{"title":"Role of eye screening camp in detecting systemic diseases and promoting health-seeking behaviour in the rural population - A multi-centre study.","authors":"Archana Bhat, Kaushik Murali, Prajakta Paritekar, Nafees Fathima, Jayamadhuri Gudimetla, Mithun Thulasidas, K Likhitha","doi":"10.4103/jfmpc.jfmpc_1228_24","DOIUrl":"10.4103/jfmpc.jfmpc_1228_24","url":null,"abstract":"<p><strong>Purpose: </strong>The 'Gift of Vision', a rural outreach eye programme, is a doorstep-to-doorstep programme that includes identification of curable eye ailments, logistical transport, and surgery at a base hospital. As part of these screening camps, a cursory systemic examination is conducted to identify systemic conditions that could increase morbidity while the patient is undergoing treatment for their eye conditions at the hospital. The purpose of the study was to analyse the benefit of outreach eye screening camps towards the 2030 agenda of promoting health and well-being in rural India.</p><p><strong>Materials and methods: </strong>This prospective observational multi-centric study included patients attending eye camps and declared systemically unfit for cataract surgery, who were subjected to a structured questionnaire via a telephonic interview from April 2023 to December 2023. Patients' health seeking behaviour and barriers to healthcare were analysed.</p><p><strong>Results: </strong>A total of 7906 patients from 35 camps were screened for cataract. A total of 1340 were found to be 'unfit' for surgery. A total of 606 patients responded to our telephonic interview. A total of 524 (86.5%) patients visited a primary health care physician for systemic treatment, and 466 (76%) were compliant with the medications. A total of 179 (29.5%) patients were newly detected with systemic comorbidity during outreach screening. Ignorance, time constraints, domestic issues, lack of family support, financial issues, and lack of transport were the common barriers to seeking healthcare.</p><p><strong>Conclusion: </strong>Outreach screening not only helps in improving vision in people with visual impairment in rural India but also provides opportunities to enforce health seeking behaviour for systemic comorbidities aligned to Sustainable Development Goal 3.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"556-559"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The enigma of idiopathic pulmonary fibrosis in upper middle-aged individuals.","authors":"Lokesh Devalla, Babaji Ghewade, Pankaj Wagh, Vivek Alone","doi":"10.4103/jfmpc.jfmpc_642_24","DOIUrl":"10.4103/jfmpc.jfmpc_642_24","url":null,"abstract":"<p><p>IPF is a chronic lung disease that is characterized by progressive deterioration of pulmonary function associated with scarring of the lung interstitium, resulting in decreased vital capacity and lung compliance. The disease usually manifests in the sixth and seventh decades of life and incidence increases with advance in age and is more common in males.[1] Risk factors include hereditary factors, chronic viral infection, history of smoking, exposure to hazardous substances in the environment, acid reflux disease, etc. An inexplicable cough, low-grade fever, difficulty in breathing, loss of weight, and appetite are common presentations in patients with IPF. Respiratory examination shows bibasilar inspiratory crepitations. Here, we describe a unique case of ILD presented at an upper middle age of 45 years and so misdiagnosed as pulmonary tuberculosis which presented as a diagnostic and clinical challenge.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"807-810"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rita Parsiani, Thomas Grace, Courtney R Green, Jessica R Castle, Leah M Wilson
{"title":"Continuous glucose monitoring guides glucagon-like peptide 1-based therapy use and optimization in people with type 2 diabetes.","authors":"Rita Parsiani, Thomas Grace, Courtney R Green, Jessica R Castle, Leah M Wilson","doi":"10.4103/jfmpc.jfmpc_773_24","DOIUrl":"10.4103/jfmpc.jfmpc_773_24","url":null,"abstract":"<p><p>Type 2 diabetes (T2D) is a large and growing epidemic. Importantly, new technologies and pharmaceutical options are improving the management of T2D. Continuous glucose monitoring (CGM) systems have advanced glucose-sensing technology, which has made it easier for users to monitor their glucose levels. Glucagon-like peptide 1-based therapies and dual agonists have similarly revolutionized the treatment of T2D. In this article, we present four cases of individuals with T2D who, in collaboration with their healthcare provider, used the data from their CGM systems to inform therapy changes, including the initiation and titration of glucagon-like peptide 1-based therapies. Combined use of CGM systems and glucagon-like peptide 1-based therapies could improve people's diabetes as well as their overall health.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"790-795"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Razaz M Wali, Nourah A Alageel, Bushra S Alghamdi, Layali I Assiri, Wejdan A Alshehri
{"title":"Understanding women's knowledge and attitudes toward the use of emergency contraceptive methods at King Abdulaziz Medical City, Jeddah, Saudi Arabia.","authors":"Razaz M Wali, Nourah A Alageel, Bushra S Alghamdi, Layali I Assiri, Wejdan A Alshehri","doi":"10.4103/jfmpc.jfmpc_1567_24","DOIUrl":"10.4103/jfmpc.jfmpc_1567_24","url":null,"abstract":"<p><strong>Background: </strong>Emergency contraception (EC) is an effective and safe choice for preventing unintended pregnancies if taken within the first 4 to 5 days. The review of existing literature indicates that EC options are often underused globally, primarily due to insufficient awareness among women.</p><p><strong>Aim: </strong>To determine the knowledge and attitude toward the use of EC methods among women at Primary Health Care Centers (PHCCs) at King Abdulaziz Medical City (KAMC)-Jeddah.</p><p><strong>Materials and methods: </strong>This is a questionnaire-based, cross-sectional observational study. It was conducted among women of the reproductive age group (18-55 years) who visited the PHCCs at KAMC-J, Saudi Arabia from 1<sup>st</sup> of December 2023 to 31<sup>st</sup> of May 2024.</p><p><strong>Statistical analysis: </strong>The Statistical Package for the Social Sciences (SPSS) version 29 was used.</p><p><strong>Results: </strong>A total of 378 women took part in the study. The majority (47.6%) were aged between 26 and 35 years and 38.4% reported that they had no knowledge of EC and 61.6% reported they had knowledge about ER. The major source of knowledge was the Internet. (81.0%) reported their physician had not discussed EC with them and only 12.4% (47 participants) reported such a discussion, whereas 6.6% (25 participants) were unsure. Only a small percentage of participants (5.0%) reported having used EC. A significant association was found between knowledge about EC and several factors.</p><p><strong>Conclusion: </strong>This study showed that many participants at PHCCs at KAMC-J had insufficient knowledge of EC, with the Internet being the most common source of information. Demographic factors, such as age, marital status, education level, employment, number of children, income, and being a healthcare worker, were significantly associated with the level of EC knowledge.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"729-735"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perception of medical students about family medicine in Karachi, Pakistan: Medical students' perception about family medicine.","authors":"Munazza Asad, Unab I Khan, Anum Arshad","doi":"10.4103/jfmpc.jfmpc_636_24","DOIUrl":"10.4103/jfmpc.jfmpc_636_24","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the perceptions of medical students about Family Medicine (FM) as a career choice and to examine if exposure to FM in undergraduate medical curriculum is associated with a positive perception of FM.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Place and duration: </strong>The study was conducted in four medical universities of Karachi out of which two were public and two were private sectors. From July 2021 to January 20 22.</p><p><strong>Methodology: </strong>The investigator administered a structured questionnaire in person to the participants. Quantitative data was collected, and descriptive statistics were computed. Association between exposure to FM and perceptions about FM was compared using Chi-squared test. A <i>P</i> value of < 0.05 was considered as significant.</p><p><strong>Results: </strong>A total of 300 students were included; 116 (38.7%) were male. The mean age of participants was 22.8 (±1.7) years. Most (79%) of the participants had a positive perception of FM. Exposure to FM in the undergraduate curriculum (UGC) played a significant role in improving perception, and 80.6% of exposed participants were found to have positive perception. However, there was no association between participants' preference for choosing FM as their career and exposure to FM (not exposed: 35 (31%) vs. exposed: 52 (28%); <i>P</i> = 0.598).</p><p><strong>Conclusion: </strong>Our study highlights the significant impact that exposure to Family Medicine (FM) in undergraduate medical education has on students' perceptions of the specialty. While this exposure generally fosters a positive view of FM, it does not translate into a strong inclination to pursue FM as a career. The primary deterrent identified is the perception of low remuneration associated with the specialty, which remains a critical factor in specialty choice. Addressing these financial concerns may be key to encouraging more students to consider Family Medicine as a viable and rewarding career path.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"643-647"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eman Ali AlQahtani, Bander Abdullah Fajhan, Reema Mohammed Bedywi, Ahmad Ibrahim Asiri, Rammas Abdullah Shawkhan, Adhwaa Ahmed Aljari, Roaa Saad Alqahtani Sara Ali Asiri, Jood Abdulhakeem Al Hamdan, Shahad Saleh Alhassan, Sami Hassan Hakami, Alhussain Ali Asiri, Abdullah Qasem, Asiri
{"title":"Awareness and attitude of using telemedicine among diabetic; a cross-sectional survey in Asser region, Saudi Arabia.","authors":"Eman Ali AlQahtani, Bander Abdullah Fajhan, Reema Mohammed Bedywi, Ahmad Ibrahim Asiri, Rammas Abdullah Shawkhan, Adhwaa Ahmed Aljari, Roaa Saad Alqahtani Sara Ali Asiri, Jood Abdulhakeem Al Hamdan, Shahad Saleh Alhassan, Sami Hassan Hakami, Alhussain Ali Asiri, Abdullah Qasem, Asiri","doi":"10.4103/jfmpc.jfmpc_1695_23","DOIUrl":"10.4103/jfmpc.jfmpc_1695_23","url":null,"abstract":"<p><strong>Context: </strong>Telehealth has usually been observed to be the minor of the two compared to in-person health care.</p><p><strong>Aims: </strong>The aim of this study was to assess awareness and attitude toward using telemedicine among diabetic patients in the Aseer region.</p><p><strong>Settings and design: </strong>A descriptive cross-sectional approach was used targeting all accessible diabetic patients in the Aseer region, southern Saudi Arabia.</p><p><strong>Methods and material: </strong>Data were obtained from eligible patients using an electronic prestructured questionnaire. The researchers prepared the questionnaire with the support of field experts and after a comprehensive literature analysis. The questionnaire was published online utilizing social media platforms by the researchers and their friends throughout the period from August to September 2023. All accessible and eligible patients in the study environment were invited to fill in the accompanying tool.</p><p><strong>Results: </strong>A total of 786 diabetic patients were enrolled. Patients' age ranged from 18 to more than 60 years with a mean age of 40.6 ± 13.9 years old. Exactly 151 (19.2%) people used telemedicine for medical consultation, whereas 635 (80.8%) never used it. Regarding patient readiness and perception, a total of 67 (44.4%) patients had good telemonitoring readiness regarding the use of TM in their diabetic control.</p><p><strong>Conclusions: </strong>The current study showed that only one-fifth of diabetic patients used telemedicine for medical purposes. On the other hand, diabetic patients showed an average level of readiness and perception toward the use of telemedicine for medical consultations.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"541-548"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Childhood immunization, nutrition, and delivery care in the population of J and K, India from 2005-21: A secondary data analysis from national family health survey.","authors":"Neha Choudhary, Sonika Sangra","doi":"10.4103/jfmpc.jfmpc_1262_24","DOIUrl":"10.4103/jfmpc.jfmpc_1262_24","url":null,"abstract":"<p><strong>Background: </strong>Immunization plays a critical role in safeguarding public health by preventing the spread of infectious diseases and reducing morbidity and mortality worldwide. Immunization programs not only protect individuals from deadly childhood diseases but also contribute to community immunity, thereby reducing the overall burden of illness. This study aims to study the trend of childhood immunization, nutrition in those under 5 and delivery care in Jammu and Kashmir, from the data available at the public forum of the National Family Health Survey from the third to fifth rounds.</p><p><strong>Materials and methods: </strong>The indicators of delivery care, nutrition status of children, and vaccination among children below 5 years of age were extracted from the last three rounds of NFHS conducted in 2005-2006, 2015-2016, and 2019-2021. The data obtained were analyzed, and summed up in tables and figures using Microsoft Excel.</p><p><strong>Results: </strong>Rise in vaccination rate, uptake of BCG, measles-containing vaccine, vitamin A (90% to 95%; 66% to 86.2%; 78% to 92%; 12.6% to 82% respectively) from NFHS-3 to NFHS-5. Vaccine uptake in a public health facility increased to 99.1% in NFHS-5. A rise in the percentage of children breastfed within 1 h after birth and exclusive breastfeeding (32% to 55.6% and 42.3% to 62%, respectively) from NFHS-3 to NFHS-5. An increase in wasting and severe wasting (from 14.8 to 19% and 4.4 to 9.7%, respectively) is observed. A rise in institutional births from 50.2% in NFHS-3 to 92.4% in NFHS-5 was reported.</p><p><strong>Conclusion: </strong>Our study highlights a rise in wasting among children under the age of 5 years in J and K despite an increase in vaccination uptake and institutional deliveries from NFHS-3 to NFHS-5.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"675-679"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rabeeya Saeed, Maaha Usmani, Noureen Durrani, Hamna Javaid, Haya Tahir
{"title":"Knowledge, perception and utilization of breast cancer screening among women visiting primary care clinics.","authors":"Rabeeya Saeed, Maaha Usmani, Noureen Durrani, Hamna Javaid, Haya Tahir","doi":"10.4103/jfmpc.jfmpc_1044_24","DOIUrl":"10.4103/jfmpc.jfmpc_1044_24","url":null,"abstract":"<p><strong>Context: </strong>Of all the cancers in the world, breast carcinoma claims to be the deadliest for women in the world. It is of key importance that early detection of breast cancer is made possible through awareness programs targeting the general population. However, this solution is fraught with obstacles. Noteworthy of these obstacles are lack of education.</p><p><strong>Aims: </strong>To determine knowledge, perception, and utilization of breast cancer screening among women visiting primary care centers in Karachi, Pakistan.</p><p><strong>Settings and design: </strong>This cross-sectional study was conducted in community-based primary care centers at Liaquat National Hospital Karachi from September 2021 to February 2022.</p><p><strong>Material and methods: </strong>The data was collected by using a semi-structured questionnaire. The questions were derived from the Cancer Awareness Measure (CAM) scale, the most frequently used and validated tool to assess awareness of cancer risk factors and screening.</p><p><strong>Statistical analysis: </strong>Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 21.</p><p><strong>Results: </strong>A total of 386 participants were enrolled in the study. The median age of study participants was 32 (IQR=) years. Only a few had correct knowledge regarding the breast cancer screening method (n = 118, 30.6%). However, 114 (29.5%) correctly responded that after 40 years, yearly mammography screening should be conducted (n = 114, 29.5%). The majority considered performing breast self-examination important for health (n = 273, 70.7%). 187 (48.4%) women responded that they once performed a self-examination of their breasts.</p><p><strong>Conclusion: </strong>The study highlighted a significant gap in knowledge regarding breast cancer screening among women. There is a need to emphasize the integration of health education interventions at the primary care level keeping in mind the health literacy level of our population.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"637-642"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hassan Mashbari, Othman Iskander, Khalid Alyahyawi, Shahd O AlMarei, Afnan Q Maashi, Mashael S Mahnashi, Maram Y Allami, Fadiyah K Ageeli, Asma M Ashiri, Jawahir M Homadi, Mawaeed A A Thakir, Ethar I Abujabir
{"title":"Prevalence and risk factors of hemorrhoids in Jazan Region, Saudi Arabia: A cross-sectional study.","authors":"Hassan Mashbari, Othman Iskander, Khalid Alyahyawi, Shahd O AlMarei, Afnan Q Maashi, Mashael S Mahnashi, Maram Y Allami, Fadiyah K Ageeli, Asma M Ashiri, Jawahir M Homadi, Mawaeed A A Thakir, Ethar I Abujabir","doi":"10.4103/jfmpc.jfmpc_1144_24","DOIUrl":"10.4103/jfmpc.jfmpc_1144_24","url":null,"abstract":"<p><strong>Background: </strong>Hemorrhoids a prevalent anorectal disorder, have gained rising attention due to their impact on public health and quality of life. Despite their significance, limited research has addressed their prevalence and associated risk factors in the Jazan Region, Saudi Arabia. Thus, this study was designed to determine the prevalence and risk factors of hemorrhoids in Jazan region, Saudi Arabia.</p><p><strong>Methods: </strong>This was a cross-sectional study conducted in the Jazan region, Saudi Arabia, from January to June 2023. Encompassing both urban and rural areas, the study focused on individuals aged 18 and above, excluding those with communication difficulties, mental illness, or severe conditions. Employing random sampling, a sample size of 420 was determined to ensure representation, and participants were selected using a systematic random sampling technique. The analysis was performed using R version 4.2.3.</p><p><strong>Results: </strong>The study included 475 participants, predominantly females (72.57%), aged 25 to 44 (53.38%), with higher education (82.28%) and Saudi nationality (98.31%). Prevalence of hemorrhoids was 13.29%, with 5.27% external, 2.53% internal, and 0.21% thrombosed hemorrhoids. Constipation (OR: 2.28, <i>P</i> = 0.001) and family history (OR: 4.77, <i>P</i> < 0.001) were significant risk factors. Complications were reported by 5.70%, including ulceration (1.05%) and severe bleeding (1.05%). Social norms hindered treatment seeking for 55.49%. While age correlated (<i>P</i> = 0.002 and <i>P</i> = 0.003) with increased odds of hemorrhoids, gender, marital status, nationality, education, employment, smoking, exercise, and fiber intake showed no significant associations.</p><p><strong>Conclusion: </strong>In conclusion, the study revealed a 13.2% prevalence of hemorrhoids mostly external underscoring the significance of factors such as constipation age group, fiber intake, and family history in increasing susceptibility.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"662-666"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Basem Abbas A Al Ubaidi, Mahmood Alawainati, Mohamed Shaikh Ali, Mohamed Alhalwaji, A Rasool Mahdi, Hasan A Husain, Ahmed M Al Matooq
{"title":"Sexual dysfunction among patients with type-2 diabetes mellitus attending diabetes clinics in primary healthcare centers in Bahrain-A cross-sectional study.","authors":"Basem Abbas A Al Ubaidi, Mahmood Alawainati, Mohamed Shaikh Ali, Mohamed Alhalwaji, A Rasool Mahdi, Hasan A Husain, Ahmed M Al Matooq","doi":"10.4103/jfmpc.jfmpc_1139_24","DOIUrl":"10.4103/jfmpc.jfmpc_1139_24","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual dysfunction (SD) is a common problem among males with type-2 diabetes mellitus (T2DM) but often goes underdiagnosed and underreported. This study aimed to measure the prevalence and risk factors of SD among males with T2DM attending diabetes clinics in Bahrain.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in ten primary health centers in Bahrain using a self-administered questionnaire. The questionnaire consisted of three parts: sociodemographic characteristics and the Sexual Assessment and Dysfunction in Diabetic Men (SAD-M) questionnaire. Descriptive and inferential analyses, including logistic regression, were performed.</p><p><strong>Results: </strong>A total of 313 patients with an average age of 54.3 ± 10.0 years were included. More than half of the patients had dyslipidemia (n = 220, 70.3%) and hypertension (n = 178, 56.9%). Approximately half of the participants had no morning erections (n = 161, 51.4%), and about a third had less than three sexual intercourse attempts in the last six months (n = 90, 28.8%). Of the participants, 32.6% had moderate SD, 42.5% had mild SD, and 25% had no SD. Univariate analysis showed that male patients with SD were older (<i>P</i> < 0.001) and had a higher body mass index (<i>P</i> = 0.036) compared to those without SD. In addition, unemployed patients (<i>P</i> < 0.001), Bahraini (<i>P</i> < 0.001), had diabetes for 10 years or more (<i>P</i> < 0.001) and had prostate and spinal diseases (<i>P</i> = 0.004 and <i>P</i> = 0.010, respectively) had higher rates of SD. Logistic regression analysis showed that older patients (<i>P</i> = 0.007) and patients with a diabetes duration of more than 10 years were more likely to have SD than their counterparts (OR = 14.908, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>SD is a common problem among males with T2DM in Bahrain, especially among older patients and those with a prolonged history of diabetes. Therefore, primary care providers should consider screening for SD in male patients with T2DM.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"584-591"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}