Academic journal article Indian Journal of Psychiatry

An Epidemiological Study of Sexual Disorders in South Indian Rural Population

Academic journal article Indian Journal of Psychiatry

An Epidemiological Study of Sexual Disorders in South Indian Rural Population

Article excerpt

Byline: T. Sathyanarayana Rao, M. Darshan, Abhinav. Tandon

Background: Sexuality is an important aspect of the personality of an individual and influences psychological, physical and social well-being of both men and women. It is a paradox, that in the country where 'kamasutra' (by Vatsyayana) took birth, there is a lack of research publications and sexuality related literature; hence the current study was conducted, to estimate the prevalence and association of sexual disorders with various socio-demographic variables, in the selected rural population. Materials and Methods: Subjects who were sexually active and fulfilled the study criteria were administered Arizona Sexual Experience Scale as screening tool for the presence of sexual problems. Those who were found to be having sexual problems were interviewed further using appropriate questionnaires. Results: 21.15% of the male subjects were diagnosed to have one (or more) sexual disorder. Prevalence of erectile dysfunction was found to be 15.77%, male hypoactive sexual desire disorder (HSDD) 2.56%; premature ejaculation was found to be prevalent in 8.76% of the male subjects. Around 14% of the female subjects were diagnosed to have female sexual disorders. Prevalence of female arousal dysfunction was found to be 6.65%, female HSDD 8.87%, female anorgasmia 5.67%, female dyspareunia 2.34% and female sexual aversion disorder was found to be prevalent in 0.37% of the female subjects. Conclusion: This study concluded that one in five males and one in seven females were suffering from one (or more) sexual disorder. Improving the training of undergraduate medical and nursing students in sexuality related issues, increasing trained individuals in sexual medicine by starting new courses, providing sex education to the general population using media and merging sexual health care with primary care, are likely to play a significant role in addressing the increasing sexual health morbidity.

Introduction

Sexuality is an important aspect of health, which can impact the overall wellbeing of men and women. [sup][1] Disorders of sexual functioning are common among men and women of all ages, ethnicities, and cultural backgrounds. Despite their apparent prevalence, only a few epidemiological studies are reported from India. There is a deficit of data on the prevalence of sexual disorders from any large-scale epidemiologic studies. The present epidemiological study was conducted in a south Indian rural population to fill this gap. The results obtained from this study might help policy makers and sexual health practioners to develop appropriate and timely strategies for identifying and treating sexual disorders.

Materials and Methods

The current study was undertaken to estimate the prevalence of sexual disorders and association of sexual disorders with various socio-demographic variables in the selected rural area.

Study: It was a descriptive epidemiological study conducted through a door-to-door survey on a sample size of 1529.( n = 1529;742-males; 787- females). Individuals above the age of 18 years, who gave consent and were sexually active were included in the study. Individuals above the age of 18 years but with severe psychotic symptoms, dementia or severe and profound mental retardation and those not fulfilling the inclusion criteria were excluded.

A door to door survey of the entire population residing at Suttur village (25 km from Mysore city in South India; population ~4100 with predominant Hindu community and ~1000 families). There is a primary health center at Suttur run by the Government of Karnataka in collaboration with JSS Medical College and Hospital. Out of 3000 subjects above 18 years, 1529 male and female subjects who fulfilled our inclusion and exclusion criteria were taken up for the study. All individuals were met at their respective homes (working hours were avoided) and briefed about the study. Weight, height, pallor and blood pressure were measured; individuals were educated regarding basic health issues, obesity and diet and referred to a physician if necessary. …

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