Department of Family Medicine, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia.
Compr Psychiatry. 2014 Jan;55 Suppl 1:S29-33. doi: 10.1016/j.comppsych.2013.03.009. Epub 2013 Apr 24.
The present study aimed to determine the prevalence and associated factors of orgasmic dysfunction among Malay women with type 2 diabetes mellitus in Malaysia.
This cross-sectional study involved 347 women (174 non diabetic and 173 diabetic subjects) who attended the diabetic clinic in a university hospital. Orgasmic dysfunction was assessed using the orgasmic subscale of Malay Version of the Female Sexual Function Index (MVFSFI). Sociodemographic information of the subjects was collected with a pre-designed questionnaire.
Prevalence of orgasmic dysfunction among Malay women was 13.3% and 10.3% in type 2 diabetes mellitus and control group, respectively. However, the difference was not statistically significant. Multivariate logistic regression analysis showed that unemployment (Adjusted Odds Ratio, AOR=2.69, 95% CI=1.22, 5.97) and lower academic status (AOR=0.35, 95% CI=0.17, 0.72) were significantly associated with sexual orgasmic dysfunction in diabetic women.
Orgasmic dysfunction was highly prevalent among the Malay women regardless of the diabetic state. It is recommended that orgasmic dysfunction in women with diabetes should be assessed during routine clinical health visit to the hospital for early treatment.
本研究旨在确定马来西亚马来族 2 型糖尿病女性性功能障碍的患病率及其相关因素。
本横断面研究共纳入 347 名女性（174 名非糖尿病女性和 173 名糖尿病女性），她们均在一所大学医院的糖尿病诊所就诊。采用马来语女性性功能指数（MVFSFI）的性高潮分量表评估性高潮障碍。使用预先设计的问卷收集受试者的社会人口学信息。
马来族女性中，性高潮障碍的患病率在 2 型糖尿病组和对照组中分别为 13.3%和 10.3%，但差异无统计学意义。多变量 logistic 回归分析显示，失业（调整后的优势比，AOR=2.69，95%可信区间为 1.225.97）和较低的学历（AOR=0.35，95%可信区间为 0.170.72）与糖尿病女性的性高潮功能障碍显著相关。
无论是否患有糖尿病，马来族女性的性高潮障碍都很常见。建议在常规临床健康访视中评估糖尿病女性的性高潮障碍，以便及早治疗。
