{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:55:00Z","timestamp":1787320500174,"version":"build-2736575974"},"reference-count":58,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2018,3,6]],"date-time":"2018-03-06T00:00:00Z","timestamp":1520294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2018,3,6]],"date-time":"2018-03-06T00:00:00Z","timestamp":1520294400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sexual dysfunction is a common problem among men and women and is associated with negative individual functioning, relationship difficulties, and lower quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine the magnitude of associations between 6 health-related lifestyle factors (cigarette smoking, alcohol intake, physical activity, diet, caffeine, and cannabis use) and 3 common sexual dysfunctions (erectile dysfunction, premature ejaculation, and female sexual dysfunction).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search of 10 electronic databases identified 89 studies that met the inclusion criteria (452 effect sizes; N\u00a0= 348,865). Pooled mean effects (for univariate, age-adjusted, and multivariable-adjusted estimates) were computed using inverse-variance weighted random-effects meta-analysis and moderation by study and population characteristics were tested using random-effects meta-regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean effect sizes from 92 separate meta-analyses provided evidence that health-related lifestyle factors are important for sexual dysfunction. Cigarette smoking (past and current), alcohol intake, and physical activity had dose-dependent associations with erectile dysfunction. Risk of erectile dysfunction increased with greater cigarette smoking and decreased with greater physical activity. Alcohol had a curvilinear association such that moderate intake was associated with a lower risk of erectile dysfunction. Participation in physical activity was associated with a lower risk of female sexual dysfunction. There was some evidence that a healthy diet was related to a lower risk of erectile dysfunction and female sexual dysfunction, and caffeine intake was unrelated to erectile dysfunction. Publication bias appeared minimal and findings were similar for clinical and non-clinical samples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Translation<\/jats:title>\n                    <jats:p>Modification of lifestyle factors would appear to be a useful low-risk approach to decreasing the risk of erectile dysfunction and female sexual dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths and Limitations<\/jats:title>\n                    <jats:p>Strengths include the testing of age-adjusted and multivariable-adjusted models and tests of potential moderators using meta-regression. Limitations include low statistical power in models testing diet, caffeine, and cannabis use as risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Results provide compelling evidence that cigarette smoking, alcohol, and physical activity are important for sexual dysfunction. Insufficient research was available to draw conclusions regarding risk factors for premature ejaculation or for cannabis use as a risk factor. These findings should be of interest to clinicians treating men and women with complaints relating to symptoms of sexual dysfunction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.jsxm.2018.02.008","type":"journal-article","created":{"date-parts":[[2018,3,6]],"date-time":"2018-03-06T09:04:59Z","timestamp":1520327099000},"page":"458-475","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":101,"title":["Health-Related Lifestyle Factors and Sexual Dysfunction: A Meta-Analysis of Population-Based Research"],"prefix":"10.1093","volume":"15","author":[{"given":"Mark S.","family":"Allen","sequence":"first","affiliation":[{"name":"University of Wollongong , Wollongong, NSW , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma E.","family":"Walter","sequence":"additional","affiliation":[{"name":"University of Wollongong , Wollongong, NSW , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,3,6]]},"reference":[{"key":"2023012309244604200_bib1","article-title":"Progress report 2016: prevent HIV, test and treat all: WHO support for country impact","author":"World Health Organization","year":"2016"},{"key":"2023012309244604200_bib2","first-page":"1497","article-title":"Bidirectional association between depression and sexual dysfunction: a systematic review and meta-analysis","volume":"9","author":"Atlantis","year":"2012","journal-title":"J\u00a0Sex Med"},{"key":"2023012309244604200_bib3","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.maturitas.2016.09.013","article-title":"Female sexual dysfunction (FSD): prevalence and impact on quality of life (QoL)","volume":"94","author":"Nappi","year":"2016","journal-title":"Maturitas"},{"key":"2023012309244604200_bib4","first-page":"26","article-title":"Pathophysiology of erectile dysfunction","volume":"2","author":"De Tejada","year":"2005","journal-title":"J\u00a0Sex Med"},{"key":"2023012309244604200_bib5","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/j.fertnstert.2013.08.006","article-title":"Arriving at the diagnosis of female sexual dysfunction","volume":"100","author":"Latif","year":"2013","journal-title":"Fertil Steril"},{"key":"2023012309244604200_bib6","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0140-6736(12)60520-0","article-title":"Erectile dysfunction","volume":"381","author":"Shamloul","year":"2013","journal-title":"Lancet"},{"key":"2023012309244604200_bib7","doi-asserted-by":"crossref","first-page":"S44","DOI":"10.1038\/sj.ijir.3901428","article-title":"Physiology of female sexual function and dysfunction","volume":"17","author":"Berman","year":"2005","journal-title":"Int J Impot Res"},{"key":"2023012309244604200_bib8","doi-asserted-by":"crossref","first-page":"123","DOI":"10.7326\/M14-1651","article-title":"Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis","volume":"162","author":"Biswas","year":"2015","journal-title":"Ann Intern Med"},{"key":"2023012309244604200_bib9","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/S0140-6736(12)61031-9","article-title":"Lancet Physical Activity Series Working Group. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy","volume":"380","author":"Lee","year":"2012","journal-title":"Lancet"},{"key":"2023012309244604200_bib10","doi-asserted-by":"crossref","first-page":"2223","DOI":"10.1016\/S0140-6736(09)60746-7","article-title":"Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders","volume":"373","author":"Rehm","year":"2009","journal-title":"Lancet"},{"key":"2023012309244604200_bib11","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1016\/S0140-6736(09)61037-0","article-title":"Adverse health effects of non-medical cannabis use","volume":"374","author":"Hall","year":"2009","journal-title":"Lancet"},{"key":"2023012309244604200_bib12","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1038\/nri2530","article-title":"How cigarette smoke skews immune responses to promote infection, lung disease and cancer","volume":"9","author":"St\u00e4mpfli","year":"2009","journal-title":"Nat Rev Immunol"},{"key":"2023012309244604200_bib13","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1001\/archinternmed.2011.393","article-title":"Coffee, caffeine, and risk of depression among women","volume":"171","author":"Lucas","year":"2011","journal-title":"Arch Intern Med"},{"key":"2023012309244604200_bib14","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1016\/j.eururo.2010.02.020","article-title":"Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation","volume":"57","author":"Hatzimouratidis","year":"2010","journal-title":"Eur Urol"},{"key":"2023012309244604200_bib15","first-page":"1598","article-title":"Definitions\/epidemiology\/risk factors for sexual dysfunction","volume":"7","author":"Lewis","year":"2010","journal-title":"J\u00a0Sex Med"},{"key":"2023012309244604200_bib16","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1046\/j.1464-410x.1999.00142.x","article-title":"The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences","volume":"84","author":"Aytac","year":"1999","journal-title":"BJU Int"},{"key":"2023012309244604200_bib17","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1038\/sj.ijir.3901250","article-title":"Sexual problems among women and men aged 40\u201380 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors","volume":"17","author":"Laumann","year":"2005","journal-title":"Int J Impot Res"},{"key":"2023012309244604200_bib18","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1503\/cmaj.1020174","article-title":"Women's sexual dysfunction: revised and expanded definitions","volume":"172","author":"Basson","year":"2005","journal-title":"CMAJ"},{"key":"2023012309244604200_bib19","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.sxmr.2016.03.002","article-title":"Prevalence of female sexual dysfunction among premenopausal women: a systematic review and meta-analysis of observational studies","volume":"4","author":"McCool","year":"2016","journal-title":"Sex Med Rev"},{"key":"2023012309244604200_bib20","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1038\/ijir.2008.9","article-title":"Obesity and sexual dysfunction, male and female","volume":"20","author":"Esposito","year":"2008","journal-title":"Int J Impot Res"},{"key":"2023012309244604200_bib21","first-page":"2338","article-title":"Dietary factors, Mediterranean diet and erectile dysfunction","volume":"7","author":"Esposito","year":"2010","journal-title":"J\u00a0Sex Med"},{"key":"2023012309244604200_bib22","first-page":"115","article-title":"Modifying risk factors to prevent and treat erectile dysfunction","volume":"10","author":"Glina","year":"2013","journal-title":"J\u00a0Sex Med"},{"issue":"Suppl 3","key":"2023012309244604200_bib23","first-page":"254","article-title":"Beneficial impact of exercise and obesity interventions on erectile function and its risk factors","volume":"6","author":"Hannan","year":"2009","journal-title":"J\u00a0Sex Med"},{"key":"2023012309244604200_bib24","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1111\/and.12393","article-title":"Effects of cigarette smoking on erectile dysfunction","volume":"47","author":"Kovac","year":"2015","journal-title":"Andrologia"},{"issue":"Suppl 1","key":"2023012309244604200_bib25","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1185\/0300799009117034","article-title":"Cigarette smoking, hypertension and erectile dysfunction","volume":"16","author":"Ledda","year":"2000","journal-title":"Curr Med Res Opin"},{"key":"2023012309244604200_bib26","first-page":"47","article-title":"Sexuality and substance use: the impact of tobacco, alcohol, and selected recreational drugs on sexual function","volume":"14","author":"McKay","year":"2005","journal-title":"Can J Hum Sex"},{"key":"2023012309244604200_bib27","first-page":"1624","article-title":"Smoking and erectile dysfunction: evidence based analysis","volume":"166","author":"McVary","year":"2001","journal-title":"J\u00a0Urol"},{"key":"2023012309244604200_bib28","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1159\/000126628","article-title":"Drugs of abuse and sexual functioning","author":"Palha","year":"2008","journal-title":"Sexual dysfunction, Balon R (ed)"},{"key":"2023012309244604200_bib29","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1080\/02791072.2001.10400569","article-title":"Alcohol, drugs and sexual function: a review","volume":"33","author":"Peugh","year":"2001","journal-title":"J\u00a0Psychoactive Drugs"},{"key":"2023012309244604200_bib30","first-page":"1284","article-title":"Cigarette smoking and erectile dysfunction: focus on NO bioavailability and ROS generation","volume":"5","author":"Tostes","year":"2008","journal-title":"J\u00a0Sex Med"},{"key":"2023012309244604200_bib31","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.2174\/092986707781058931","article-title":"Dyslipidemia as a risk factor for erectile dysfunction","volume":"14","author":"Vrentzos","year":"2007","journal-title":"Curr Med Chem"},{"key":"2023012309244604200_bib32","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/0926-9959(95)00162-X","article-title":"Erectile dysfunction and fertility related to cigarette smoking","volume":"6","author":"Wolf","year":"1996","journal-title":"J\u00a0Eur Acad Dermatol"},{"key":"2023012309244604200_bib33","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1038\/sj.ijir.3901556","article-title":"Alcohol consumption and erectile dysfunction: meta-analysis of population-based studies","volume":"19","author":"Cheng","year":"2007","journal-title":"Int J Impot Res"},{"key":"2023012309244604200_bib34","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1038\/sj.ijir.3901521","article-title":"Physical activity and erectile dysfunction: meta-analysis of population-based studies","volume":"19","author":"Cheng","year":"2007","journal-title":"Int J Impot Res"},{"key":"2023012309244604200_bib35","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1006\/pmed.2001.0830","article-title":"The link between smoking and impotence: two decades of evidence","volume":"32","author":"Tengs","year":"2001","journal-title":"Prev Med"},{"key":"2023012309244604200_bib36","doi-asserted-by":"crossref","first-page":"e60443","DOI":"10.1371\/journal.pone.0060443","article-title":"Smoking and risk of erectile dysfunction: systematic review of observational studies with meta-analysis","volume":"8","author":"Cao","year":"2013","journal-title":"PLoS One"},{"key":"2023012309244604200_bib37","first-page":"2376","article-title":"Association of quantity and duration of smoking with erectile dysfunction: a dose-response meta-analysis","volume":"11","author":"Cao","year":"2014","journal-title":"J\u00a0Sex Med"},{"key":"2023012309244604200_bib38","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.ypmed.2015.07.014","article-title":"Longitudinal determinants of walking, moderate, and vigorous physical activity in Australian adults","volume":"78","author":"Allen","year":"2015","journal-title":"Prev Med"},{"key":"2023012309244604200_bib39","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.2105\/AJPH.86.11.1577","article-title":"Associations between physical activity and other health behaviors in a representative sample of US adolescents","volume":"86","author":"Pate","year":"1996","journal-title":"Am J Public Health"},{"key":"2023012309244604200_bib40","doi-asserted-by":"crossref","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"key":"2023012309244604200_bib41","doi-asserted-by":"crossref","first-page":"e011458","DOI":"10.1136\/bmjopen-2016-011458","article-title":"Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS)","volume":"6","author":"Downes","year":"2016","journal-title":"BMJ Open"},{"key":"2023012309244604200_bib42","doi-asserted-by":"crossref","DOI":"10.1002\/9780470743386","article-title":"Introduction to meta-analysis","author":"Borenstein","year":"2009"},{"key":"2023012309244604200_bib43","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"Higgins","year":"2003","journal-title":"BMJ"},{"key":"2023012309244604200_bib44","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.2307\/2533446","article-title":"Operating characteristics of a rank correlation test for publication bias","volume":"50","author":"Begg","year":"1994","journal-title":"Biometrics"},{"key":"2023012309244604200_bib45","first-page":"89","article-title":"A\u00a0nonparametric \u201ctrim and fill\u201d method of accounting for publication bias in meta-analysis","volume":"95","author":"Duval","year":"2000","journal-title":"J\u00a0Am Stat Assoc"},{"key":"2023012309244604200_bib46","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1111\/j.1530-0277.1998.tb03695.x","article-title":"Effects of moderate alcohol consumption on the central nervous system","volume":"22","author":"Eckardt","year":"1998","journal-title":"Alcohol Clin Exp Res"},{"key":"2023012309244604200_bib47","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1080\/19317611.2017.1307301","article-title":"Health-related lifestyle factors and sexual functioning and behavior in older adults","volume":"29","author":"Allen","year":"2017","journal-title":"Int J Sex Health"},{"key":"2023012309244604200_bib48","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2165\/00007256-198907010-00001","article-title":"The effects of exercise on reproductive function in men","volume":"7","author":"Cumming","year":"1989","journal-title":"Sports Med"},{"key":"2023012309244604200_bib49","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.yhbeh.2016.10.002","article-title":"Effects of competition outcome on testosterone concentrations in humans: an updated meta-analysis","volume":"92","author":"Geniole","year":"2017","journal-title":"Horm Behav"},{"key":"2023012309244604200_bib50","doi-asserted-by":"crossref","first-page":"5755","DOI":"10.1111\/j.1742-4658.2009.07305.x","article-title":"Mechanisms of obesity and related pathologies: androgen deficiency and endothelial dysfunction may be the link between obesity and erectile dysfunction","volume":"276","author":"Traish","year":"2009","journal-title":"FEBS J"},{"key":"2023012309244604200_bib51","first-page":"S45","article-title":"Diabetes, obesity and erectile dysfunction: field overview and research priorities","volume":"182","author":"Chitaley","year":"2009","journal-title":"J\u00a0Urol"},{"key":"2023012309244604200_bib52","first-page":"95","article-title":"Diabetes and sexual dysfunction: current perspectives","volume":"7","author":"Maiorino","year":"2014","journal-title":"Diabetes Metab Syndr Obes"},{"key":"2023012309244604200_bib53","first-page":"1044","article-title":"Female sexual dysfunction and diabetes: a systematic review and meta-analysis","volume":"10","author":"Pontiroli","year":"2013","journal-title":"J\u00a0Sex Med"},{"key":"2023012309244604200_bib54","doi-asserted-by":"crossref","first-page":"e0161297","DOI":"10.1371\/journal.pone.0161297","article-title":"Long-term effects of a randomised controlled trial comparing high protein or high carbohydrate weight loss diets on testosterone, SHBG, erectile and urinary function in overweight and obese men","volume":"11","author":"Moran","year":"2016","journal-title":"PLoS One"},{"key":"2023012309244604200_bib55","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.cpem.2017.07.002","article-title":"Caffeine toxicity: a brief review and update","volume":"18","author":"Beauchamp","year":"2017","journal-title":"Clin Pediatr Emerg Med"},{"key":"2023012309244604200_bib56","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1001\/archinternmed.2011.440","article-title":"The effect of lifestyle modification and cardiovascular risk factor reduction on erectile dysfunction: a systematic review and meta-analysis","volume":"171","author":"Gupta","year":"2011","journal-title":"Arch Intern Med"},{"key":"2023012309244604200_bib57","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1016\/j.jdiacomp.2016.08.007","article-title":"Effects of Mediterranean diet on sexual function in people with newly diagnosed type 2 diabetes: the M\u00c8DITA trial","volume":"30","author":"Maiorino","year":"2016","journal-title":"J\u00a0Diabetes Complicat"},{"key":"2023012309244604200_bib58","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1001\/jamainternmed.2016.1189","article-title":"Effect of calorie restriction on mood, quality of life, sleep, and sexual function in healthy nonobese adults: the CALERIE 2 randomized clinical trial","volume":"176","author":"Martin","year":"2016","journal-title":"JAMA Intern Med"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609518301243?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609518301243?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/15\/4\/458\/48602626\/jsm_15_4_458.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/15\/4\/458\/48602626\/jsm_15_4_458.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T04:47:27Z","timestamp":1674449247000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/15\/4\/458\/6980312"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,6]]},"references-count":58,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2018,3,6]]},"published-print":{"date-parts":[[2018,4,1]]}},"URL":"https:\/\/doi.org\/10.1016\/j.jsxm.2018.02.008","relation":{},"ISSN":["1743-6109","1743-6095"],"issn-type":[{"value":"1743-6109","type":"electronic"},{"value":"1743-6095","type":"print"}],"subject":[],"published-other":{"date-parts":[[2018,4]]},"published":{"date-parts":[[2018,3,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Health-Related Lifestyle Factors and Sexual Dysfunction: A Meta-Analysis of Population-Based Research","name":"articletitle","label":"Article Title"},{"value":"The Journal of Sexual Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jsxm.2018.02.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}