埃塞俄比亚西北阿姆哈拉地区医院就诊的糖尿病男性的性健康寻求行为及其相关因素：一项横断面研究。

Sexual health-seeking behaviour and associated factors in men with diabetes mellitus attending the northwest Amhara region hospitals, Ethiopia: a cross-sectional study.

机构信息

Reproductive Health, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia

Pediatrics and Child Health Nursing, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.

出版信息

BMJ Open. 2022 Feb 2;12(2):e049584. doi: 10.1136/bmjopen-2021-049584.

DOI:10.1136/bmjopen-2021-049584

PMID:35110306

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8811566/

Abstract

OBJECTIVE

To assess the sexual health-seeking behaviour and identify the associated factors in men with diabetes mellitus attending in the northwest Amhara region hospitals, Ethiopia.

DESIGN

Hopital-based cross-sectional study.

SETTING

The study was conducted in the northwest Amhara region hospitals between 20 February and 30 April 2020.

PARTICIPANTS

A total of 389 men with diabetes were approached using a systematic random sampling technique. A face-to-face interviewer-administered questionnaire was used. The binary logistic regression was employed to identify factors contributing to sexual health-seeking behaviour. Odds Ratio with its corresponding 95% CI was used to measure the association. Factors with a p value 0.05 in multivariable logistic regression were deemed as significant factors.

OUTCOME MEASURES

Participants were interviewed to respond whether they had sought sexual health service since they were notified to have diabetes mellitus.

RESULTS

A quarter of men with diabetes (25%; 23.4%-27.6%) has sought sexual health service since they were diagnosed with diabetes mellitus. The odds of seeking sexual health service was reduced by 67% in participants who were not able to read and write (adjusted odds ratio (AOR)=0.33; 0.1-0.87) and 71% in participants who have attended primary/secondary education (AOR=0.29; 0.1-0.67) than those who have a diploma and above. Experiencing sexual dysfunction was also significantly associated with an increased odds of seeking sexual health service (AOR=7.1; 2.1-23).

CONCLUSIONS

The study remarks that just one-fourth of men with diabetes had sought sexual health services. Participants with lower educational status are less likely to seek sexual health services. Patients who have experienced sexual dysfunction sought the service well compared with their counterparts. Therefore, special emphasis should be given to men with lower educational status. Similarly, counselling patients to seek sexual health service before experiencing sexual dysfunction would help to improve sexual health-seeking behaviour.

摘要

目的

评估在埃塞俄比亚西北阿姆哈拉地区医院就诊的糖尿病男性的性健康寻求行为，并确定相关因素。

设计

基于医院的横断面研究。

地点

研究于 2020 年 2 月 20 日至 4 月 30 日在西北阿姆哈拉地区医院进行。

参与者

采用系统随机抽样技术共纳入 389 名男性糖尿病患者。采用面对面访谈问卷调查。采用二元逻辑回归分析确定与性健康寻求行为相关的因素。使用比值比及其相应的 95%置信区间来衡量相关性。多变量逻辑回归中 p 值 0.05 的因素被认为是显著因素。

结果测量

受访者被问到自被诊断患有糖尿病以来是否寻求过性健康服务。

结果

四分之一（25%；23.4%-27.6%）的男性糖尿病患者自被诊断患有糖尿病以来曾寻求过性健康服务。与能够读写的参与者相比，无法读写的参与者寻求性健康服务的可能性降低了 67%（调整后的比值比（AOR）=0.33；0.1-0.87），而接受过小学/中学教育的参与者的可能性降低了 71%（AOR=0.29；0.1-0.67）。与未经历性功能障碍的参与者相比，经历性功能障碍的参与者寻求性健康服务的可能性显著增加（AOR=7.1；2.1-23）。