Kesmas: National Public Health Journal Copyright @ 2019, Kesmas: National Public Health Journal, p-ISSN: 1907-7505, e-ISSN: 2460-0601, Accreditation Number: 30/E/KPT/2018, http://journal.fkm.ui.ac.id/kesmas Correspondence*: Lintang Dian Saraswati, Department Epidemiology, Faculty of Public Health, Diponegoro University, C Building 2nd Floor, Prof Soedarto SH street Tembalang, Semarang 50275, Indonesia, Phone: +62-8122916641, E-mail: lintang.saraswati@live.undip.ac.id Received : October 24 th 2018 Revised : February 28 th 2019 Accepted : September 6 th 2019 Saraswati et al. Kesmas: National Public Health Journal. 2019; 14 (2): 95-102 DOI: 10.21109/kesmas.v14i2.2722 How to Cite: Saraswati LD, Udiyono A, Sutrisni D, Fauzi M. Sexual dysfunction among women with diabetes in a primary health center at Semarang, Central Java Province, Indonesia. Kesmas: Public Health Journal. 2019; 14 (2): 95-102. (doi: 10.21109/kesmas.v14i2.2722) Abstract Sexual dysfunction is associated with pain during sexual intercourse. Diabetes mellitus (DM) has been reported to be one of causal factors for sexual dys- function in women. This cross-sectional study was conducted to describe status of sexual dysfunction in women with DM in the Tlogosari Kulon Primary Health Care, Semarang, Indonesia, in March 2017. A total of 103 women with DM visiting the Primary Health Care participated in this study. Data were collected using a questionnaire-guided interview and through measurements (blood pressure and random blood glucose test). Results showed that 74.8% of women with DM had sexual dysfunction. The proportion of sexual dysfunction was higher among women in the clinical phase, with uncontrolled blood glucose levels, hyper- tension grade II, prolonged duration of DM of ≥ 5 years, undergoing insulin treatment, in menopause, grand multiparity, having used the tubectomy contra- ception method, low physical activity, depression, and consumption of antihypertensive drugs. Three factors showing an increased tendency to cause sexual dysfunction in women with DM were aging process (Odds Ratio (OR) : 0.294, 95% CI: 0.072 - 1.195, p-value = 0.087), menopausal status (OR : 0.102, 95% CI: 0.010 - 1.042, p-value = 0.054), and consumption of antihypertensive drugs (OR : 0.153, 95% CI: 0.033 - 0.712, p-value = 0.170). Main factors related to sexual dysfunction were aging process, menopausal status, and consumption of antihypertensive drugs. Keywords: Female sexual function index, pathology, physiology, psychosociology, women with diabetes Sexual Dysfunction among Women with Diabetes in a Primary Health Care at Semarang, Central Java Province, Indonesia Lintang Dian Saraswati 1 , Ari Udiyono 1 , Dian Sutrisni 2 , Muh Fauzi 3 1 Department of Epidemiology Faculty of Public Health Diponegoro University, Semarang, Indonesia, 2 Women Prison Type II b Kudus, Ministry of Law and Human Rights, Indonesia, 3 Department of Medical Environmental Biology and Tropical Medicine, School of Medicine, Kangwon National University, South Korea Introduction Sexual dysfunction is a disorder in terms of desire for sexual satisfaction and the ability to achieve sexual satisfaction. 1 Sexual dysfunction can have a major impact on the quality of life. 2 In women, it is a significant reproductive health problem as it is associated with the continuity of a woman’s reproductive function and can considerably affect the harmony of the relationship between husband and wife. 3 The etiology of sexual dysfunction in women is multifactorial and combines interpersonal, contextual (social), psychological (such as depression, anxiety, body image perception disorders, traumatic sexual experience in the past, and history of abuse), and biological factors, including several medical conditions (urogenital, neurological, and endocrine disorders, menopause, pregnancy, and obesity) as well as pharmacological and other therapies (anti-neoplasmic agents, antipsychotic and antidepressant medications, antihypertensive agents, major surgical operations, radiation therapies). The risk factors for female sexual dysfunction comprising the social and cultural aspects include a lack of social relationships, poverty, employment status, religious life, educational background, and limited sport activity. 4,5 Sexual dysfunction in women with DM is known for a long period of time; however, most studies have not described this condition. 6,7 Moreover, results of several studies on pathogenetic factors of sexual dysfunction still remain controversial. 5,8–10 One study reported no difference in sexual dysfunction between premenopausal (62.1%) and postmenopausal (62.5%) women, but a greater incidence of sexual dysfunction was found in women