Bilen Habib, Dayanan Ramazan, Ciftel Enver, Bilen Arzu, Ciftel Serpil, Mercantepe Filiz, Capoglu Ilyas
Faculty of Medicine, Internal Medicine, Endocrinology and Metabolism Department, Atatürk University, Erzurum, Turkey.
Department of Endocrinology and Metabolism, Batman Training and Research Hospital, Batman, Turkey.
Int J Gen Med. 2023 Nov 7;16:5147-5156. doi: 10.2147/IJGM.S441833. eCollection 2023.
Sexual health is not only the absence of sexual dysfunction or disability, but also the presence of physical, emotional, mental, and social well-being related to sexuality. The current study aims to determine whether all adult patients who have applied for their regular health check-ups due to diabetes mellitus had ever voluntarily expressed their sexual problems to a specialist and whether they were asked about the presence of sexual dysfunction. It also aims to determine how the physicians attach importance to the issue.
All patients aged 18-65 years with type 1 and type 2 diabetes mellitus, who applied to our hospital between the years of January 2021 and 2022, were questioned by filling out a questionnaire for the presence of sexual problems in addition to screening for chronic complications of diabetes mellitus (retinopathy, nephropathy, and neuropathy) and routine history and physical examination.
The association between the presence of sexual problems and whether patients were questioned about the relevant issue in their previous controls and gender and age factors, educational background, presence of comorbidities, duration of marriage, and microvascular complications of diabetes mellitus were examined. In a population of 595 patients, 53.78% of the patients stated that they had sexual problems; however, 9.91% had been questioned about this issue by the physician. It was observed that 6.3% of female and 15.3% of male patients had previously consulted a doctor voluntarily due to their sexual problems.
This study presents empirical findings that shed light on the inadequacies in healthcare providers' approach to addressing sexual health concerns among individuals diagnosed with diabetes, as well as the shortcomings in patients' effective communication of these concerns.
性健康不仅是指没有性功能障碍或残疾,还包括与性相关的身体、情感、心理和社会福祉。本研究旨在确定所有因糖尿病前来进行定期健康检查的成年患者是否曾主动向专科医生表达过他们的性问题,以及他们是否被问及性功能障碍的存在情况。同时,本研究还旨在确定医生对该问题的重视程度。
2021年1月至2022年期间到我院就诊的所有年龄在18 - 65岁之间的1型和2型糖尿病患者,除了接受糖尿病慢性并发症(视网膜病变、肾病和神经病变)筛查以及常规病史和体格检查外,还通过填写问卷询问其是否存在性问题。
研究了性问题的存在与患者在之前检查中是否被问及相关问题、性别和年龄因素、教育背景、合并症的存在、婚姻持续时间以及糖尿病微血管并发症之间的关联。在595名患者中,53.78%的患者表示存在性问题;然而,只有9.91%的患者曾被医生问及过这个问题。据观察,6.3%的女性患者和15.3%的男性患者此前曾因性问题主动咨询过医生。
本研究提供的实证结果揭示了医疗服务提供者在处理糖尿病患者性健康问题方面的不足,以及患者在有效沟通这些问题方面的缺陷。