Background: Sexual dysfunction is a common complication of type 2 diabetes in males and females. Although sexual function is important, it is often neglected as a component of type 2 diabetes care. Objectives: This study aimed at investigating the association between sexual function and marital dissatisfaction in males and females with type 2 diabetes living in southern Iran. Methods: This study was a case-control research, which was carried out on 120 non-pregnant females and 120 males with type 2 diabetes. In addition, available samples of healthy individuals (120 females and 120 males), who referred to central cares located in Zarand, Kerman during year 2015, were used as the control group. The female sexual function data was obtained based on a questionnaire compromised of Rosen female sexual function indices (FSFI, 2000). The international index of erectile function (IIEF) questionnaire was used to obtain male sexual dysfunction data. Results: Forty-one diabetic individuals (17.08%) of total diabetic participants had impaired sexual function, 29 of which (70.73%) were male (with higher rates in males than females, P < 0.05). In addition, 12 diabetic patients (5%) had decreased sexual desire and 66.6% were diabetic males. There was no significant difference in sexual desire between healthy and diabetic groups. Sexual arousal was significantly (P < 0.001) lower in the diabetic group compared with healthy individuals. In addition, sexual lubrication (P = 0.008), orgasm (P = 0.003), satisfaction (P = 0.05), and dyspareunia (P = 0.05) scores were significantly higher in the healthy group in comparison to the diabetic group. Severe erectile dysfunction was significantly (P < 0.001) greater between diabetic than the healthy group. Sexual dissatisfaction was significantly (P < 0.001) higher in diabetic males compared to healthy individuals; the amount of libido average and marital life satisfaction were significantly lower in diabetic males (P = 0.01). Conclusions: Based on the findings of this study, counseling, and prevention of diseases, such as diabetes is suggested along with a focus on marital and sexual relations at the age of fertility.
Background Postpartum depression (PPD) and anxiety are considered as a risk factor for mother and infant health. Therefore, the present study aims to explore the association between demographic characteristics and pregnancies with PPD and anxiety. Methods A cross-sectional study was conducted on 400 Iranian women referring to health centres of the Zarand City four weeks to six months from the date of their childbirth, in the first half of 2018. Result The results showed that employed women with pregnancies who were categorised as depression and anxiety were more likely to have low gestational age, food insecurity, several deliveries, cesarean delivery and unintended pregnancy as well as they were not satisfied with their infant’s gender. Also, women with several deliveries had lower risk for PPD before and after adjustment for confounders (odds ratio [OR] = 0.92, 95% confidence interval [CI]: 0.88–0.97, P < 0.001) and had lower risk for postpartum anxiety only after adjustment for confounders (OR = 0.82, 95% CI: 0.75–0.89, P < 0.001). Conclusion Eventually, demographic characteristics and attempting of pregnancy were independently associated with PPD and postpartum anxiety in women. There need to be more social and governmental support of employed women after delivery to decrease their occupational stresses to deal with PPD and anxiety in the studied population.
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