Tan Xing, Tian Yu, Zhu Ting-Ting, Ge Peng-Peng, Wang Quan-Jie, Chen Rong, Xu Rong-Hui, Meng Xiao-Juan, Zhang Tong-Tong
Department of Hematology, Rudong County People's Hospital, Nantong, 226400, China.
Department of Oncology, Rudong County Hospital of Traditional Chinese Medicine, Nantong, 226400, China.
J Sex Med. 2025 Jan 3;22(1):114-123. doi: 10.1093/jsxmed/qdae147.
The relationship between sexual dysfunction and burnout among physicians remains unclear.
To investigate the frequency of sexual dysfunction among physicians in primary hospital and explore the association between sexual dysfunction and burnout.
This study was a cross-sectional survey conducted through a questionnaire. We used the Arizona Sexual Experience Scale and the Chinese version of the Maslach Burnout Inventory-Human Service Survey to assess sexual function and burnout among physicians in primary hospital. Considering the working environment of physicians, we also evaluated the doctor-patient relationship and sleep quality.
Over one-third of physicians experience sexual dysfunction. Burnout is a significant factor to sexual dysfunction among medical professionals.
A total of 382 doctors participated in this survey, and the prevalence of sexual dysfunction was 33.51%. Sexual arousal and orgasm were the main sexual dysfunctions faced by male and female doctors, respectively. The prevalence of burnout among physicians was 43.72%. The prevalence of sexual dysfunction among physicians experiencing burnout (45.51%) was higher than that observed in physicians without burnout (24.19%). Physicians with burnout exhibited significantly higher total and individual scores on the Arizona Sexual Experience Scale as compared with physicians without burnout (all P values <.05). There was a significant positive correlation between depersonalization and sexual drive (r = 0.508, P < .001), sexual arousal (r = 0.521, P < .001), lubrication (r = 0.432, P < .001), orgasm/erection (r = 0.420, P < .001), and sexual satisfaction (r = 0.434, P < .001). Logistic regression analysis confirmed that-in addition to burnout-older age, dissatisfaction with income, a poor doctor-patient relationship, and poor sleep were significant contributors to sexual dysfunction among physicians in primary hospitals.
Sexual health is an integral aspect of well-being. Prioritizing the sexual health of medical professionals can significantly contribute to improving their productivity.
First, our sample size was small, and the impact of different specialties on sexual functioning was somewhat overlooked. Second, we lacked laboratory data (eg, testosterone and prolactin levels) that could provide substantial support to sexual identification. Finally, although we used logistic regression to establish causality, the relationship between sexual dysfunction and certain factors may be bidirectional.
The issue of sexual dysfunction among doctors needs more attention. We should make targeted efforts to improve the quality of physicians' sexual lives.
医生性功能障碍与职业倦怠之间的关系尚不清楚。
调查基层医院医生性功能障碍的发生率，并探讨性功能障碍与职业倦怠之间的关联。
本研究是一项通过问卷调查进行的横断面调查。我们使用亚利桑那性体验量表和中文版的马氏职业倦怠量表-人类服务调查来评估基层医院医生的性功能和职业倦怠情况。考虑到医生的工作环境，我们还评估了医患关系和睡眠质量。
超过三分之一的医生存在性功能障碍。职业倦怠是医疗专业人员性功能障碍的一个重要因素。
共有382名医生参与了本次调查，性功能障碍的患病率为33.51%。性唤起和性高潮分别是男性和女性医生面临的主要性功能障碍。医生的职业倦怠患病率为43.72%。存在职业倦怠的医生中性功能障碍的患病率（45.51%）高于无职业倦怠的医生（24.19%）。与无职业倦怠的医生相比，存在职业倦怠的医生在亚利桑那性体验量表上的总分和各项得分均显著更高（所有P值<.05）。去人格化与性欲（r = 0.508，P <.001）、性唤起（r = 0.521，P <.001）、润滑（r = 0.432，P <.001）、性高潮/勃起（r = 0.420，P <.001）以及性满意度（r = 0.434，P <.001）之间存在显著正相关。逻辑回归分析证实，除职业倦怠外，年龄较大、对收入不满意、医患关系差以及睡眠质量差也是基层医院医生性功能障碍的重要影响因素。
性健康是幸福的一个不可或缺的方面。重视医疗专业人员的性健康可显著有助于提高他们的工作效率。
首先，我们的样本量较小，不同专业对性功能的影响在一定程度上被忽视了。其次，我们缺乏能够为性识别提供实质性支持的实验室数据（例如睾酮和催乳素水平）。最后，尽管我们使用逻辑回归来建立因果关系，但性功能障碍与某些因素之间的关系可能是双向的。
医生的性功能障碍问题需要更多关注。我们应针对性地努力提高医生的性生活质量。
