Diabet Med. 2021 Oct 01;e14704. doi: 10.1111/dme.14704. Epub 2021 Oct 01.
Sexual dysfunction in women with type 1 diabetes in Norway: A cross-sectional study on the prevalence and associations with physical and psychosocial complications.
Diabetic medicine : a journal of the British Diabetic Association
Anne Haugstvedt, Jannike Jørgensen, Ragnhild B Strandberg, Roy M Nilsen, Jakob F Haugstvedt, Rodica Pop-Busui, Eirik Søfteland
Affiliations
Affiliations
- Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
- Department of Medicine, Haukeland University Hospital, Bergen, Norway.
- Department of Medicine, Haraldsplass Hospital, Bergen, Norway.
- Division of Metabolism, Endocrinology & Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
- Hormone Laboratory, Haukeland University Hospital, Bergen, Norway.
- Faculty of Medicine, University of Bergen, Norway.
PMID: 34596251
DOI: 10.1111/dme.14704
Abstract
AIM: To estimate the prevalence of sexual dysfunction in women with type 1 diabetes (T1D) compared with women without diabetes and to analyse associations between sexual dysfunction and the presence of chronic physical diabetes complications, diabetes distress and depression in women with T1D.
METHODS: This cross-sectional study was conducted in Norway, and 171 women with T1D and 60 controls completed the Female Sexual Function Index (FSFI) and the Hospital Anxiety and Depression Scale (HADS). Diabetes distress was assessed with the Problem Areas in Diabetes (PAID) scale. Data on diabetes complications were retrieved from medical records. We performed logistic regression to estimate differences in the prevalence of sexual dysfunction (defined as FSFI ≤26.55) between women with T1D and women without diabetes and to examine associations of sexual dysfunction with chronic diabetes complications, diabetes distress and depression in women with T1D.
RESULTS: The prevalence of sexual dysfunction was higher in women with T1D (50.3%) compared with the controls (35.0%; unadjusted odds ratio [OR] 1.89 [95% confidence interval (CI) 1.06-3.37]; adjusted OR 1.93 [1.05-3.56]). In women with T1D, sexual dysfunction was associated with both diabetes distress (adjusted OR 1.03 [1.01-1.05]) and depression (adjusted OR 1.28 [1.12-1.46]), but there were no clear associations with chronic diabetes complications (adjusted OR 1.46 [0.67-3.19]).
CONCLUSIONS: This study suggests that sexual dysfunction is more prevalent in women with T1D compared with women without diabetes. The study findings emphasize the importance of including sexual health in relation to diabetes distress and psychological aspects in diabetes care and future research.
© 2021 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.
Keywords: female sexual dysfunction; type 1 diabetes
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