Al Ubaidi Basem Abbas A, Alawainati Mahmood, Ali Mohamed Shaikh, Alhalwaji Mohamed, Mahdi A Rasool, Husain Hasan A, Al Matooq Ahmed M
Department of Family Medicine, Arabian Gulf University, Bahrain.
Department of Family Medicine, Primary Healthcare Centers, Manama, Bahrain.
J Family Med Prim Care. 2025 Feb;14(2):584-591. doi: 10.4103/jfmpc.jfmpc_1139_24. Epub 2025 Feb 21.
Sexual dysfunction (SD) is a common problem among males with type-2 diabetes mellitus (T2DM) but often goes underdiagnosed and underreported. This study aimed to measure the prevalence and risk factors of SD among males with T2DM attending diabetes clinics in Bahrain.
A cross-sectional study was conducted in ten primary health centers in Bahrain using a self-administered questionnaire. The questionnaire consisted of three parts: sociodemographic characteristics and the Sexual Assessment and Dysfunction in Diabetic Men (SAD-M) questionnaire. Descriptive and inferential analyses, including logistic regression, were performed.
A total of 313 patients with an average age of 54.3 ± 10.0 years were included. More than half of the patients had dyslipidemia (n = 220, 70.3%) and hypertension (n = 178, 56.9%). Approximately half of the participants had no morning erections (n = 161, 51.4%), and about a third had less than three sexual intercourse attempts in the last six months (n = 90, 28.8%). Of the participants, 32.6% had moderate SD, 42.5% had mild SD, and 25% had no SD. Univariate analysis showed that male patients with SD were older ( < 0.001) and had a higher body mass index ( = 0.036) compared to those without SD. In addition, unemployed patients ( < 0.001), Bahraini ( < 0.001), had diabetes for 10 years or more ( < 0.001) and had prostate and spinal diseases ( = 0.004 and = 0.010, respectively) had higher rates of SD. Logistic regression analysis showed that older patients ( = 0.007) and patients with a diabetes duration of more than 10 years were more likely to have SD than their counterparts (OR = 14.908, < 0.001).
SD is a common problem among males with T2DM in Bahrain, especially among older patients and those with a prolonged history of diabetes. Therefore, primary care providers should consider screening for SD in male patients with T2DM.
性功能障碍（SD）是2型糖尿病（T2DM）男性患者中的常见问题，但常常诊断不足且报告较少。本研究旨在测定巴林糖尿病诊所中T2DM男性患者性功能障碍的患病率及危险因素。
在巴林的十个初级卫生保健中心开展了一项横断面研究，采用自填式问卷。问卷包括三个部分：社会人口学特征以及糖尿病男性性功能评估与功能障碍（SAD-M）问卷。进行了描述性分析和推断性分析，包括逻辑回归分析。
共纳入313例患者，平均年龄为54.3±10.0岁。超过半数患者患有血脂异常（n = 220，70.3%）和高血压（n = 178，56.9%）。约半数参与者无晨勃（n = 161，51.4%），约三分之一参与者在过去六个月内性交尝试次数少于三次（n = 90，28.8%）。参与者中，32.6%患有中度性功能障碍，42.5%患有轻度性功能障碍，25%无性功能障碍。单因素分析显示，与无性功能障碍的男性患者相比，患有性功能障碍的男性患者年龄更大（<0.001）且体重指数更高（=0.036）。此外，失业患者（<0.001）、巴林人（<0.001）、患糖尿病10年或更长时间（<0.001）以及患有前列腺疾病和脊柱疾病（分别为=0.004和=0.010）的患者性功能障碍发生率更高。逻辑回归分析显示，年龄较大的患者（=0.007）以及糖尿病病程超过10年的患者比同龄人更易发生性功能障碍（OR = 14.908，<0.001）。
在巴林，性功能障碍是T2DM男性患者中的常见问题，尤其是在老年患者和糖尿病病程较长的患者中。因此，初级保健提供者应考虑对T2DM男性患者进行性功能障碍筛查。
