Sexual dysfunction and associated factors among men with diabetes mellitus at three hospitals in Northwest Amhara region, Ethiopia 2020

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.