title: Sleep disturbances and sexual function among men aged 45-75 years in an urban area of Iran.
abstract: OBJECTIVE
  Aging in men is associated with various physical and mental symptoms, including sleep problems and sexual dysfunction. The aim of this study was to determine the status of sleep disorders and sexual dysfunction in men aged 45-75 years in Ilam, Iran.
  
  
  METHODS
  In this population-based cross-sectional study, 390 men aged 45-75 years were selected by cluster randomization in Ilam-Iran. Data were collected using 0-100 brief sexual function inventory and the sleep disorder questionnaires.
  
  
  RESULTS
  Totally, 34.6% of men complained about sleep disorders: 17.4% about falling asleep, 12.8% about frequent nocturnal awakenings, 12.8% about waking up in the early hours in the morning and problem in falling asleep again, and 24.9% about fatigue and tiredness despite getting enough sleep. There was a significant relationship between all aspects of sexual function and the common problems related to sleep (p<0.001). The older, unemployed, illiterate men, those with inadequate income, those affected by chronic diseases, and/or urinary incontinence had significantly inferior sexual function compared with the others.
  
  
  CONCLUSIONS
  According to the high prevalence of sleep disorders in men as well as its association with sexual dysfunction, adopting health measures in this regard is necessary.
authors.affiliation: Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Sakineh Mohammadalizadeh
authors.initials: SM
authors.lastname: Charandabi
authors.affiliation: Department of Midwifery, Faculty of Nursing and Midwifery, Ilam University of Medical sciences, Ilam, Iran.
authors.forename: Nazanin
authors.initials: N
authors.lastname: Rezaei
authors.affiliation: Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Sevil
authors.initials: S
authors.lastname: Hakimi
authors.affiliation: Education and Human Resource Studies with Emphasis on Organizational Learning, Performance and Change, School of Education, Colorado State University, USA.
authors.forename: Shiva
authors.initials: S
authors.lastname: Khatami
authors.affiliation: Psychiatry Department, School of Medicine, Ilam University of Medical sciences, Ilam, Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Valizadeh
authors.affiliation: Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical sciences, Ilam, Iran.
authors.forename: Arman
authors.initials: A
authors.lastname: Azadi
keywords: Iran; Middle-aged; Oldness; Sexual dysfunction; Sleep disturbances