Factors Associated with Sexual Dysfunction among Men with Type 2 Diabetes Mellitus in Botswana

Gaogakwe Ramaologa; Khemaradee Masingboon; Niphawan Samartkit

ผู้แต่ง

Gaogakwe Ramaologa Student of Master degree of Adult Nursing, Faculty of Nursing, Burapha University
Khemaradee Masingboon Assistant Professor, Faculty of Nursing, Burapha University
Niphawan Samartkit Associate Professor, Faculty of Nursing, Burapha University

คำสำคัญ:

Sexual dysfunction, Men with type 2 diabetes mellitus, Couple satisfaction, Botswana

บทคัดย่อ

This descriptive correlational study aimed to examine the prevalence of sexual dysfunction and its associated factors, including age, health status, diabetes duration, HbA1C, and couple satisfaction with sexual dysfunction among men with T2DM in Botswana. Engel’s Biopsychosocial Model served as the conceptual framework (Engel, 2012). Simple random sampling was used to recruit 200 men with T2DM attending an outpatient diabetes clinic in Botswana. The tools used included a demographic questionnaire, the Short Form-12 (SF-12), the Couples Satisfaction Questionnaire (CSQ-4), and the Changes in Sexual Functioning Questionnaire (CSFQ-14). Data were analyzed using descriptive statistics and Pearson correlation.

Results revealed that 64.5% of participants had HbA1C levels ≥8%, indicating poor glycemic control (HbA1C ≥ 8%). 70 % (n = 140) of participants reported sexual dysfunction. Strong positive correlations were found with age (r = .547, p < .001), and moderate correlations were observed for diabetic duration (r = .375, p < .001). Weak positive correlations were observed with couple satisfaction (r = .189, p = .007), while negative correlations were observed with health status (r = - .235, p < .001). However, no significant correlation was found between sexual dysfunction and HbA1c levels.

Sexual dysfunction is highly prevalent among men with type 2 diabetes mellitus. Age, health status, diabetes duration, and couple satisfaction were significantly associated with sexual dysfunction. Healthcare interventions should focus on promoting overall health status, improving diabetes control, and providing couples counselling to enhance relationship quality, thereby improving sexual health outcomes in men with type 2 diabetes mellitus.

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