# Comparative analysis of the sexual function of Nigerians with type 2 diabetes and apparently healthy controls

## TL;DR

People with type 2 diabetes in Nigeria experience significantly more sexual dysfunction than healthy individuals, with age and female gender being key factors.

## Contribution

This study is the first to compare sexual dysfunction prevalence in Nigerians with type 2 diabetes and healthy controls using a validated questionnaire.

## Key findings

- 76.2% of people with type 2 diabetes had sexual dysfunction compared to 34.7% of healthy controls.
- Females with diabetes had higher sexual dysfunction (80.7%) than males (65%) and this pattern was also observed in non-diabetic individuals.
- Each year of age increased the odds of sexual dysfunction by 9% among people with diabetes.

## Abstract

To assess the sexual functioning of Nigerians with T2DM in comparison to healthy controls.

Comparative descriptive cross-sectional survey.

Olabisi Onabanjo University Teaching Hospital.

A Consecutive sample of 210 adult Nigerians with T2DM and 121 without diabetes.

Sexual functioning was assessed with the Changes in Sexual Functioning Questionnaire.

Participants with diabetes had a higher prevalence of SD than those without diabetes (76.2% vs 34.7%). This remained unchanged when stratified by gender and sexual response cycles. Increasing age and female gender were significantly associated with SD among participants with diabetes. A one-year increase in age has 1.09 odds of increased SD among participants with diabetes (OR = 1.09, CI = 1.05 – 1.13), while the female participants demonstrated higher SD when compared with males, irrespective of diabetes status, [with diabetes (80.7% vs 65%) and without diabetes (60% vs 20.6%)]. They were also three times as likely to have SD as their male counterparts (OR = 3.39, CI = 1.59–7.24, p = 0.002).

People with diabetes reported lower sexual functioning compared with those without diabetes, with a more than double the prevalence. Females had a higher prevalence of SD than males, irrespective of diabetes status, associated with age among participants with diabetes.

None declared