Sexual functioning in military personnel: preliminary estimates and predictors
Abstract
INTRODUCTION: Although the military is a young and vigorous force, service members and veterans may experience sexual functioning problems (SFPs) as a result of military service. Sexual functioning can be impaired by physical, psychological, and social factors and can impact quality of life (QOL) and happiness. AIMS: This study aims to estimate rates and correlates of SFPs in male military personnel across demographic and psychosocial characteristics, to examine the QOL concomitants, and to evaluate barriers for treatment seeking. METHODS: This exploratory cross-sectional study was conducted using data from a larger nationwide study conducted between October 2013 and November 2013. This sample consists of 367 male active duty service members and recent veterans (military personnel) age 40 or younger. MAIN OUTCOME MEASURES: Erectile dysfunction (ED) was determined using the five-item International Index of Erectile Function, sexual dysfunction (SD) was determined using the Arizona Sexual Experiences Scale, Male, and QOL was determined using the World Health Organization Quality of Life, Brief. RESULTS: SFPs were associated with various demographic, physical, and psychosocial risk factors. The rates of SD and ED were 8.45% and 33.24%, respectively, for male military personnel aged 21-40. Those who were 36-40, nonmarried, nonwhite, and of lower educational attainment reported the highest rates of SFPs. Male military personnel with poor physical and psychosocial health presented the greatest risk for ED and SD. SFPs were associated with reduced QOL and lower happiness, and barriers for treatment were generally related to social barriers. CONCLUSIONS: SFPs in young male military personnel are an important public health concern that can severely impact QOL and happiness.
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In a cross-sectional study of 367 U.S. active duty service members aged 21 to 40 years, erectile dysfunction was present in 33.24% of participants.
“ED was present in 33.24% of participants.”
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 [66]
In that U.S. military study, those 36 to 40 years old, unmarried, non-white, and of lower educational attainment reported the highest rates of sexual function problems.
“Those 36 to 40 years old, unmarried, non-white, and of lower educational attainment reported the highest rates of sexual function problems.”
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 [66]
In that U.S. military study, sexual function problems were associated with a decreased quality of life.
“Sexual function problems were associated with a decreased quality of life.”
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 [66]
In that U.S. military study, military personnel with poor physical and psychosocial health presented the greatest risk for erectile dysfunction.
“Military personnel with poor physical and psychosocial health presented the greatest risk for ED.”
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 [66]
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Cannabis use and male sexuality in a Tunisian sample: A case-control study
Bouhamed, M., Ajmi, S., Masmoudi, R., Zahaf, A., Féki, I., Sallemi, R., & Masmoudi, J. (2025) · L Encéphale · doi:10.1016/j.encep.2025.08.002
Harbertson, J., Kolaja, C. A., Helms, C., Stander, V. A., Woodall, K. A., & LeardMann, C. A. (2026) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000003691
- Authors
- Wilcox, S. L., Redmond, S., & Hassan, A. M.
- Affiliations
- University of Southern California (US)
- Corresponding author
- Wilcox, Sherrie L.
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-10-01
- Volume
- 11
- Issue
- 10
- Pages
- 2537-2545
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W1926419804
- Cited by
- 54
- References
- 52
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2021: 5 · 2020: 7 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 10 · 2015: 6 · 2014: 1
- FWCI
- 5.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- California Community Foundation
- 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 › Urology › Urological Disorders and Treatments
- Keywords
- sexual dysfunction, erectile dysfunction, military personnel, veterans, quality of life, happiness, barriers to treatment, risk factors, psychosocial health, young men, sexual health
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Happiness, Humans, Erectile Dysfunction, Male, Military Personnel, Quality of Life, Risk, Risk Factors, Sexual Dysfunction, Physiological, Veterans, Young Adult
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