title: Sexual dysfunction and sexual quality of life among the physically challenged in the Kumasi metropolis, Ghana.
abstract: BACKGROUND
  Despite the fact that the physically disabled have difficulties in many aspects of their lives, including sexuality, society often ignores these needs or assume that they have no such needs. This cross-sectional study therefore seeks to determine the prevalence of sexual dysfunction (SD) and its impact on the quality of life among persons with physical disability residing in the Kumasi metropolis, Ghana.
  
  
  METHODS
  This study was conducted among 235 persons with physical disability dwelling in communities within the Kumasi metropolis, Ghana between September 2011 and April 2012. All participants were evaluated by using a semi-structured questionnaire, the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire and the Sexual Quality of Life questionnaire (SQoL). Self-designed semi-structured questionnaire was also administered to each consented study participant for socio-demographic information.
  
  
  RESULTS
  The response rates were 72% and 63.6% for male and female respectively. The age range of the male was 19-74 years with 61.1% being married whilst the age range of the female was 20-66 years with 54.3% being married. 30% and 7.1% of the male and female respectively consumed alcohol beverage. The mean Sexual quality of life (SQoL) score was slightly higher in the females (57.7 ± 15.8), ranging from 25.6 to 97.8. Univariate analysis of the male data showed that the only significant factor that tends to increase the male SD was alcohol (OR: 24.6; CI: 1.4 - 14.9; p = 0.0071). The prevalence of SD was higher among the female populace (65.7%) compared to the 64.4% for the male populace though very closely comparable. Except for non-communication (NC) and anorgasmia (impotence in males), all other areas of difficulty had higher percentages in males than females.
  
  
  CONCLUSIONS
  The prevalence of sexual dysfunction among the physically challenged is comparable to prevalence rates in the able male and female population. This could impact significantly on their self-esteem and quality of life via avoidance, impotence and vaginismus thereby causing emotional distress leading to relationship problems. Alcohol increases the risk of developing SD by five-fold in physically challenged men.
authors.affiliation: Department of Molecular Medicine, School of Medical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. wkbaowiredu@yahoo.com.
authors.forename: William K B A
authors.initials: WK
authors.lastname: Owiredu
authors.affiliation: Department of Molecular Medicine, School of Medical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. alexanderowusu27@gmail.com.
authors.forename: Alexander O
authors.initials: AO
authors.lastname: Owusu
authors.affiliation: Department of Biomedical Laboratory Science, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana. anafiu@uds.edu.gh.
authors.forename: Nafiu
authors.initials: N
authors.lastname: Amidu
authors.affiliation: Department of Biomedical Laboratory Science, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana. lqtwentty@yahoo.com.
authors.forename: Lawrence
authors.initials: L
authors.lastname: Quaye
authors.affiliation: Department of Surgery, (Urology Unit) Komfo Anokye Teaching Hospital/College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. gaysek@yahoo.com.
authors.forename: Christian K
authors.initials: CK
authors.lastname: Gyasi-Sarpong
authors.affiliation: Department of Biomedical Laboratory Science, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana. peterpauldapare@yahoo.com.
authors.forename: Peter P M
authors.initials: PP
authors.lastname: Dapare
authors.affiliation: Department of Biomedical Laboratory Science, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana. wiisibie@yahoo.com.
authors.forename: Huseini
authors.initials: H
authors.lastname: Alidu
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D005869:Ghana / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D015995:Prevalence; D011788:Quality of Life; D012649:Self Concept; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology*; D055815:Young Adult