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.
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。