Association between Lifestyle and Biosocial Conditions with Erectile Dysfunction among Adult Patients in a Tertiary Hospital in Southern Nigeria (original) (raw)
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Introduction: Erectile dysfunction (ED) is currently one of the most common sexual dysfunctions worldwide but it is usually underestimated because it is not a life threatening condition. The associated stigma makes men who have it to suffer in silence. This study was conducted to determine the prevalence of erectile dysfunction and the possible associated risk factors among Nigerian men. Methods: The study was a descriptive cross-sectional population based survey among men aged 30-80 years in Ogbomoso, South-west, Nigeria. A multistage random sampling method was used. The instrument used was the International Index of Erectile Function Questionnaire-5 (IIEF-5). Unadjusted odds ratios of possible risk factors were calculated by univariate analyses. Binary logistic regression analysis was used to eliminate the effect of possible confounders on the risk factors to get the adjusted odds ratios. Results: The general prevalence of ED in this study was 58.9%. Sixty-seven (47.2%), 16 (11.3%) and 59(41.5%) respondents had mild, moderate and severe ED respectively. Age, hypertension, use of anti-hypertensive drugs, diabetes mellitus and heart disease all had significant unadjusted associations with ED, but their adjusted associations were not statistically significant. Diabetes mellitus maintained a positive statistically significant relationship with ED after adjustment for potential confounders [OR= 8.31(95% CI 1.02 - 67.65), P= 0.048]. Conclusion: The prevalence of ED is high among south-western Nigeria male adults. Physicians, especially primary care ones, need to pay more attention to the sexual history of their patients in order to diagnose and manage ED more frequently.
2020
Background: Erectile dysfunction (ED) impairs sexual fulfilment and may predispose to disruption in relationships and family life. The condition appears under-recognized among primary care patients in this clime resulting in missed opportunities for prompt intervention. Aims: This study sought to ascertain how common and the extent of recognition of ED among men attending a Family Medicine clinic in southwest Nigeria. Methodology: A cross-sectional study of 414 men recruited by simple random sampling. Data was obtained using a questionnaire which incorporated the 6-item erectile function domain of the International Index of Erectile Function (IIEF) scale. The height, weight, body mass index, blood pressure and blood glucose were measured. Factors associated with ED were identified with the use of Pearson Chi square test and significant factors were subjected to multivariate logistic regression to determine the independent predictors of ED.
https://ijshr.com/IJSHR\_Vol.5\_Issue.3\_July2020/IJSHR\_Abstract.0053.html, 2020
Erectile dysfunction is a health problem that involves the consistent inability to achieve or maintain an erection. The objective of this study was to investigate the socio-demographic factors associated with erectile dysfunction among men. This study was a cross-sectional descriptive study carried out in Port-Harcourt, Southern Nigeria. The multi stage sampling technique was used to select the respondents and an informed consent was obtained from all the participants. A well-structured questionnaire was given to each respondent to fill out. A total of 330 males with a mean age of 48±2.3 participated in the study. Results showed that 210 (63.64%) respondents reported erectile dysfunction. The distribution of erectile dysfunction according to age was 21-30, 13 (, 45 (13.64%); and above 70, 48 (14.55%). The employment status of the respondents was 9 (2.73%) respondents who were peasants; civil servants were 12 (3.64%); private sector, 44 (13.33%); self-employed, 106 (32.12%); others were 39 (11.82%). Data analysis with the Statistical Package of Social Sciences (SPSS) version 23 using the chi-square test at 0.05 level of significance showed that erectile dysfunction was significantly associated with age (P<0.05), education level (P<0.05), and employment status (P<0.05). In conclusion, majority of the respondents reported that they have erectile dysfunction. Age, educational level and employment status were all found to have a significant association with erectile dysfunction. Health education and public enlightenment was recommended to educate men on erectile dysfunction and its risk factors.
Asian Journal of Scientific Research, 2015
This study investigated the prevalence of Erectile Dysfunction (ED) and hypertension in Umudike, Nigeria and assessed the correlations between the 5 item International Index for Erectile Function (IIEF-5) scores and measures of blood pressure in the said population. Standard protocols were followed for all measurements and determinations. The results show that 86.8% of the studied population had some form of ED, though only 10.4 and 2.4% of the population had moderate and severe ED, respectively. Hypertension and prehypertension were found in 21.3 and 47.1% of the population, respectively. Both ED and hypertension increased in prevalence with age. The prevalence of severe ED was significantly (p<0.01) lower than that of normal erectile function (16.7 vs. 38.7%) among subjects with normal blood pressure. Conversely, the prevalence of severe ED was significantly (p<0.05) higher than that of normal erectile function (33.3 vs. 16.7%) among subjects with hypertension. The IIEF-5 scores correlated negatively but significantly (p<0.01) with both SBP and MBP. Evaluating men with hypertension for ED may be warranted in Nigeria, so as to reduce to morbidity and the poor quality of life in men, arising from ED.
Duration of Erectile Dysfunction: Correlation with Clinical and Laboratory Variables in Nigerians
We evaluated the clinical data (age, systolic and diastolic blood pressures, duration of erectile dysfunction, height, weight and Body Mass Index (BMI)) and relevant laboratory data (total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol, triglyceride, testosterone, gonadotrophins, prolactin, thyroid hormones, and blood glucose) of our patients with Erectile Dysfunction (ED) and correlated it with the duration of their ED with a view to know what happens to these variables as the duration of ED progresses. Correlation analysis between patients' duration of ED and the other variables revealed a significant positive correlation between duration of ED and the patient's age (r = 0.458 & P=0.001), BMI (r = 0.367 & P=0.008), systolic blood pressure (r = 0.342 & P=0.014), diastolic blood pressure (r = 0.386 & P=0.005), triglyceride (r = 0.434 & P=0.001) and low density lipoprotein cholesterol (r = 0.287 & P=0.041). On the other hand there was a...
Journal of medicine and health research, 2024
Erectile dysfunction (ED) is a complex disorder with a biopsychosocial etiology that causes chronic stress on the individual thereby worsening the outcome of the disorder. The aim of this study is to establish an association between stress level and erectile dysfunction among adult patients presenting in the general outpatient of our tertiary hospital. A cross sectional study involving 421 adult males selected by simple random sampling was conducted using the International Index of Erectile Dysfunction (IIEF-5) and the Modified Percieved Stress Scale (PSS-10) Among the respondents, 219(52%) had ED while a greater proportion of those who had ED had mild ED 109 (49.8%). The other factors associated with ED on bivariate analysis include tobacco use (p < 0.05), alcohol intake (p < 0.05), diabetes mellitus, hypertension, use of anti hypertensive drugs, use of oral Original Research Article
Journal of Advances in Medicine and Medical Research
Background: Erectile dysfunction (ED) is a chronic complication of diabetes mellitus (DM) that is associated with a negative impact on emotional wellbeing and poor quality of life. There is dearth of current data on the lifestyle correlates of ED in subjects with type 2 diabetes both locally and globally. Objective: To determine the association between ED, tobacco use (snuff use and cigarette smoking) and alcohol consumption in type 2 DM patients attending the diabetes outpatient clinic of Nnamdi Azikiwe University Teaching Hospital, Nnewi in South-Eastern Nigeria. Materials and Methods: This was a cross sectional hospital-based study comprising 124 male type 2 diabetic subjects. Data collection was done with a researcher designed study proforma. The Hospital Anxiety and Depression Scale (HADS), International Index of Erectile Function (IIEF) and the abbreviated version of Alcohol Use Disorder Identification Test (AUDIT-C) questionnaires were used for the diagnosis of anxiety/depres...
Prevalence of Erectile Dysfunction and Awareness of Its Treatment in Abuja, Nigeria
International Journal of Tropical Disease & Health, 2019
Introduction: Erectile dysfunction (ED) is the most common male sexual dysfunction all over the World. It is underestimated in developing countries including Nigeria because it is assumed not to be a life threatening condition which is associated with stigmatization and poor health seeking behavior. The Prevalence rate of ED among specific age groups has not been reported in most available local studies. This study was aimed at determining the prevalence rates of ED and the severity of ED among different age groups and patients' awareness of its treatment. Methods: The study was a descriptive cross-sectional hospital based survey among men aged 18 years and above seen in the outpatient clinics of
Erectile Dysfunction Among Male Hypertensives in a Tertiary Health Facility in South-West Nigeria
Global Journal of Health Science, 2014
Introduction: Erectile dysfunction (ED) has been associated with hypertension and some other chronic diseases. There are few studies on ED in Nigerian male hypertensives and ED appears to be under-reported. We sought to determine the prevalence of ED among hypertensive and normotensive men and to assess the association of demographics, hypertension, antihypertensive medications and other risk factors with erectile function. Methods: A comparative cross sectional study was conducted among male adult hypertensive and normotensive patients attending the outpatient clinic of a tertiary hospital in SouthWest Nigeria. A systematic random sampling method was employed for the selection of respondents. Participants were interviewed using a semi-structured questionnaire to document socio-demographic data, medical history, social history and degree of ED. Demographic and anthropometric characteristics was obtained from all participants. The International Index of Sexual Health Inventory for men (SHIM) was used to determine the presence and severity of ED. Association between categorical independent variables and erectile function were tested using Chi square and the predictors of erectile dysfunction determined with binary logistic regression model at 5% level of significance. Results: A total of 202 male patients completed the study (101 with established hypertension and 101 normotensives who served as comparative group). The mean age of the respondents was 49.74 ± 16.6 years. A total of 133 (65.8%) respondents had ED in varying severities while 34.2% had normal erectile function. Mild to moderate ED occurred in 29.7% while 36.1% had severe ED. On bivariate analysis, prevalence of ED was higher among hypertensives (75%) than normotensives (56.9%) and this was statistically significant, p = 0.007. On multivariate analysis, the only significant risk factor for ED was age. The elderly aged ≥ 65 years (OR: 2.9; 95% CI: 1.03-8.35; p = 0.04) and those aged 46-64 years (OR: 2.9; 95% CI: 1.38-6.53; p = 0.006) were 3 times each more likely to have erectile dysfunction compared with those aged ≤ 45 years. Conclusion: This study revealed that erectile dysfunction was prevalent in both hypertensive and normotensive population studied and that this was significantly worse with increasing age. A higher proportion of hypertensives compared to normotensives had erectile dysfunction. We recommend that all men presenting to a physician should have routine evaluation for ED so as to recognise it early and reduce its effects. Elderly men are the worst affected by ED as various chronic disorders are more common in this age group and www.ccsenet.org/gjhs