Department of Medical Laboratory Technology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Reprod Biol Endocrinol. 2011 May 25;9:70. doi: 10.1186/1477-7827-9-70.
Diabetes mellitus is a chronic disease that can result in various medical, psychological and sexual dysfunctions (SD) if not properly managed. SD in men is a common under-appreciated complication of diabetes. This study assessed the prevalence and determinants of SD among diabetic patients in Tema, Greater Accra Region of Ghana.
Sexual functioning was determined in 300 consecutive diabetic men (age range: 18-82 years) visiting the diabetic clinic of Tema General Hospital with the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire, between November, 2010 and March, 2011. In addition to the socio-demographic characteristics of the participants, the level of glycosylated haemoglobin, fasting blood sugar (FBS) and serum testosterone were assessed. All the men had a steady heterosexual relationship for at least 2 years before enrolment in the study.
Out the 300 participants contacted, the response rate was 91.3% after 20 declined participation and 6 incomplete data were excluded All the respondents had at least basic education, 97.4% were married, 65.3% were known hypertensive, 3.3% smoked cigarettes, 27% took alcoholic beverages and 32.8% did some form of exercise. The 69.3% SD rate observed in this study appears to be related to infrequency (79.2%), non-sensuality (74.5%), dissatisfaction with sexual acts (71.9%), non-communication (70.8%) and impotence (67.9%). Other areas of sexual function, including premature ejaculation (56.6%) and avoidance (42.7%) were also substantially affected. However, severe SD was seen in only 4.7% of the studied population. The perceived "adequate", "desirable", "too short" and "too long intra-vaginal ejaculatory latency time (IELT) are 5-10, 5-10, 1-2 and 15-30 minutes respectively. Testosterone correlates negatively with glycated haemoglobin (HBA1c), FBS, perceived desirable, too short IELT, and weight as well as waist circumference.
SD rate from this study is high but similar to that reported among self-reported diabetic patients in Kumasi, Ghana and vary according to the condition and age. The determinants of SD from this study are income level, exercise, obesity, higher perception of "desirable" and "too short" IELT.
糖尿病是一种慢性病，如果管理不当，可能会导致各种医学、心理和性功能障碍（SD）。男性的 SD 是糖尿病常见但未被充分认识的并发症之一。本研究评估了加纳大阿克拉地区特马的糖尿病患者中 SD 的患病率和决定因素。
2010 年 11 月至 2011 年 3 月期间，使用 Golombok Rust 性满意度问卷（GRISS）对在特马综合医院糖尿病诊所就诊的 300 名连续糖尿病男性（年龄范围：18-82 岁）进行了性功能评估。除了参与者的社会人口统计学特征外，还评估了糖化血红蛋白（HbA1c）、空腹血糖（FBS）和血清睾酮水平。所有男性在入组研究前至少有 2 年的稳定异性恋关系。
在联系的 300 名参与者中，经过 20 名拒绝参与和 6 名数据不完整的排除后，应答率为 91.3%。所有受访者都接受过至少基本教育，97.4%已婚，65.3%已知患有高血压，3.3%吸烟，27%饮酒，32.8%进行某种形式的运动。本研究观察到的 69.3%SD 率似乎与不频繁（79.2%）、非感官性（74.5%）、对性行为不满（71.9%）、非沟通（70.8%）和阳痿（67.9%）有关。其他性功能领域，包括早泄（56.6%）和回避（42.7%）也受到了实质性影响。然而，仅在 4.7%的研究人群中观察到严重的 SD。感知到的“足够”、“理想”、“太短”和“太长”阴道内射精潜伏期时间（IELT）分别为 5-10、5-10、1-2 和 15-30 分钟。睾酮与糖化血红蛋白（HbA1c）、FBS、感知理想、太短 IELT 和体重以及腰围呈负相关。
本研究中的 SD 率较高，但与加纳库马西报告的自我报告糖尿病患者中的 SD 率相似，并且根据病情和年龄而有所不同。本研究中 SD 的决定因素是收入水平、运动、肥胖、更高的“理想”和“太短”IELT 感知。
