Prevalence of erectile dysfunction and its associated factors among men in government health clinics In Kuantan, Pahang.

• Main Authors: Wan Mahmod, Wan Fatimah Suriyani, Che' Man, Mohamad, Yusof, Muhammad Zubir, Che Alhadi, Shahidah, Ab Rashid, Islah Munjih, Osman, Iskandar Firzada
• Format: Conference or Workshop Item
• Language: English
• Published: 2021
• Subjects: R Medicine (General); RA Public aspects of medicine; RD Surgery
• Online Access: http://irep.iium.edu.my/95535/1/ED.pdf; http://irep.iium.edu.my/95535/
• Institution: Universiti Islam Antarabangsa Malaysia

Introduction: Erectile dysfunction (ED) is a significant issue that should not be ignored in the clinical setting. Underdiagnosis and no proper management can give a negative impact on the quality of life of a patient and their partner. The objective of this study is to determine the prevalence of ED and its associated factors among men who visited a government health clinic in Kuantan, Pahang, Malaysia. Materials and Methods: A total of 300 men aged 18-60 years participated in this cross-sectional study at 12 government health clinics in Kuantan, between 5 July 2021 and 6 October 2021. Information on demographic data, medical history and lifestyle were obtained through self-administered questionnaire included validated Malay version of the 21 item Depression Anxiety Stress Scale (DASS 21) and the International Index of Erectile Function (IIEF-5). Results: The overall prevalence of self-reported ED was 69.7%. In terms of severity, 45.7% had mild, 20.7% mild-to-moderate, 2.3% moderate and 1% severe ED. Multivariate analysis showed that ED associated with increasing age (odd ratio [OR] 6.768, 95% confidence interval [CI] 1.586 – 28.875), unhealthy clinical profile (OR 4.611, 95% CI 2.124 – 10.010), stress (OR 14.630, 95% CI 1.702 – 125.732) and diabetes (OR 2.575, 95% CI 1.055 - 6.284). Conclusion: ED was common among men aged 50 years and above at government health clinics in Kuantan, Pahang. Increasing age, clinical health profile, stress and diabetes were significantly associated with ED.