Abstract
Untreated sexual dysfunction is a serious sexual problem that adversely affects the quality of life. Body of evidence indicates non-communicable diseases are common comorbid conditions associated with sexual dysfunction. Therefore, this review was aimed to synthesize and estimate the burden of sexual dysfunction and its determinant factors among patients with non-communicable diseases in Ethiopia. Cross-sectional studies were systematically searched using PubMed, Google Scholar, African Journals Online, Cochran Library, Scopus database, and gray literature. Data were extracted using a standardized Joanna Briggs Institute form. The I2 statistic was used to check heterogeneity across the included studies. A funnel plot and Egger's regression test were used to check the presence of publication bias. Sensitivity analysis was deployed to check the effect of a single study on the overall estimation. All statistical analyses were done using STATA version 11.0 software. A total of six studies with 2,434 study participants was included. The estimated pooled sexual dysfunction was 68.04% (95% CI: 56.41-79.67). Based on the subgroup analysis, the highest prevalence of sexual dysfunction was reported among patients with mental related illness, 73.02% (95% CI: 54.00-92.03). In this review, nearly seven out of ten patients with chronic illness have sexual dysfunction, which implies sexual dysfunction was highly prevalent among non-communicable patients. Therefore, health care providers should screen and manage sexual dysfunction during follow-up for improving patient quality of life and sexual reproductive health satisfaction.
Highlights
The burden of non-communicable diseases (NCDs) is one of the major health threats in the world
Nearly seven out of ten patients with chronic illness have sexual dysfunction, which implies sexual dysfunction was highly prevalent among non-communicable patients
We looked through the reference lists of all the articles we found
Summary
The burden of non-communicable diseases (NCDs) is one of the major health threats in the world. NCDs have been steadily increasing and contributing to 39.3% of deaths. Unmet needs for sexual and reproductive health services in both sexes are compounded by the increased burden of noncommunicable diseases that negatively impact women’s [9] and men’s reproductive health [10]. Untreated sexual dysfunction can have major consequences for patients, as it decreases their quality of life and self-esteem, and is linked to a decrease in sexual satisfaction [11, 12]. Body of evidence indicates non-communicable diseases are common comorbid conditions associated with sexual dysfunction.
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