BACKGROUND Diabetes mellitus causes multiple medical, psychological and sexual problems in both men and women. Sexual dysfunction is one of those problems that lead to a strong social and psychological problem which adversely affect marital relation and treatment outcome. The issue has not been well studied in Ethiopia; therefore, this study aimed to evaluate the prevalence and factors related to sexual dysfunction in adult patients with diabetes mellitus. METHODS Facility-based cross-sectional study was conducted among adults with diabetes mellitus on follow-up at diabetic clinics of Mizan-Tepi University Teaching Hospital and Tepi General Hospital. A consecutive sampling technique was employed to select 423 study participants, and data were collected through interviewer-administered questionnaire and patients' medical chart review. Changes in Sexual Functioning Questionnaire-fourteen items (CSFQ-14) was used to measure sexual dysfunction. Descriptive statistics and binary logistic regression analyses were performed. Two tail tests at α of less 0.05 were used as a level of significance. RESULTS A total of 398 diabetic patients were interviewed, with a 94% response rate. The prevalence of sexual dysfunction was 53.3%. Age of above 41 years (AOR: 3.98, 95% CI 2.32-6.85), lack of formal education (AOR: 3.20, 95% CI 1.60-6.39), divorced or widowed (AOR: 5.28, 95% CI 2.35-11.86), type 2 DM (AOR: 4.52, 95% CI 2.17-9.42), depression (AOR: 4.05, 95% CI 2.32-7.10), complications or co-morbidity (AOR: 2.05, 95% CI 1.18-3.58), and not doing physical activity (AOR: 1.62, 95% CI; 1.47-1.77) were significantly associated with sexual dysfunction among diabetes patients. CONCLUSIONS The prevalence of sexual dysfunction was as high as reports from other studies. Therefore, health care providers should include the issue of sexual health in their routine discussions with adult diabetes mellitus patients. Presence of depression, not doing physical activity and having complications or co-morbidity are modifiable factors associated with sexual dysfunction; therefore, they should be attended during care addressing sexual dysfunction.

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埃塞俄比亚西南部糖尿病患者性功能障碍的患病率及相关因素

背景技术糖尿病在男人和女人中都引起多种医学，心理和性问题。性功能障碍是导致严重的社会和心理问题的一个问题，对婚姻关系和治疗结果产生不利影响。埃塞俄比亚尚未对该问题进行深入研究；因此，本研究旨在评估成年糖尿病患者性功能障碍的患病率和相关因素。方法在Mizan-Tepi大学教学医院和Tepi综合医院的糖尿病门诊中对糖尿病成年人进行基于设施的横断面研究。采用连续抽样技术选择了423名研究参与者，并通过访调员管理的问卷调查和患者病历审查收集了数据。性功能问卷的变化-14项（CSFQ-14）用于测量性功能障碍。进行描述性统计和二元逻辑回归分析。α小于0.05的两个尾部检验用作显着性水平。结果总共采访了398位糖尿病患者，反应率为94％。性功能障碍的患病率为53.3％。年龄在41岁以上（AOR：3.98，95％CI 2.32-6.85），缺乏正规教育（AOR：3.20，95％CI 1.60-6.39），离婚或丧偶（AOR：5.28，95％CI 2.35-11.86） ，2型糖尿病（AOR：4.52，95％CI 2.17-9.42），抑郁症（AOR：4.05，95％CI 2.32-7.10），并发症或合并症（AOR：2.05，95％CI 1.18-3.58），以及未进行体育锻炼（AOR：1.62，95％CI； 1.47-1.77）与糖尿病患者的性功能障碍显着相关。结论性功能障碍的患病率与其他研究报告一样高。因此，医疗保健提供者应在与成人糖尿病患者的例行讨论中纳入性健康问题。抑郁，不进行体育锻炼，并发并发症或合并症是与性功能障碍相关的可改变因素；因此，在护理过程中应对性功能障碍应予以照顾。