Prevalence of erectile dysfunction and associated factors among males visiting family medicine clinics in a Tertiary Care Hospital in Karachi, Pakistan

Abstract

Background: The burden of erectile dysfunction (ED) among the developed countries is found to be quite high. However, there is a paucity of data among developing countries to know its actual burden and factors associated with it. Methods: The current study is cross-sectional and was conducted in Family Medicine clinics of Liaquat National Hospital during May 2017–January 2018. A total of 450 males participated in this study with the age range of 24–77 years. More than half of the participants were graduates or above. Results: On multivariable analysis, age (aOR = 5.47, 95% CI: 2.74–10.89), alcohol use (aOR = 5.23, 95% CI: 1.45–18.84), diabetes (aOR = 6.61, 95% CI: 3.27–13.36), and current smoking (OR = 2.41, 95% CI: 1.35–4.31) were significantly associated with ED. ED risk was significantly lower in those who either attended secondary school (aOR = 0.33, 95% CI: 0.13–0.88) or were at least graduates (aOR = 0.40, 95% CI: 0.17–0.96) than illiterate when model was adjusted for other covariates. Conclusion: Erectile dysfunction in a Pakistani male population highlights the need for routine screening at the primary care level. There is a possibility that the actual burden is underreported due to cultural stigmatization; hence, further research is warranted to validate the findings.

Association between Lifestyle and Biosocial Conditions with Erectile Dysfunction among Adult Patients in a Tertiary Hospital in Southern Nigeria

“…This showed that ED increases with hypertension. This finding is similar to finding in other studies [15,16].…”

Development of an indigenous manual of cognitive behavior sex therapy for young men

“…Recently, around 21% of males have been reported to visit primary health care with complaints of erectile dysfunction (ED). [ 1 ] This figure is similar to one reported by Capogrosso et al . [ 2 ] that every fourth male visiting primary health care is diagnosed with ED.…”

Magnitude of erectile dysfunction and associated factors among adult diabetic men on follow-up at Goba and Robe hospitals, Bale Zone, South East Ethiopia: hospital-based cross-sectional study

“…This finding is in line with research conducted in the Amhara region of Ethiopia 85.5% [ 41 ], in Ghana 81.8% [ 52 ] and Indonesia 84.4% [ 53 ]. Moreover, this study found a higher prevalence compared to researches done in most areas of Ethiopia(54.3-69.9%) [ 19 , 39 , 54 , 55 ], Eritrea 74.2% [ 56 ] ,Tanzania 55.1% [ 50 ], recent systematic review done in Africa 71.45% [ 57 ], Western Asia 62.2% [ 58 ], China 64.2% [ 40 ], South America 74.6% [ 59 ], Bangladesh(45.3-60.2%) [ 35 , 60 ], Sri Lanka 62.9% [ 51 ], Pakistan 21.1% [ 31 ], Nepal 76.8% [ 61 ], India 68.5% [ 27 ] and Europe 67.4% [ 62 ]. This might be due to the study participants characteristics like older age and higher fasting blood sugar.…”

“…A variety of studies have been conducted to determine the magnitude of erectile dysfunction and its determinants [ 26 , 31 – 36 ]. However, the wide scope of the problem necessitates studying and analyzing the various factors that are potentially associated with erectile dysfunction at once [ 37 , 38 ].…”