Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil
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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Paulista de Medicina
|
| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802002000200005&lng=en&tlng=en |
| _version_ | 1818564916347404288 |
|---|---|
| author | Edson Duarte Moreira Júnior Walter Jorge Bestane Elaine Bestane Bartolo João Antônio Saraiva Fittipaldi |
| author_facet | Edson Duarte Moreira Júnior Walter Jorge Bestane Elaine Bestane Bartolo João Antônio Saraiva Fittipaldi |
| author_sort | Edson Duarte Moreira Júnior |
| collection | DOAJ |
| description | 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 São 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. |
| first_indexed | 2024-12-14T01:34:40Z |
| format | Article |
| id | doaj.art-702eeafc08804537ac725e16bf2a29ac |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-14T01:34:40Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-702eeafc08804537ac725e16bf2a29ac2022-12-21T23:21:55ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94601202495410.1590/S1516-31802002000200005S1516-31802002000200005Prevalence and determinants of erectile dysfunction in Santos, southeastern BrazilEdson Duarte Moreira Júnior0Walter Jorge Bestane1Elaine Bestane Bartolo2João Antônio Saraiva Fittipaldi3Fundação Oswaldo CruzBestane Urology ClinicLusíada Foundation of StatesPfizer LaboratoriesCONTEXT: 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 São 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802002000200005&lng=en&tlng=enErectile dysfunctionImpotencePrevalenceRisk factorsBrazil |
| spellingShingle | Edson Duarte Moreira Júnior Walter Jorge Bestane Elaine Bestane Bartolo João Antônio Saraiva Fittipaldi Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil São Paulo Medical Journal Erectile dysfunction Impotence Prevalence Risk factors Brazil |
| title | Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil |
| title_full | Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil |
| title_fullStr | Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil |
| title_full_unstemmed | Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil |
| title_short | Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil |
| title_sort | prevalence and determinants of erectile dysfunction in santos southeastern brazil |
| topic | Erectile dysfunction Impotence Prevalence Risk factors Brazil |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802002000200005&lng=en&tlng=en |
| work_keys_str_mv | AT edsonduartemoreirajunior prevalenceanddeterminantsoferectiledysfunctioninsantossoutheasternbrazil AT walterjorgebestane prevalenceanddeterminantsoferectiledysfunctioninsantossoutheasternbrazil AT elainebestanebartolo prevalenceanddeterminantsoferectiledysfunctioninsantossoutheasternbrazil AT joaoantoniosaraivafittipaldi prevalenceanddeterminantsoferectiledysfunctioninsantossoutheasternbrazil |