Department of Public Health, Debre Berhan University, Debre Brehan, Ethiopia.
Department of Nursing, Debre Berhan University, Debre Brehan, Ethiopia.
PLoS One. 2021 Oct 28;16(10):e0258938. doi: 10.1371/journal.pone.0258938. eCollection 2021.
Untreated sexual dysfunction is a serious sexual problem that adversely affects the quality of life. Body of evidence indicates non-communicable diseases are common comorbid conditions associated with sexual dysfunction. Therefore, this review was aimed to synthesize and estimate the burden of sexual dysfunction and its determinant factors among patients with non-communicable diseases in Ethiopia.
Cross-sectional studies were systematically searched using PubMed, Google Scholar, African Journals Online, Cochran Library, Scopus database, and gray literature. Data were extracted using a standardized Joanna Briggs Institute form. The I2 statistic was used to check heterogeneity across the included studies. A funnel plot and Egger's regression test were used to check the presence of publication bias. Sensitivity analysis was deployed to check the effect of a single study on the overall estimation. All statistical analyses were done using STATA version 11.0 software.
A total of six studies with 2,434 study participants was included. The estimated pooled sexual dysfunction was 68.04% (95% CI: 56.41-79.67). Based on the subgroup analysis, the highest prevalence of sexual dysfunction was reported among patients with mental related illness, 73.02% (95% CI: 54.00-92.03).
In this review, nearly seven out of ten patients with chronic illness have sexual dysfunction, which implies sexual dysfunction was highly prevalent among non-communicable patients. Therefore, health care providers should screen and manage sexual dysfunction during follow-up for improving patient quality of life and sexual reproductive health satisfaction.
未经治疗的性功能障碍是一种严重的性问题，会对生活质量产生不利影响。有证据表明，非传染性疾病是常见的与性功能障碍相关的合并症。因此，本综述旨在综合评估和估计埃塞俄比亚非传染性疾病患者性功能障碍及其决定因素的负担。
使用 PubMed、Google Scholar、African Journals Online、Cochran Library、Scopus 数据库和灰色文献系统地搜索横断面研究。使用标准化的 Joanna Briggs 研究所表格提取数据。使用 I2 统计量检查纳入研究之间的异质性。使用漏斗图和 Egger 回归检验检查存在发表偏倚。进行敏感性分析以检查单个研究对总体估计的影响。所有统计分析均使用 STATA 版本 11.0 软件进行。
共有 6 项研究，共 2434 名研究参与者被纳入。估计的总体性功能障碍发生率为 68.04%（95%CI：56.41-79.67）。根据亚组分析，精神相关疾病患者报告的性功能障碍发生率最高，为 73.02%（95%CI：54.00-92.03）。
在本综述中，近十分之七的慢性疾病患者存在性功能障碍，这意味着性功能障碍在非传染性疾病患者中非常普遍。因此，医疗保健提供者应在随访期间筛查和管理性功能障碍，以提高患者的生活质量和性生殖健康满意度。
