{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:32:08Z","timestamp":1753878728730,"version":"3.41.2"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T00:00:00Z","timestamp":1694476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore the impact of diabetes on sexual relationships among men and women living with type 2 diabetes People living with type 2 diabetes (PLWD) and their partners in Cape Town, South Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>As part of a larger study developing an intervention to improve type 2 diabetes mellitus (T2DM) self management, we conducted in\u2010depth individual interviews with 10 PLWD and their partners without diabetes about experiences living with T2DM, between July 2020 and January 2021. We used inductive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both PLWD and partners felt that their sexual relationships and desires changed post\u2010diagnosis, in ways beyond biomedical issues. Although couples' reports on the quality of their sexual relationships were concordant, most participants had not communicated their sexual desires and concerns with each other, causing unhappiness and fears of disappointing or losing their partner. Participants felt uninformed about sexual dysfunction but had not discussed this with their healthcare provider, leading to increased anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PLWD and their partners need more informational support to increase their understanding of diabetes\u2010associated sexual dysfunction and to decrease fears and anxiety. Strengthening communication within couples on sexual issues may empower them to find solutions to problems experienced. This may improve couples' relationships and quality of life, and indirectly result in better self management of T2DM.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15203","type":"journal-article","created":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T06:10:33Z","timestamp":1692425433000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018I accept his manhood is on life\u2010support\u2019: A qualitative understanding of the impact of diabetes on sexual relationships among men and women living with type 2 diabetes and their partners in South Africa"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6046-9607","authenticated-orcid":false,"given":"Myrna","family":"van Pinxteren","sequence":"first","affiliation":[{"name":"Department of Medicine, Chronic Diseases Initiative for Africa (CDIA) University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Delobelle","sequence":"additional","affiliation":[{"name":"Department of Medicine, Chronic Diseases Initiative for Africa (CDIA) University of Cape Town  Cape Town South Africa"},{"name":"Department of Public Health Vrije Universiteit Brussel  Brussel Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi","family":"Levitt","sequence":"additional","affiliation":[{"name":"Department of Medicine, Chronic Diseases Initiative for Africa (CDIA) University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"Smith","sequence":"additional","affiliation":[{"name":"Computing, Faculty of Technology University of Portsmouth  Portsmouth UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Buyelwa","family":"Majikela\u2010Dlangamandla","sequence":"additional","affiliation":[{"name":"Department of Medicine, Chronic Diseases Initiative for Africa (CDIA) University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuala","family":"McGrath","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, School of Primary Care, Population Sciences and Medical Education University of Southampton  Southampton UK"},{"name":"Department of Social Statistics and Demography, Faculty of Social Sciences University of Southampton  Southampton UK"},{"name":"Africa Health Research Institute  KwaZulu\u2010Natal South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18115868"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2010.1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.28991\/SciMedJ-2021-0301-4"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/diabetology1010002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2015.1033578"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13098-019-0469-z"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2022.109669"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-S012"},{"key":"e_1_2_9_10_1","first-page":"S1","article-title":"SEMDSA 2017 guidelines for the management of type 2 diabetes mellitus","volume":"22","author":"Nicolaou V","year":"2017","journal-title":"J Endocrinol Metab Diabetes S Afr"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/16089677.2015.1090185"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.7827"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224491003658227"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000126625"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/19325037.2001.10603498"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.17925\/EE.2019.15.1.18"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/1355785052000323047"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721710385579"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-069982"},{"key":"e_1_2_9_20_1","first-page":"222","volume-title":"Qualitative Psychology: A Practical Guide to Research Methods","author":"Clarke V","year":"2015"},{"key":"e_1_2_9_21_1","unstructured":"Summary of approach to research in time of COVID\u201019 outbreak. 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