Abstract：
BACKGROUND: Health care workers represent a substantial demographic whose welfare and work efficiency are crucial to public health and societal well-being. However, the prevalence of sexual dysfunction within this group is often overlooked, despite its significant occurrence.
OBJECTIVE: To evaluate the worldwide prevalence of sexual dysfunction among health care workers.
METHODS: A comprehensive systematic review and meta-analysis of observational studies ranging from 2003 to 2023 were performed to compile prevalence estimates of sexual dysfunction among health care workers. A random effects model was implemented to amalgamate the prevalence analysis. Study heterogeneity was discerned by I2 and χ2 statistics. To assess potential publication bias, an Egger\'s test and a funnel plot were employed.
RESULTS: This meta-analysis incorporated 39 studies from 16 countries, encompassing 44 017 health care workers. The pooled prevalence of sexual dysfunction among health care workers was 46.79% (95% CI, 38.09%-55.68%), with a slightly higher prevalence of 49.57% (95% CI, 38.18%-61.01%) among clinical health care workers. The most prevalent forms of sexual dysfunction identified were loss of libido (51.26%), erectile dysfunction (36.99%), sexual dissatisfaction (36.90%), pain during intercourse (28.23%), orgasmic disorders (25.13%), low sexual arousal (23.54%), and lubrication disorders (22.62%). Among various health care professions, nurses exhibited the highest prevalence of sexual dysfunction (56.29%), followed by doctors (37.63%) and other health care workers (24.96%). Additionally, female health care workers experienced a higher prevalence of sexual dysfunction (47.61%) as compared with their male counterparts (32.01%).
CONCLUSIONS: This study indicates that nearly half of health care professionals report experiencing sexual dysfunction, with loss of libido being the most common manifestation. Addressing this issue requires a multistakeholder approach.
OBJECTIVE: To evaluate the worldwide prevalence of sexual dysfunction among health care workers.
METHODS: A comprehensive systematic review and meta-analysis of observational studies ranging from 2003 to 2023 were performed to compile prevalence estimates of sexual dysfunction among health care workers. A random effects model was implemented to amalgamate the prevalence analysis. Study heterogeneity was discerned by I2 and χ2 statistics. To assess potential publication bias, an Egger\'s test and a funnel plot were employed.
RESULTS: This meta-analysis incorporated 39 studies from 16 countries, encompassing 44 017 health care workers. The pooled prevalence of sexual dysfunction among health care workers was 46.79% (95% CI, 38.09%-55.68%), with a slightly higher prevalence of 49.57% (95% CI, 38.18%-61.01%) among clinical health care workers. The most prevalent forms of sexual dysfunction identified were loss of libido (51.26%), erectile dysfunction (36.99%), sexual dissatisfaction (36.90%), pain during intercourse (28.23%), orgasmic disorders (25.13%), low sexual arousal (23.54%), and lubrication disorders (22.62%). Among various health care professions, nurses exhibited the highest prevalence of sexual dysfunction (56.29%), followed by doctors (37.63%) and other health care workers (24.96%). Additionally, female health care workers experienced a higher prevalence of sexual dysfunction (47.61%) as compared with their male counterparts (32.01%).
CONCLUSIONS: This study indicates that nearly half of health care professionals report experiencing sexual dysfunction, with loss of libido being the most common manifestation. Addressing this issue requires a multistakeholder approach.
摘要：
背景：卫生保健工作者代表了一个庞大的人口，其福利和工作效率对公共卫生和社会福利至关重要。然而,这个群体中性功能障碍的患病率经常被忽视，尽管它的重大发生。
目的：评估全球卫生保健工作者性功能障碍的患病率。
方法：对2003年至2023年的观察性研究进行了全面的系统评价和荟萃分析，以汇编卫生保健工作者中性功能障碍的患病率估计。实施随机效应模型来合并患病率分析。通过I2和χ2统计来识别研究的异质性。为了评估潜在的出版偏见，采用了Egger测试和漏斗图。
结果：这项荟萃分析纳入了来自16个国家的39项研究，包括44017名医护人员。医护人员性功能障碍的合并患病率为46.79%(95%CI,38.09%-55.68%),在临床医护人员中，患病率略高，为49.57%（95%CI，38.18%-61.01%）。确定的最普遍的性功能障碍形式是性欲丧失（51.26％），勃起功能障碍（36.99%），性不满（36.90%），性交时疼痛（28.23%），性高潮障碍（25.13%），性欲低下（23.54%），和润滑障碍（22.62%）。在各种医疗保健行业中，护士的性功能障碍患病率最高(56.29%)，其次是医生(37.63%)和其他医护人员(24.96%)。此外,女性医护人员的性功能障碍患病率(47.61%)高于男性医护人员(32.01%).
结论：这项研究表明，近一半的医疗保健专业人员报告有性功能障碍，性欲丧失是最常见的表现。解决这一问题需要采取多方利益相关者的方法。
目的：评估全球卫生保健工作者性功能障碍的患病率。
方法：对2003年至2023年的观察性研究进行了全面的系统评价和荟萃分析，以汇编卫生保健工作者中性功能障碍的患病率估计。实施随机效应模型来合并患病率分析。通过I2和χ2统计来识别研究的异质性。为了评估潜在的出版偏见，采用了Egger测试和漏斗图。
结果：这项荟萃分析纳入了来自16个国家的39项研究，包括44017名医护人员。医护人员性功能障碍的合并患病率为46.79%(95%CI,38.09%-55.68%),在临床医护人员中，患病率略高，为49.57%（95%CI，38.18%-61.01%）。确定的最普遍的性功能障碍形式是性欲丧失（51.26％），勃起功能障碍（36.99%），性不满（36.90%），性交时疼痛（28.23%），性高潮障碍（25.13%），性欲低下（23.54%），和润滑障碍（22.62%）。在各种医疗保健行业中，护士的性功能障碍患病率最高(56.29%)，其次是医生(37.63%)和其他医护人员(24.96%)。此外,女性医护人员的性功能障碍患病率(47.61%)高于男性医护人员(32.01%).
结论：这项研究表明，近一半的医疗保健专业人员报告有性功能障碍，性欲丧失是最常见的表现。解决这一问题需要采取多方利益相关者的方法。
