Prevalence of male sexual dysfunction among Ghanaian populace: myth or reality?

Amidu, Nafiu; Owiredu, William K. B. A.; Woode, Eric; Addai‐Mensah, Otchere; Gyasi-Sarpong, K.; Alhassan, Abukari

doi:10.1038/ijir.2010.24

Cited by 52 publications

(51 citation statements)

References 14 publications

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“…54.9% in Egypt, and 50.7% in Nigeria (Pfizer)). This prevalence rate is however close to the 64.3% prevalence rate from Turkey [10] but lower than the 66% prevalence rate reported earlier among the general male populace from the same city in Ghana by Amidu et al, [11]. …”

Section: Discussionsupporting

confidence: 64%

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Sexual dysfunction among Ghanaian men presenting with various medical conditions

Amidu

Owiredu

Woode

et al. 2010

Reprod Biol Endocrinol

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BackgroundSeveral medical conditions can affect and disrupt human sexuality. The alteration of sexuality in these medical conditions often hinder effective communication and empathy between the patients and their sexual partners because of cultural attitudes, social norms and negative feelings such as anxiety and guilt. Validated and standardized sexual inventories might therefore help resolve this problem. The objective of this cross-sectional study was to obtain data on the prevalence of male sexual dysfunction (SD) among Ghanaians with various medical conditions residing in Kumasi.MethodsThe Golombok Rust Inventory of Sexual Satisfaction (GRISS) was administered to 150 Ghanaian men with various medical conditions between 19 and 66 years old (mean ± standard deviation: 40.01 ± 12.32 years) domiciled in the Kumasi metropolis.ResultsOut of the total 150 questionnaires administered, 105 (70.0%) men returned the questionnaires. Questionnaires from 3 men were incomplete, leaving 102 complete and evaluable questionnaires, indicating a 68.0% response rate. Of the remaining 102 men, 88.2% were married, 70.6% had attained higher education, 88.2% were non-smokers. Whereas 54.9% were engaged in exercise, 61.8% indulged in alcoholic beverages. The prevalence of the various medical conditions include: diabetes (18%), hypertension (24.5%), migraine (11.8%), ulcer (7.8%), surgery (6.9%), STD (3.9) and others (26.5%). The prevalence of SD among the respondents in the study was 59.8%. The highest prevalence of SD was seen among ulcer patients (100%), followed by patients who have undergone surgery (75%), diabetes (70%), hypertension (50%), STD (50%) and the lowest was seen among migraine patients (41.7%).ConclusionsSD rate is high among Ghanaian men with medical conditions (about 60%) and vary according to the condition and age.

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Section: Discussionsupporting

confidence: 64%

“…Data from some African, Arabic, or Islamic countries with similar socio-cultural and religious characteristics to Ghana indicate SD prevalence of 54.9% in Egypt, 50.7% in Nigeria and 64.3% in Turkey [10]. Previous study by our group among the general Ghanaian populace indicates 66% prevalence of SD [11]. …”

Section: Introductionmentioning

confidence: 84%

Sexual dysfunction among Ghanaian men presenting with various medical conditions

Amidu

Owiredu

Woode

et al. 2010

Reprod Biol Endocrinol

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“…The prevalence of SD among the Ghanaian community has been reported to vary between 59.8 to 70% depending on the population [11,12], medical conditions [13] and marital status [14]. Previous reports among this same population of clinically diagnosed diabetic subjects indicated an SD rate of 69.3% [15].…”

Section: Introductionmentioning

confidence: 99%

Association between metabolic syndrome and sexual dysfunction among men with clinically diagnosed diabetes

Amidu

Owiredu

Alidu

et al. 2013

Diabetol Metab Syndr

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BackgroundThe worldwide epidemic of diabetes and obesity has resulted in a rapid upsurge in the prevalence of metabolic syndrome (MetS). MetS makes the individual liable to endothelial dysfunction which can initiate sexual dysfunction (SD). This study assessed the association between MetS and SD among clinically diagnosed diabetic subjects in Tema, Greater Accra Region of Ghana.MethodSexual functioning was assessed using Golombok Rust Inventory of Sexual Satisfaction in 300 consecutive diabetic men visiting the diabetic clinic of Tema General Hospital between November, 2010 and March, 2011. Anthropometric data including waist and hip circumference as well as blood pressure were measured. The levels of fasting blood glucose and serum lipid profile were assessed. All the men had a steady heterosexual relationship for at least 2 years before enrolment in the study.ResultsThe response rate was 91.3% out of the 300 subjects recruited for the study. Those with SD were significantly older and had diabetes for a longer period as compared to those without SD. The prevalence of MetS as defined by the various criteria was 78.8%, 43.4% and 51.8% for WHO, NCEP ATP III and IDF respectively. Central obesity (p = 0.0482) and raised blood pressure (p = 0.0309) are the significant MetS components when the studied population was stratified according to sexual functioning. Generally, SD as well as its sub-scales correlate positively with age, blood pressure, duration of diabetes and MetS score. Whereas TC and LDL-c correlated positively with non-communication, TG correlates positively with avoidance and infrequency.ConclusionSD and its sub-scales have a direct relationship with duration of diabetes, blood pressure and MetS score from this study. Central obesity and raised blood pressure seem to be the link between MetS and SD among this clinically diagnosed diabetic subjects.

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“…SD is a mixture of problems that has both biologic and psychosocial components and is multi-factorial in terms of aetiology. SD is an important public health problem that is more prevalent in women [3] than in men [4]. …”

Section: Introductionmentioning

confidence: 99%

Sexual dysfunction among married couples living in Kumasi metropolis, Ghana

et al. 2011

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BackgroundSexuality and its manifestation constitute some of the most complex of human behaviour and its disorders are encountered in community. Sexual dysfunction is more prevalent in women than in men. While studies examining sexual dysfunction among males and females in Ghana exist, there are no studies relating sexual problems in males and females as dyadic units. This study therefore investigated the prevalence and type of sexual disorders among married couples.MethodThe study participants consisted of married couples between the ages of 19 and 66 living in the province of Kumasi, Ghana. Socio-demographic information and Golombok-Rust Inventory of Sexual Satisfaction (GRISS) questionnaires were administered to 200 couples who consented to take part in the study. All 28 questions of the GRISS are answered on a five-point (Likert type) scale from "always", through "usually', "sometimes", and "hardly ever", to "never". Responses are summed up to give a total raw score ranging from 28-140. The total score and subscale scores are transformed using a standard nine point scale, with high scores indicating greater problems. Scores of five or more are considered to indicate SD. The study was conducted between July and September 2010.ResultsOut of a total of 200 married couples, 179 completed their questionnaires resulting in a response rate of 89.5%. The mean age of the participating couples as well as the mean duration of marriage was 34.8 ± 8.6 years and 7.8 ± 7.6 years respectively. The husbands (37.1 ± 8.6) were significantly older (p < 0.0001) than their corresponding wives (32.5 ± 7.9). After adjusting for age, 13-18 years of marriage life poses about 10 times significant risk of developing SD compared to 1-6 years of married life among the wives (OR: 10.8; CI: 1.1 - 49.1; p = 0.04). The total scores (6.0) as well as the percentage above the cut-off (59.2) obtained by the husbands compared to the total score (6.2) and the percentage above cut-off (61.5) obtained by the wives, indicates the likely presence of sexual dysfunction. The prevalence of impotence and premature ejaculation were 60.9% and 65.4% respectively from this study and the prevalence of vaginismus and anorgasmia were 69.3% and 74.9% respectively. The highest prevalence of SD subscales among the men was dissatisfaction with sexual act followed by infrequency, whereas the highest among the women was infrequency followed by anorgasmia. Dissatisfaction with sexual intercourse among men correlated positively with anorgasmia and wife's non-sensuality and infrequency of sex.ConclusionThe prevalence of sexual dysfunction in married couples is comparable to prevalence rates in the general male and female population and is further worsened by duration of marriage. This could impact significantly on a couple's self-esteem and overall quality of life.

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Prevalence of male sexual dysfunction among Ghanaian populace: myth or reality?

Cited by 52 publications

References 14 publications

Sexual dysfunction among Ghanaian men presenting with various medical conditions

Sexual dysfunction among Ghanaian men presenting with various medical conditions

Association between metabolic syndrome and sexual dysfunction among men with clinically diagnosed diabetes

Sexual dysfunction among married couples living in Kumasi metropolis, Ghana

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