabinoids on Female Sexual Function
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Sexual Dysfunction in Primary Care: An Exploratory Descriptive Analysis of Medical Record Diagnoses
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Sexual dysfunction in women with alcohol dependence syndrome: A study from India
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Sexual Dysfunction in Lesbian Women: A Systematic Review of the Literature
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Influence of substance use on male reproductive health and offspring outcomes
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Routes Into Opioid Analgesic Misuse
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Alcohol Use and Sexual Function in Women: A Literature Review
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- Authors
- Johnson, S. D., Phelps, D. L., & Cottler, L. B.
- Affiliations
- Washington University in St. Louis (US)
- Fontbonne University (US)
- Corresponding author
- Johnson, Sharon D.
- Venue
- Archives of Sexual Behavior
- Published
- 2004-02
- Volume
- 33
- Issue
- 1
- Pages
- 55-63
- ISSN
- 0004-0002 (ISSN-L)
- 1573-2800
- OpenAlex
- W1995632681
- Cited by
- 205
- References
- 38
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 8 · 2023: 5 · 2022: 8 · 2021: 6 · 2020: 9 · 2019: 9 · 2018: 5 · 2017: 15 · 2016: 11 · 2015: 10 · 2014: 14 · 2013: 12 · 2012: 13
- FWCI
- 3.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Archives of Sexual Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (T32MH017104, T32 MH17104-18)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- sexual dysfunction, substance use, dyspareunia, cannabis use, alcohol consumption, illicit drug use, prevalence, psychiatric comorbidity, sex differences
- MeSH terms
- Adult, Aged, Aged, 80 and over, Marijuana Abuse, Catchment Area, Health, Female, Health Status, Humans, Life Style, Male, Middle Aged, Missouri, Regression Analysis, Sexual Dysfunction, Physiological, Time Factors, Cohort Studies, Incidence, Prevalence, Substance-Related Disorders, Alcohol-Related Disorders, Sexual Dysfunctions, Psychological
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