title: Prevalence and Correlates of Sexual Dysfunction in Men and Women With Type 2 Diabetes.
abstract: This study aimed to assess the prevalence and correlates of sexual dysfunction in a sample of Dutch men and women with type 2 diabetes. Patients with type 2 diabetes who were between the ages of 40 and 75 years from 4 Dutch diabetes centers were asked to complete self-report questionnaires covering sociodemographic characteristics, medical characteristics, clinical depression (Center for Epidemiological Studies), and sexual dysfunction (in men: International Index of Erectile Function; in women: Female Sexual Function Index). In total, 158 type 2 diabetes patients (68% men) completed the cross-sectional survey. On the basis of predefined criteria, 69% of men and 70% of women were classified with some degree of sexual dysfunction. Univariable logistic regression analyses revealed that sexual dysfunctions were associated with higher age, clinical depression (Center for Epidemiological Studies score ≥16), and one or more diabetes-related complications in both men and women. Multivariable logistic regression analyses revealed that clinical depression was most strongly associated with both male (OR = 6.87, 95% CI [1.77, 26.63]) and female (OR = 9.33, 95% CI [1.03, 84.87]) sexual dysfunction. In conclusion, sexual dysfunction is highly prevalent in men and women with type 2 diabetes and is associated with higher age, clinical depression, and diabetes-related complications. These results suggest that addressing sexual dysfunction in diabetes care is important.
authors.affiliation: a Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research VU University Medical Center , Amsterdam , The Netherlands.
authors.forename: Anne
authors.initials: A
authors.lastname: Rutte
authors.forename: Maaike M I
authors.initials: MM
authors.lastname: van Splunter
authors.forename: Amber A W A
authors.initials: AA
authors.lastname: van der Heijden
authors.forename: Laura M C
authors.initials: LM
authors.lastname: Welschen
authors.forename: Petra J M
authors.initials: PJ
authors.lastname: Elders
authors.forename: Jacqueline M
authors.initials: JM
authors.lastname: Dekker
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Snoek
authors.forename: Paul
authors.initials: P
authors.lastname: Enzlin
authors.forename: Giel
authors.initials: G
authors.lastname: Nijpels
mesh_terms: D000328:Adult; D015897:Comorbidity; D016001:Confidence Intervals; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D016017:Odds Ratio; D015995:Prevalence; D011788:Quality of Life; D018570:Risk Assessment; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis / Q000453:epidemiology*; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000453:epidemiology*; D012747:Sexual Partners