Abstract:
Background: Sexual dysfunction is the commonest reproductive health problem seen
among men抯 with diabetes which has different health and social consequences. Even
though there were few studies conducted most of them concentrated to specific domain
of sexual dysfunction and factors were not well addressed.
Objective: To assess the prevalence of sexual dysfunction and associated factor
among men with diabetes at three hospitals in Northwest Amhara region, Ethiopia
Methods: Institutional based cross sectional study was conducted among 462 men
diabetic patients attending three hospitals in northwest Amhara region. Systemic
random sampling were used and interviewer administered change in sexual functioning
questionnaire were collected from February 20- April 15. The data entered to Epidata
and analyzed by SPSS. Binary logistic regression was employed and multivariable
logistic regressions model used to control confounders. Variables that had independent
correlation with the outcome were identified (p-value? 0.05 and 95%CI) the direction
and the strength of the association measured by Adjusted Odds Ratio (AOR).
Results: The prevalence of sexual dysfunction found to be 69.5% (95%CI= (65.173.9)).
The problem has been disproportionately seen among old age individuals
(AOR=8.7, 95%CI: (3.3-23.1)), longer duration of diagnosis with diabetes(AOR=10.8,
95%CI: (5.3-21.9)), poor metabolic control (AOR=3.57, 95%CI: (1.81-7.05)), existence
of comorbidities (AOR=5.07, 95%CI: (2.16�.9)) and having other diabetic
complication (AOR=3.01, 95%CI=1.31-6.92). Nevertheless, physically active
(AOR=0.41, 95%CI: (0.12-0.7)) and couples satisfied with their relationship are less
likely to experience sexual dysfunction (AOR=0.15, 95%CI: (0.03-0.7)).
Conclusion: Well over two-thirds of men with DM have experienced sexual dysfunction,
implying a public health concern. Older individuals, physical in activity , living with
diabetes for long time, having DM complication, experiencing comorbid illness, couples
un satisfaction, and poor metabolic control increased risk of developing SD. Therefore,
physical exercise, preventing comorbidity is recommended for combating the problem.
Key Words: Sexual dysfunction, associated factors, Diabetes, Amhara, Ethiopia.
