Association of Sexual Dysfunctions and Substance Use Related Factors among Married Couples
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Date
2024-07
Journal Title
Journal ISSN
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Publisher
Society for Health Care & Research Development
Abstract
Background: Sexual dysfunction is a significant health issue that can be exacerbated by substance use, affecting both individual well-being and marital relationships. This study aims to explore the association between substance use and sexual dysfunction among married couples in Sylhet, Bangladesh, and to identify the sociodemographic factors that influence this relationship. Material & Methods: This cross-sectional study was conducted at the Addiction Clinic, Outpatient and Inpatient Department of Psychiatry, Sylhet MAG Osmani Medical College Hospital, from September 2020 to August 2022. A total of 49 married patients with substance use disorders were selected through purposive sampling. Data were collected using a pre-designed structured questionnaire, the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), and the Bangla version of the Arizona Sexual Experience Scale (ASEX). Statistical analysis was performed using SPSS version 25, with Chi-square tests to assess the significance of associations. Results: The study found that 37% of participants reported sexual dysfunction. Among these, 61.11% had low sexual desire, 50.00% had arousal problems, 66.67% had difficulty in vaginal lubrication, 55.56% had difficulty reaching orgasm, and 83.33% had problems with orgasmic satisfaction. Duration of substance use was significantly associated with sexual dysfunction (p=0.002), with 66.67% of participants using substances for more than 10 years experiencing dysfunction. The type of substance used also showed a significant association (p=0.01), with higher prevalence among poly substance users (66.67%). Age, gender, and education level were significantly associated with sexual dysfunction, while occupation, monthly income, habitat, and family history of psychiatric illness were not. Conclusions: The study underscores the complex interplay between substance use and sexual dysfunction, influenced by various sociodemographic factors. These findings highlight the need for integrated treatment approaches that address both substance use and sexual health. Targeted interventions and public health policies are essential to improve the sexual health and overall well-being of individuals with substance use disorders.
Description
Keywords
Substance use, Sexual dysfunction, ASEX, Marital relationships, Bangladesh.
Citation
Islam S. M. Zikrul, Mosharof Bipasha, Islam Md. Rafiqul, Chowdhury Ahmed Riad, Rahman Taslima, Uddin Md. Jasim, Emam Rahat, Alam Shafiul. Association of Sexual Dysfunctions and Substance Use Related Factors among Married Couples. Annals of International Medical and Dental Research. 2024 Jul; 10(4): 36-48