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Comment & Response |

Sexual Activity in Midlife Women and Beyond

Maria Ida Maiorino, MD1; Giuseppe Bellastella, MD, PhD1; Katherine Esposito, MD, PhD2
[+] Author Affiliations
1Department of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Second University of Naples, Naples, Italy
2Department of Clinical and Experimental Medicine, Second University of Naples, Naples, Italy
JAMA Intern Med. 2014;174(7):1203-1204. doi:10.1001/jamainternmed.2014.1621.
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To the Editor We read with interest the article by Thomas et al1 on sexual activity in midlife women. The World Health Organization has been working in the area of sexual health since at least 1974 (http://www.who.int/topics/sexual_health/en/). There are, however, some aspects of the study that need clarification to make the results straightforward. An important aspect relates to the separation of women into the 2 categories of sexually activity at baseline (Table 1 in the article by Thomas et al1): any flaw in this starting point would undermine the validity of prospective results.

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July 1, 2014
Holly N. Thomas, MD; Rachel Hess, MD, MS
1Center for Research on Healthcare, Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania2Department of Veterans Affairs Pittsburgh Healthcare System
1Center for Research on Healthcare, Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
JAMA Intern Med. 2014;174(7):1205. doi:10.1001/jamainternmed.2014.1592.
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