Department of Behavioural Sciences, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
J Sex Med. 2011 May;8(5):1322-9. doi: 10.1111/j.1743-6109.2010.02090.x. Epub 2010 Nov 22.
The magnitude of sexual health problems and availability of treatment options in the local environment is yet to be documented; thus, there is an urgent need for this, as sexual dysfunction may be a real social and psychological problem, needing urgent attention.
The aim of this study was to investigate the prevalence of sexual dysfunction and pattern of sexual health seeking behavior, among secondary school teachers in Ilorin, Kwara State Nigeria.
450 teachers were invited to complete an anonymous self-administered sociodemographic questionnaire, as well as three other instruments measuring human sexuality and general mental health status.
The survey instrument used were the International Index of Erectile Function (IIEF-5), a modified Sexual Activity Questionnaire (SAQ), and the General Health Questionnaire -30 (GHQ -30). Result were compared with established normative data, and validated cut-off scores that were available.
A total of 417 teachers (93%) responded to the questionnaire. The following prevalence rates were found: female anorgasmia (40%), lubrication failure (30%), dyspareunia (12%), erectile dysfunction, premature ejaculation and male orgasmic disorder (23% each), loss of sexual desire (24%), sexual life dissatisfaction, and relationship dissatisfaction six months prior to interview (10% each), and GHQ-30 scores were significant in sexual dysfunction in both genders, except for female anorgasmia and premature ejaculation in males. However, a presence of psychiatric morbidity was significantly found in overall sexual life dissatisfaction, as well as relationship dissatisfaction. The pattern of sexual health help-seeking behavior showed that majority (53%) do not seek treatment. Of these 53%, many (44%) gave the reason that they thought it transient, ignorance of hospital treatment service (30%), and fear of stigma (26%); also, among those that sought treatment, 46% chose alternative medicine.
The prevalence of sexual dysfunctions found in this study is comparable to those reported in earlier Nigerian studies. Despite this and the significant "psychiatric morbidity" experienced in sexual difficulties, apparently no health services have been specially designed to address sexual dysfunction among the teacher's group or the general population at large. This study therefore draws urgent attention to the need for services geared towards alleviating sexual problems, more professional and patient education are recommended.
性健康问题的严重程度和当地环境中治疗方案的可及性尚未得到记录；因此，这是非常有必要的，因为性功能障碍可能是一个真实的社会和心理问题，需要引起紧急关注。
本研究旨在调查尼日利亚克瓦拉州伊洛林的中学教师中性功能障碍的流行情况和性健康寻求行为模式。
邀请 450 名教师填写匿名的自我管理社会人口学问卷，以及另外三种衡量人类性行为和一般心理健康状况的工具。
使用的调查工具包括国际勃起功能指数（IIEF-5）、改良的性行为问卷（SAQ）和一般健康问卷-30（GHQ-30）。结果与既定的规范数据和可用的验证性截断值进行比较。
共有 417 名教师（93%）回答了问卷。发现以下患病率：女性性高潮障碍（40%）、润滑失败（30%）、性交疼痛（12%）、勃起功能障碍、早泄和男性性高潮障碍（各 23%）、性欲丧失（24%）、性生活不满和六个月前的关系不满（各 10%）、以及 GHQ-30 评分在两性性功能障碍中均有显著意义，除了男性的女性性高潮障碍和早泄。然而，在整体性生活不满和关系不满中，确实存在精神疾病。性健康寻求帮助的行为模式表明，大多数（53%）人不寻求治疗。在这 53%的人中，许多人（44%）认为这是短暂的，不知道医院的治疗服务（30%），并且害怕耻辱（26%）；此外，在那些寻求治疗的人中，46%选择了替代医学。
本研究中发现的性功能障碍患病率与尼日利亚早期研究报告的患病率相当。尽管如此，并且在性功能障碍中明显存在“精神疾病”，但显然没有专门设计的卫生服务来解决教师群体或更广泛的普通人群中的性功能障碍问题。因此，这项研究引起了人们对需要服务的紧急关注，以缓解性问题，建议进行更专业和患者教育。
