title: Sexuality among Spanish adults with diabetes: a population-based case control study.
abstract: OBJECTIVE
  To describe and compare sexuality between subjects with diabetes with matched non-diabetic controls.
  
  
  METHODS
  Population based case control study using individual data from the Spanish National Sexual Health Survey. Diabetes status was self reported, we selected type 2 patients. We identified 461 diabetes sufferers. Two controls were matched by age, sex and sexual partner for each diabetic case. Sexuality measures included: sexual activity, importance of sex, satisfaction with partner, bothersome with one's sexual life and self-rated sexual health. Independent variables included: socio-demographics, physical health, chronic diseases and medications use.
  
  
  RESULTS
  No differences were found in "Sexually activity", "Importance of sex" or "Bothersome" between those with and without diabetes. Dissatisfaction with partner was 25% in women with diabetes and 12.9% in non-diabetic controls (Adjusted-OR 1.82 95%CI 1.02-4.85). Diabetes sufferers reported sexual health as "fair/poor/very poor" more than their non-diabetic control, 58.1% vs. 45.1% for women (Adjusted-OR 1.74 95%CI 1.15-2.63) and 54.3% vs. 38% for men (Adjusted-OR 1.88 95%CI 1.29-2.75). Among diabetes sufferers "fair/poor/very poor" sexual health was associated with poorer physical health, not having a sexual partner and among men taking heart medications.
  
  
  CONCLUSIONS
  Women and men with diabetes have significantly worse sexuality measures than non diabetic controls.
authors.affiliation: Preventive Medicine Unit, Rey Juan Carlos University, Av. Atenas, Alcorcón 28922, Spain. rodrigo.jimenez@urjc.es
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Jiménez-Garcia
authors.forename: Maria Angeles
authors.initials: MA
authors.lastname: Martinez-Huedo
authors.forename: Valentin
authors.initials: V
authors.lastname: Hernandez-Barrera
authors.forename: Ana Lopez
authors.initials: AL
authors.lastname: De Andres
authors.forename: Isabel
authors.initials: I
authors.lastname: Jimenez-Trujillo
authors.forename: Pilar
authors.initials: P
authors.lastname: Carrasco-Garrido
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D010549:Personal Satisfaction; D060728:Reproductive Health; D012307:Risk Factors; D012737:Sex Factors; D012725:Sexual Behavior; D012747:Sexual Partners; D019529:Sexuality; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires