1. Sexual Functioning, Disability and Quality of Life among Nigerian Stroke Survivors:
A Preliminary Report
Oyewole O.O1, Ogunlana M.O2, Emmanuel G.M1
1. Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
2. Federal Medical Centre, Abeokuta, Nigeria.
Acknowledgements
Thanks to Dr. Gbiri C.A for the review.
•OOUTH-Health Research Ethics Committee approved
the study.
•Presented at the WCPT Congress 2015, Singapore
Conclusions
•Higher prevalence of sexual dysfunction and
disability among Nigerian stroke survivors.
•Absence of hypertension and decreased
WHODAS score associated with improved QoL.
•Being male hypertension was associated with
better sexual functioning.
Recommendation
•Sexual counselling during rehabilitation should
be focused to reduce disability
Participants
•Consented stroke survivors clinically diagnose
of stroke who attended two tertiary health
institutions in Ogun state, Nigeria.
•Who have survived stroke for at least 3 months
•Who were clinically competent to complete
interview
Introduction
•Stroke results not only in physical impairment,
but also in significant activity limitation,
participation restriction and psychosocial
disabilities.
•Such changes have potentially far-reaching
effect on quality of life (QoL) of the stroke
survivors especially family roles
•Sexuality is one aspect of QoL often affected
and has adverse effect both on the patients and
their spouses
Methods
• This cross-sectional study recruited 53
consecutive stroke survivors
• Participants were interviewed to complete the
following questionnaires:
 World Health Organization Disability Assess
ment Schedule (WHODAS 2.0),
 Changes in Sexual Functioning
Questionnaire (CSFQ-14) short-form,
 Stroke Specific Quality of Life (SS-QoL-12)
short-form.
• Age, type of stroke, previous stroke episode,
side of affectation, duration since stroke onset,
co-morbidities like hypertension, diabetes,
were assessed from the survivors’ medical
records and from the patients.
• We performed descriptive statistics, Spearman
coefficient correlations and logistic regression
analysis.
Results
•Predictors of improved QoL were absence of
hypertension and decreased WHODAS score.
Table 1: Factors Predicting SS-QoL, CSFQ and WHODAS in
Univariate Analysis
Purpose
•To examine the association between QoL,
disability and sexual functioning in stroke
survivors.
Contact details:oyewoleye@yahoo.co.uk
Results
•53 stroke survivors (male: n=32) with mean age
63±12 years participated.
•The median duration since stroke was 24
months (range: 3–264)
•85% of stroke survivors had sexual dysfunction.
•Males were more likely to have better sexual
function assessed by CSFQ score
•Survivors had mean scores of 16±6 for the
SS-QoL psychosocial domain and 23±5 for the
physical domain.
•Overall QoL score is 38.4±9.5
•Survivors also had mean scores of 32±10 for
the WHODAS and 31±9 for the CSFQ.
Suggest high prevalence of disability and
sexual dysfunction
0
10
20
30
40
50
60
Number
Fig.1:Demographic and Clinical Characteristics of
the Participants
Characteristics Variable r p-value
SS-QoL
Physical domain Age
Total CSFQ
Desire phase
Orgasm phase
WHODAS
-0.38
0.32
0.32
0.34
-0.74
0.007
0.02
0.02
0.012
0.001
CSFQ
Total CSFQ
Desire phase
Orgasm
Age
Age
Physical domain of SS-QoL
-0.29
-0.30
0.34
0.037
0.03
0.012
Table 2: Factors Predicting SS-QoL, CSFQ and WHODAS in
Multivariate Logistic Regression Analysis
Characteristics Variables B adjusted
OR
95%CI P-
value
SS-QoL
Psychosocial
Physical
Hypertension
WHODAS
Religion
WHODAS
2.55
-0.10
2.77
-0.31
12.79
0.90
15.99
0.73
1.90-85.92
0.83-0.98
1.84-138.9
0.60-0.89
0.009
0.017
0.012
0.002
CSFQ
Desire phase
Arousal phase
Orgasm phase
Sex
Education
Physical
domain
Sex
SBP
Education
Sex
SBP
Education
4.36
-3.00
0.21
2.48
-0.05
-2.19
2.26
-0.05
-2.77
78.16
0.05
1.23
11.92
0.95
0.11
9.57
0.95
0.06
5.43-1.3×103
0.01-0.52
1.01-1.49
2.19-64.82
0.91-1.00
0.02-0.62
1.73-52.88
0.91-1.00
0.01-0.41
0.001
0.012
0.036
0.004
0.041
0.012
0.01
0.041
0.004