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首页> 外文期刊>Sao Paulo Medical Journal >Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil
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Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil

机译:巴西东南部桑托斯勃起功能障碍的患病率及其影响因素

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CONTEXT: Recent population-based surveys suggest that the prevalence of erectile dysfunction is between 30% and 56% among men over the age of 40. Most of these studies, however, are from the United States or Europe. We need estimates of erectile dysfunction from samples of Brazilian populations, as societies that differ ethnically, culturally, and economically may also differ with respect to potential risk factors for erectile dysfunction. OBJECTIVE: To determine the prevalence of erectile dysfunction and its potential correlates. SETTING: Santos, State of S?o Paulo. DESIGN: Cross-sectional study. PARTICIPANTS: A population-based sample of men aged 40-70 years. Out of 718 men invited, 342 (47.6%) returned a completed questionnaire. MAIN MEASUREMENTS: Data on demographic variables, medical history, lifestyle habits and degree of erectile dysfunction. RESULTS: The prevalence of any degree of erectile dysfunction was 45.9% (minimal, 33.9%; moderate, 8.5%; complete, 3.5%) and increased with age. In bivariate age-adjusted analyses comparing men with no erectile dysfunction or minimal erectile dysfunction with those with moderate or complete erectile dysfunction, histories of diabetes or hypertension, depressive symptoms, heavy smoking and obesity were significantly associated with increased prevalence of erectile dysfunction, whereas moderate alcohol consumption was inversely associated with erectile dysfunction. In the multivariate model, age was a strong predictor of erectile dysfunction, while history of diabetes or hypertension and heavy smoking remained significantly associated with increased prevalence of erectile dysfunction. CONCLUSION: We found higher prevalence of erectile dysfunction (45.9%) among men older than 40 years old in Brazil. The variables associated with erectile dysfunction may alert physicians to patients who are at risk of erectile dysfunction as well as offer clues to the etiology of erectile dysfunction. Physicians should routinely ask their patients about sexual health and erectile dysfunction.
机译:语境:最近的基于人口的调查表明,在40岁以上的男性中,勃起功能障碍的患病率在30%至56%之间。然而,这些研究大多数来自美国或欧洲。我们需要从巴西人口样本中估计勃起功能障碍,因为就勃起功能障碍的潜在危险因素而言,种族,文化和经济上不同的社会也可能有所不同。目的:确定勃起功能障碍的患病率及其潜在的相关性。地点:圣保罗州桑托斯。设计:横断面研究。参与者:基于人群的40-70岁男性样本。在718名受邀男子中,有342名(47.6%)返回了完整的调查问卷。主要测量:有关人口统计学变量,病史,生活方式习惯和勃起功能障碍程度的数据。结果:任何程度的勃起功能障碍的患病率为45.9%(最低33.9%;中度8.5%;完全3.5%),并随年龄增加而增加。在双变量年龄校正分析中,比较无勃起功能障碍或轻度勃起功能障碍的男性与中度或完全勃起功能障碍的男性,糖尿病或高血压病史,抑郁症状,大量吸烟和肥胖与勃起功能障碍的患病率显着相关,而中度饮酒与勃起功能障碍呈负相关。在多变量模型中,年龄是勃起功能障碍的有力预测指标,而糖尿病或高血压病史和大量吸烟仍然与勃起功能障碍的患病率显着相关。结论:我们发现巴西40岁以上男性的勃起功能障碍患病率更高(45.9%)。与勃起功能障碍相关的变量可能会提醒医生注意有勃起功能障碍风险的患者,并为勃起功能障碍的病因学提供线索。内科医师应定期向患者询问性健康和勃起功能障碍。

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