{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T04:27:58Z","timestamp":1771475278672,"version":"3.50.1"},"reference-count":42,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartandlung.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart & Lung"],"published-print":{"date-parts":[[2021,9]]},"DOI":"10.1016\/j.hrtlng.2021.04.018","type":"journal-article","created":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T11:44:26Z","timestamp":1622979866000},"page":"714-719","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Prevalence of sexual dysfunction in women with pulmonary hypertension and associated factors"],"prefix":"10.1016","volume":"50","author":[{"given":"Leticia Fernanda Tavares Sousa de","family":"Oliveira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciana Dias","family":"Chiavegato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaquelina Sonoe Ota","family":"Arakaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abil\u00edo \u00d3scar Silva","family":"Reis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alzira Maria Alves","family":"Melo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine Brito","family":"Vieira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regimar Carla Machado","family":"Ranzani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinicius Batista","family":"Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.hrtlng.2021.04.018_bib0001","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.hfc.2018.02.003","article-title":"Pulmonary arterial hypertension","volume":"14","author":"Dodson","year":"2018","journal-title":"Heart Fail Clin"},{"issue":"8","key":"10.1016\/j.hrtlng.2021.04.018_bib0002","first-page":"926","article-title":"Guidelines for the diagnosis and treatment of pulmonary hypertension","volume":"32","year":"2015","journal-title":"Eur Respir J"},{"issue":"3","key":"10.1016\/j.hrtlng.2021.04.018_bib0003","first-page":"175","article-title":"Correlation between degrees of pulmonary hypertension and findings in complementary tests","volume":"31","author":"Pazello","year":"2018","journal-title":"Arq Bras Cardiol"},{"issue":"4","key":"10.1016\/j.hrtlng.2021.04.018_bib0004","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1183\/13993003.01307-2015","article-title":"Age-related upper limits of normal for maximum upright exercise pulmonary haemodynamics","volume":"47","author":"Oliveira","year":"2016","journal-title":"Eur Respir J"},{"issue":"18","key":"10.1016\/j.hrtlng.2021.04.018_bib0005","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1186\/s12890-018-0667-8","article-title":"Pulmonary arterial hypertension in Latin America: epidemiological data from local studies","author":"Valverde","year":"2018","journal-title":"Pulm Med"},{"issue":"24","key":"10.1016\/j.hrtlng.2021.04.018_bib0006","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1183\/16000617.0063-2015","article-title":"Pulmonary arterial hypertension: the burden of disease and impact on quality of life","author":"Delcroix","year":"2015","journal-title":"Eur Respir Ver"},{"issue":"39","key":"10.1016\/j.hrtlng.2021.04.018_bib0007","doi-asserted-by":"crossref","first-page":"6783","DOI":"10.1097\/MD.0000000000006783","article-title":"The impact and fi nancial burden of pulmonary arterial hypertension on patients and caregivers: results from a national survey","volume":"96","author":"Zhai","year":"2017","journal-title":"Medicine (Baltimore)"},{"issue":"1","key":"10.1016\/j.hrtlng.2021.04.018_bib0008","first-page":"111","article-title":"Statement\u00a0: guidelines for the Six-Minute Walk Test","volume":"166","author":"Society","year":"2002","journal-title":"Am Thorac Soc ATS"},{"issue":"3","key":"10.1016\/j.hrtlng.2021.04.018_bib0009","first-page":"1","article-title":"Association between six-minute walk distance and long-term outcomes in patients with pulmonary arterial hypertension\u00a0: data from the randomized Seraphin trial","volume":"13","author":"Souza","year":"2018","journal-title":"Plos\/One"},{"key":"10.1016\/j.hrtlng.2021.04.018_bib0010","doi-asserted-by":"crossref","DOI":"10.1155\/2018\/3924517","article-title":"Health-related quality of life in pulmonary hypertension and its clinical correlates: a cross-sectional study","author":"Reis","year":"2018","journal-title":"BioMed Research International HRQoL"},{"key":"10.1016\/j.hrtlng.2021.04.018_bib0011","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1186\/s13075-017-1341-x","article-title":"Survival and quality of life in incident systemic sclerosis-related pulmonary arterial hypertension","volume":"19","author":"Morrisroe","year":"2017","journal-title":"Arthritis Res Ther"},{"issue":"1","key":"10.1016\/j.hrtlng.2021.04.018_bib0012","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmjresp-2017-000263","article-title":"Symptom severity and its effect on health-related quality of life over time in patients with pulmonary hypertension\u00a0: a multisite longitudinal cohort study","volume":"5","author":"Yorke","year":"2018","journal-title":"BMJ Open Resp Res"},{"issue":"2","key":"10.1016\/j.hrtlng.2021.04.018_bib0013","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/2045894019847895","article-title":"Barriers to physical activity in patients with pulmonary hypertension","volume":"9","author":"Cascino","year":"2019","journal-title":"Pulm Circ"},{"issue":"4","key":"10.1016\/j.hrtlng.2021.04.018_bib0014","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/2045894018788277","article-title":"Sexual health and health-related quality of life among women with pulmonary arterial hypertension","volume":"8","author":"Banerjee","year":"2018","journal-title":"Pulm Circ"},{"issue":"2","key":"10.1016\/j.hrtlng.2021.04.018_bib0015","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/009262300278597","article-title":"The Female Sexual Function Index (FSFI): a multidimensional self- report instrument for assessment of female sexual function","volume":"26","author":"Rosen","year":"2002","journal-title":"J Sex Marital Ther"},{"issue":"10","key":"10.1016\/j.hrtlng.2021.04.018_bib0016","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1590\/S0100-72032008001000005","article-title":"Translation into Portuguese, cross-national adaptation and validation of the Female Sexual Function Index","volume":"30","author":"Thiel","year":"2008","journal-title":"Rev Bras Ginecol Obs"},{"issue":"5","key":"10.1016\/j.hrtlng.2021.04.018_bib0017","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.jsxm.2016.02.172","article-title":"The physiology of female sexual function and the pathophysiology of female sexual dysfunction","volume":"13","author":"Levin","year":"2016","journal-title":"J Sex Med"},{"key":"10.1016\/j.hrtlng.2021.04.018_bib0018","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.aju.2013.04.010","article-title":"Psychological and interpersonal dimensions of sexual function and dysfunction in women: an update","volume":"11","author":"Althof","year":"2013","journal-title":"Arab J Urol"},{"key":"10.1016\/j.hrtlng.2021.04.018_bib0019","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.maturitas.2016.02.009","article-title":"A biopsychosocial approach to women\u2019s sexual function and dysfunction at midlife: a narrative review","volume":"87","author":"Thomas","year":"2016","journal-title":"Maturitas"},{"issue":"3","key":"10.1016\/j.hrtlng.2021.04.018_bib0020","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1177\/0022146516661597","article-title":"Is sex good for your health? A national study on partnered sexuality and cardiovascular risk among older men and women","volume":"57","author":"Liu","year":"2016","journal-title":"J Health Soc Behav"},{"issue":"5","key":"10.1016\/j.hrtlng.2021.04.018_bib0021","first-page":"1309","article-title":"Functional exercise capacity, physical activity, and respiratory and peripheral muscle strength in pulmonary hypertension according to disease severity","volume":"27","author":"Saglam","year":"2015","journal-title":"J-STAGE"},{"issue":"335","key":"10.1016\/j.hrtlng.2021.04.018_bib0022","first-page":"806","article-title":"Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"20","author":"Elm","year":"2007","journal-title":"J Clin Epidemiol"},{"issue":"3","key":"10.1016\/j.hrtlng.2021.04.018_bib0023","first-page":"559","article-title":"STROBE initiative: guidelines on reporting observational studies","volume":"44","author":"Malta","year":"2010","journal-title":"Public Health Journal"},{"key":"10.1016\/j.hrtlng.2021.04.018_bib0024","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/B978-0-12-384978-6.00023-6","article-title":"Female sexuality and sexual function","author":"Goldfarb","year":"2013","journal-title":"Women and Health"},{"issue":"2","key":"10.1016\/j.hrtlng.2021.04.018_bib0025","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1378\/chest.14-1036","article-title":"Pulmonary arterial hypertension in the southern hemisphere","volume":"147","author":"Alves","year":"2015","journal-title":"Chest"},{"issue":"9","key":"10.1016\/j.hrtlng.2021.04.018_bib0026","first-page":"1","article-title":"Sex differences in pulmonary arterial hypertension\u00a0: role of infection and autoimmunity in the pathogenesis of disease","volume":"15","author":"Batton","year":"2018","journal-title":"Biol Sex Differ"},{"issue":"11","key":"10.1016\/j.hrtlng.2021.04.018_bib0027","first-page":"1","article-title":"Increasing incidence and prevalence of world health organization groups 1 to 4 pulmonary hypertension","author":"Wijeratne","year":"2018","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"1","key":"10.1016\/j.hrtlng.2021.04.018_bib0028","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1111\/jth.14629","article-title":"Sex - specific differences in chronic thromboembolic pulmonary hypertension . Results from the European CTEPH registry","volume":"18","author":"Barco","year":"2019","journal-title":"J Thromb Haemost"},{"issue":"4","key":"10.1016\/j.hrtlng.2021.04.018_bib0029","doi-asserted-by":"crossref","first-page":"224","DOI":"10.14797\/mdcj-13-4-224","article-title":"Pulmonary arterial hypertension in women","volume":"13","author":"Memon","year":"2017","journal-title":"Methodist Debakey Cardiovasc J"},{"key":"10.1016\/j.hrtlng.2021.04.018_bib0030","first-page":"127","article-title":"Sexuality and elderly with chronic diseases: a review of the existing literature","volume":"21","author":"Khoei","year":"2016","journal-title":"J Res Med Sci"},{"issue":"3","key":"10.1016\/j.hrtlng.2021.04.018_bib0031","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/psyg.12381","article-title":"Sexual activity and life satisfaction in older adults","volume":"19","author":"Skalacka","year":"2018","journal-title":"Psychogeriatrics"},{"issue":"8","key":"10.1016\/j.hrtlng.2021.04.018_bib0032","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1016\/j.jsxm.2019.04.012","article-title":"Right ventricular function and sexual function\u00a0: exploring shadows in male and female patients with heart failure","volume":"16","author":"Koutsampasopoulos","year":"2019","journal-title":"J Sex Med"},{"issue":"2","key":"10.1016\/j.hrtlng.2021.04.018_bib0033","first-page":"267","article-title":"Female sexual dysfunction","volume":"40","author":"Clayton","year":"2017","journal-title":"Psychiatr Clin NA"},{"issue":"4","key":"10.1016\/j.hrtlng.2021.04.018_bib0034","first-page":"281","article-title":"Sexual dysfunction in women: a practical approach","volume":"92","author":"Faubion","year":"2015","journal-title":"Am Fam Physician"},{"issue":"5","key":"10.1016\/j.hrtlng.2021.04.018_bib0035","first-page":"623","article-title":"Female sexual dysfunction: assessment","volume":"66","author":"Sharma","year":"2016","journal-title":"J Pak Med Assoc"},{"key":"10.1016\/j.hrtlng.2021.04.018_bib0036","article-title":"Influence of cardiovascular diseases on the sexual satisfaction index","author":"Santos","year":"2018","journal-title":"Revista Biosalus"},{"issue":"3","key":"10.1016\/j.hrtlng.2021.04.018_bib0037","article-title":"Women with Sj\u00f6gren's syndrome are satisfied with their sexual activity?","volume":"57","author":"Isik","year":"2017","journal-title":"Braz J Rheumatol"},{"key":"10.1016\/j.hrtlng.2021.04.018_bib0038","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s12958-019-0557-9","article-title":"Lifestyles and sexuality in men and women: the gender perspective in sexual medicine","volume":"18","author":"Mollaioli","year":"2020","journal-title":"Reprod Biol Endocrinol"},{"issue":"1","key":"10.1016\/j.hrtlng.2021.04.018_bib0039","doi-asserted-by":"crossref","first-page":"32","DOI":"10.4103\/1008-682X.135982","article-title":"Sexual counseling and cardiovascular disease: practical approaches","volume":"17","author":"Steinke","year":"2015","journal-title":"Asian J Androl"},{"issue":"1","key":"10.1016\/j.hrtlng.2021.04.018_bib0040","article-title":"Physiotherapeutic methods used in the treatment of female sexual dysfunction","volume":"2","author":"Santos","year":"2019","journal-title":"RRS-FESGO"},{"issue":"4","key":"10.1016\/j.hrtlng.2021.04.018_bib0041","first-page":"548","article-title":"The effects of exercise on sexual function in women","volume":"6","author":"Santon","year":"2018","journal-title":"Sex Med Ver"},{"issue":"1","key":"10.1016\/j.hrtlng.2021.04.018_bib0042","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1590\/1806-9282.60.01.011","article-title":"Physical activity and sexual function in middle-aged women","volume":"60","author":"Cabral","year":"2014","journal-title":"Rev Assoc Med Bras"}],"container-title":["Heart & Lung"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0147956321001928?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0147956321001928?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T06:38:47Z","timestamp":1758955127000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0147956321001928"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":42,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["S0147956321001928"],"URL":"https:\/\/doi.org\/10.1016\/j.hrtlng.2021.04.018","relation":{},"ISSN":["0147-9563"],"issn-type":[{"value":"0147-9563","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevalence of sexual dysfunction in women with pulmonary hypertension and associated factors","name":"articletitle","label":"Article Title"},{"value":"Heart & Lung","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrtlng.2021.04.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}