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Published in: Health and Quality of Life Outcomes 1/2015

Open Access 01-12-2015 | Research

Sexual dysfunction and sexual quality of life among the physically challenged in the Kumasi metropolis, Ghana

Authors: William K B A Owiredu, Alexander O Owusu, Nafiu Amidu, Lawrence Quaye, Christian K Gyasi-Sarpong, Peter P M Dapare, Huseini Alidu

Published in: Health and Quality of Life Outcomes | Issue 1/2015

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Abstract

Background

Despite the fact that the physically disabled have difficulties in many aspects of their lives, including sexuality, society often ignores these needs or assume that they have no such needs. This cross-sectional study therefore seeks to determine the prevalence of sexual dysfunction (SD) and its impact on the quality of life among persons with physical disability residing in the Kumasi metropolis, Ghana.

Method

This study was conducted among 235 persons with physical disability dwelling in communities within the Kumasi metropolis, Ghana between September 2011 and April 2012. All participants were evaluated by using a semi-structured questionnaire, the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire and the Sexual Quality of Life questionnaire (SQoL). Self-designed semi-structured questionnaire was also administered to each consented study participant for socio-demographic information.

Results

The response rates were 72% and 63.6% for male and female respectively. The age range of the male was 19–74 years with 61.1% being married whilst the age range of the female was 20–66 years with 54.3% being married. 30% and 7.1% of the male and female respectively consumed alcohol beverage. The mean Sexual quality of life (SQoL) score was slightly higher in the females (57.7 ± 15.8), ranging from 25.6 to 97.8. Univariate analysis of the male data showed that the only significant factor that tends to increase the male SD was alcohol (OR: 24.6; CI: 1.4 - 14.9; p = 0.0071). The prevalence of SD was higher among the female populace (65.7%) compared to the 64.4% for the male populace though very closely comparable. Except for non-communication (NC) and anorgasmia (impotence in males), all other areas of difficulty had higher percentages in males than females.

Conclusion

The prevalence of sexual dysfunction among the physically challenged is comparable to prevalence rates in the able male and female population. This could impact significantly on their self-esteem and quality of life via avoidance, impotence and vaginismus thereby causing emotional distress leading to relationship problems. Alcohol increases the risk of developing SD by five-fold in physically challenged men.
Literature
2.
go back to reference Remigiusz KJ. A desire for love: considerations on sexuality and sexual education of people with intellectual disability in Poland. Sex Disabil. 2008;29(1):65–74. Remigiusz KJ. A desire for love: considerations on sexuality and sexual education of people with intellectual disability in Poland. Sex Disabil. 2008;29(1):65–74.
3.
4.
go back to reference Dunn KM, Croft PR, Hackett GI. Sexual problems: a study of the prevalence and need for health care in the general population. Fam Pract. 1998;15(6):519–24.PubMedCrossRef Dunn KM, Croft PR, Hackett GI. Sexual problems: a study of the prevalence and need for health care in the general population. Fam Pract. 1998;15(6):519–24.PubMedCrossRef
5.
go back to reference Koskimaki J, Hakama M, Huhtala H, Tammela TL. Effect of erectile dysfunction on frequency of intercourse: a population based prevalence study in Finland. J Urol. 2000;164(2):367–70.PubMedCrossRef Koskimaki J, Hakama M, Huhtala H, Tammela TL. Effect of erectile dysfunction on frequency of intercourse: a population based prevalence study in Finland. J Urol. 2000;164(2):367–70.PubMedCrossRef
6.
go back to reference Braun M, Wassmer G, Klotz T, Reifenrath B, Mathers M, Engelmann U. Epidemiology of erectile dysfunction: results of the ‘Cologne Male Survey’. Int J Impot Res. 2000;12(6):305–11.PubMedCrossRef Braun M, Wassmer G, Klotz T, Reifenrath B, Mathers M, Engelmann U. Epidemiology of erectile dysfunction: results of the ‘Cologne Male Survey’. Int J Impot Res. 2000;12(6):305–11.PubMedCrossRef
7.
go back to reference Martin-Morales A, Sanchez-Cruz JJ, de Saenz Tejada I, Rodriguez-Vela L, Jimenez-Cruz JF, Burgos-Rodriguez R. Prevalence and independent risk factors for erectile dysfunction in Spain: results of the Epidemiologia de la Disfuncion Erectil Masculina Study. J Urol. 2001;166(2):569–74. discussion 574–565.PubMedCrossRef Martin-Morales A, Sanchez-Cruz JJ, de Saenz Tejada I, Rodriguez-Vela L, Jimenez-Cruz JF, Burgos-Rodriguez R. Prevalence and independent risk factors for erectile dysfunction in Spain: results of the Epidemiologia de la Disfuncion Erectil Masculina Study. J Urol. 2001;166(2):569–74. discussion 574–565.PubMedCrossRef
8.
go back to reference Moreira Jr ED, Abdo CH, Torres EB, Lobo CF, Fittipaldi JA. Prevalence and correlates of erectile dysfunction: results of the Brazilian study of sexual behavior. Urology. 2001;58(4):583–8.PubMedCrossRef Moreira Jr ED, Abdo CH, Torres EB, Lobo CF, Fittipaldi JA. Prevalence and correlates of erectile dysfunction: results of the Brazilian study of sexual behavior. Urology. 2001;58(4):583–8.PubMedCrossRef
9.
go back to reference Amidu N, Owiredu WK, Woode E, Addai-Mensah O, Gyasi-Sarpong KC, Alhassan A. Prevalence of male sexual dysfunction among Ghanaian populace: myth or reality? Int J Impot Res. 2010;22(6):337–42.PubMedCrossRef Amidu N, Owiredu WK, Woode E, Addai-Mensah O, Gyasi-Sarpong KC, Alhassan A. Prevalence of male sexual dysfunction among Ghanaian populace: myth or reality? Int J Impot Res. 2010;22(6):337–42.PubMedCrossRef
10.
go back to reference Amidu N, Owiredu WK, Woode E, Addai-Mensah O, Quaye L, Alhassan A, et al. Incidence of sexual dysfunction: a prospective survey in Ghanaian females. Reprod Biol Endocrinol. 2010;8:106.PubMedCentralPubMedCrossRef Amidu N, Owiredu WK, Woode E, Addai-Mensah O, Quaye L, Alhassan A, et al. Incidence of sexual dysfunction: a prospective survey in Ghanaian females. Reprod Biol Endocrinol. 2010;8:106.PubMedCentralPubMedCrossRef
11.
go back to reference Amidu N, Owiredu WK, Woode E, Appiah R, Quaye L, Gyasi-Sarpong CK. Sexual dysfunction among Ghanaian men presenting with various medical conditions. Reprod Biol Endocrinol. 2010;8:118.PubMedCentralPubMedCrossRef Amidu N, Owiredu WK, Woode E, Appiah R, Quaye L, Gyasi-Sarpong CK. Sexual dysfunction among Ghanaian men presenting with various medical conditions. Reprod Biol Endocrinol. 2010;8:118.PubMedCentralPubMedCrossRef
12.
go back to reference Owiredu WK, Amidu N, Alidu H, Sarpong C, Gyasi-Sarpong CK. Determinants of sexual dysfunction among clinically diagnosed diabetic patients. Reprod Biol Endocrinol. 2011;9:70.PubMedCentralPubMedCrossRef Owiredu WK, Amidu N, Alidu H, Sarpong C, Gyasi-Sarpong CK. Determinants of sexual dysfunction among clinically diagnosed diabetic patients. Reprod Biol Endocrinol. 2011;9:70.PubMedCentralPubMedCrossRef
13.
go back to reference Amidu N, Owiredu WK, Gyasi-Sarpong CK, Woode E, Quaye L. Sexual dysfunction among married couples living in Kumasi metropolis, Ghana. BMC Urol. 2011;11:3.PubMedCentralPubMedCrossRef Amidu N, Owiredu WK, Gyasi-Sarpong CK, Woode E, Quaye L. Sexual dysfunction among married couples living in Kumasi metropolis, Ghana. BMC Urol. 2011;11:3.PubMedCentralPubMedCrossRef
14.
go back to reference Amidu N, Quaye L, Afoko AA, Karikari P, Gandau BB, Amoah EO, et al. Golombok Rust Inventory of Sexual Satisfaction for the presence of sexual dysfunction within a Ghanaian urological population. Int J Impot Res. 2014;26(4):135–40.PubMedCrossRef Amidu N, Quaye L, Afoko AA, Karikari P, Gandau BB, Amoah EO, et al. Golombok Rust Inventory of Sexual Satisfaction for the presence of sexual dysfunction within a Ghanaian urological population. Int J Impot Res. 2014;26(4):135–40.PubMedCrossRef
15.
go back to reference Burke N, Oatman N, Miller WC, Elliott S, Krassioukov A. Sexual health of men with quadriplegia and occupational therapists role. APS Annual Meeting. 2007. Burke N, Oatman N, Miller WC, Elliott S, Krassioukov A. Sexual health of men with quadriplegia and occupational therapists role. APS Annual Meeting. 2007.
17.
go back to reference Wagner G. Erection: physiology and endocrinology. In: Wagner G, Green R, editors. Impotence: Physiological, Psychological, Surgical Diagnosis and Treatment. New York: Plenum Press; 1981. p. 25–36.CrossRef Wagner G. Erection: physiology and endocrinology. In: Wagner G, Green R, editors. Impotence: Physiological, Psychological, Surgical Diagnosis and Treatment. New York: Plenum Press; 1981. p. 25–36.CrossRef
18.
go back to reference Gill TM, Desai MM, Gahbauer EA, Holford TR, Williams CS. Restricted activity among community-living older persons: incidence, precipitants, and health care utilization. Ann Intern Med. 2001;135(5):313–21.PubMedCrossRef Gill TM, Desai MM, Gahbauer EA, Holford TR, Williams CS. Restricted activity among community-living older persons: incidence, precipitants, and health care utilization. Ann Intern Med. 2001;135(5):313–21.PubMedCrossRef
19.
go back to reference Tepavcevic DK, Kostic J, Basuroski ID, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult Scler. 2008;14(8):1131–6.PubMedCrossRef Tepavcevic DK, Kostic J, Basuroski ID, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult Scler. 2008;14(8):1131–6.PubMedCrossRef
20.
go back to reference Rust J, Golombok S. The Golombok-Rust Inventory of Sexual Satisfaction (GRISS) [manual]. Windsor, England: NFER: Nelson; 1986. Rust J, Golombok S. The Golombok-Rust Inventory of Sexual Satisfaction (GRISS) [manual]. Windsor, England: NFER: Nelson; 1986.
21.
go back to reference Rust J, Golombok S. The Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Br J Clin Psychol. 1985;24(Pt 1):63–4.PubMedCrossRef Rust J, Golombok S. The Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Br J Clin Psychol. 1985;24(Pt 1):63–4.PubMedCrossRef
22.
go back to reference Rust J, Golombok S. The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav. 1986;15(2):157–65.PubMedCrossRef Rust J, Golombok S. The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav. 1986;15(2):157–65.PubMedCrossRef
23.
24.
go back to reference George WH, Stoner SA. Understanding acute alcohol effects on sexual behavior. Annu Rev Sex Res. 2000;11:92–124.PubMed George WH, Stoner SA. Understanding acute alcohol effects on sexual behavior. Annu Rev Sex Res. 2000;11:92–124.PubMed
25.
26.
go back to reference Schiavi RC, Stimmel BB, Mandeli J, White D. Chronic alcoholism and male sexual function. Am J Psychiatry. 1995;152(7):1045–51.PubMedCrossRef Schiavi RC, Stimmel BB, Mandeli J, White D. Chronic alcoholism and male sexual function. Am J Psychiatry. 1995;152(7):1045–51.PubMedCrossRef
27.
go back to reference Traal MJ, De Vries J, Roukema JA, Den Oudsten BL. Sexual (dys)function and the quality of sexual life in patients with colorectal cancer: a systematic review. Ann Oncol. 2011;23(1):19–27.CrossRef Traal MJ, De Vries J, Roukema JA, Den Oudsten BL. Sexual (dys)function and the quality of sexual life in patients with colorectal cancer: a systematic review. Ann Oncol. 2011;23(1):19–27.CrossRef
28.
go back to reference Hassan I, Cima RR. Quality of life after rectal resection and multimodality therapy. J Surg Oncol. 2007;96:684–92.PubMedCrossRef Hassan I, Cima RR. Quality of life after rectal resection and multimodality therapy. J Surg Oncol. 2007;96:684–92.PubMedCrossRef
29.
go back to reference Lundberg PO, Brattberg A. Sexual dysfunction in selected neurologic disorders: hypothalamopituitary disorders, epilepsy, myelopathies, polyneuropathies, and sacral nerve lesions. Semin Neurol. 1992;12(2):115–9.PubMedCrossRef Lundberg PO, Brattberg A. Sexual dysfunction in selected neurologic disorders: hypothalamopituitary disorders, epilepsy, myelopathies, polyneuropathies, and sacral nerve lesions. Semin Neurol. 1992;12(2):115–9.PubMedCrossRef
31.
go back to reference McCabe MP, Taleporos G. Sexual esteem, sexual satisfaction, and sexual behavior among people with physical disability. Arch Sex Behav. 2003;32(4):359–69.PubMedCrossRef McCabe MP, Taleporos G. Sexual esteem, sexual satisfaction, and sexual behavior among people with physical disability. Arch Sex Behav. 2003;32(4):359–69.PubMedCrossRef
Metadata
Title
Sexual dysfunction and sexual quality of life among the physically challenged in the Kumasi metropolis, Ghana
Authors
William K B A Owiredu
Alexander O Owusu
Nafiu Amidu
Lawrence Quaye
Christian K Gyasi-Sarpong
Peter P M Dapare
Huseini Alidu
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2015
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-015-0206-8

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