Enzlin Paul, Mathieu Chantal, Van Den Bruel Annick, Vanderschueren Dirk, Demyttenaere Koen
Katholieke Universiteit Leuven, Institute for Family and Sexuality Studies, Belgium.
Diabetes Care. 2003 Feb;26(2):409-14. doi: 10.2337/diacare.26.2.409.
This study aimed to 1) measure the prevalence of sexual dysfunction in patients with diabetes; 2) describe how descriptive variables, psychological variables, diabetic complications, and sexual dysfunction relate in patients with diabetes; and 3) describe the predictors of sexual dysfunction in patients with diabetes.
A total of 240 adult type 1 diabetic patients visiting the outpatient diabetes clinic of a university hospital completed questionnaires evaluating psychological adjustment to diabetes and sexual functioning. Medical records were used to obtain HbA(1c) values as well as information on microvascular diabetic complications.
Sexual dysfunction was reported by 27% of women and 22% of men. No differences were found between sexes in type of reported sexual dysfunction. In men, but not in women, sexual dysfunction was related to age, BMI, duration of diabetes, and diabetic complications. No correlation with HbA(1c) was found in either sex. In women, but not in men, sexual dysfunction was related to depression and the quality of the partner relationship. Binary logistic regression demonstrated that, in men, the significant predictors of sexual dysfunction were higher age and presence of complications, whereas, in women, sexual dysfunction was related to depression.
Both women and men with diabetes are at increased risk for sexual dysfunction. This study suggests that in men with diabetes, sexual dysfunction is related to somatic and psychological factors, whereas in women with diabetes, psychological factors are more predominant.
本研究旨在1）测量糖尿病患者性功能障碍的患病率；2）描述糖尿病患者的描述性变量、心理变量、糖尿病并发症和性功能障碍之间的关系；3）描述糖尿病患者性功能障碍的预测因素。
共有240名成年1型糖尿病患者前往一家大学医院的门诊糖尿病诊所就诊，他们完成了评估对糖尿病心理调适和性功能的问卷。利用病历获取糖化血红蛋白（HbA1c）值以及微血管糖尿病并发症的信息。
27%的女性和22%的男性报告存在性功能障碍。在报告的性功能障碍类型上，两性之间未发现差异。在男性中，而非女性中，性功能障碍与年龄、体重指数、糖尿病病程和糖尿病并发症有关。在两性中均未发现与糖化血红蛋白（HbA1c）存在相关性。在女性中，而非男性中，性功能障碍与抑郁及伴侣关系质量有关。二元逻辑回归表明，在男性中，性功能障碍的显著预测因素是年龄较大和存在并发症，而在女性中，性功能障碍与抑郁有关。
糖尿病男性和女性出现性功能障碍的风险均增加。本研究表明，糖尿病男性的性功能障碍与躯体和心理因素有关，而糖尿病女性的性功能障碍中，心理因素更为突出。
