Abstract
BackgroundErectile dysfunction is an inability to initiate and have a persistent erection firm enough to have satisfying sexual intercourse. The prevalence of erectile dysfunction in diabetic men is considerably high, but it is often underdiagnosed and under-managed.ObjectiveThis study aimed to determine erectile dysfunction and associated factors among diabetic patients at, Hawassa, Southern, Ethiopia.MethodsThe institution-based cross-sectional study was conducted on 352 adult male diabetic patients randomly selected from Adare general and Hawassa comprehensive specialized hospitals using a simple random sampling technique. The number of patients to be selected from each hospital was proportionally assigned based on the total population of diabetes mellitus patients following chronic care during the study period. The descriptive statistics and multiple logistic regressions (bivariate and multivariate analysis) were carried out.ResultThe prevalence of erectile dysfunction was 72.2% (95%CI, 1.76–3.68). After adjusting all factors, old age, diabetes duration, drinking alcohol, and poor glycemic control had shown significant association with erectile dysfunction.ConclusionThe occurrence of erectile dysfunction in this study community is very high. Drinking alcohol, poor glycemic control, age, and duration of diabetes were predictors of erectile dysfunction in this study area. Assessment and management of erectile dysfunction in the diabetic clinic should be part of routine medical care during follow-up visits with diabetic patients. Healthcare providers should emphasize screening and treating older patients and those who have had a diabetes diagnosis for a longer duration.
Highlights
Erectile dysfunction is an inability to initiate and have a persistent erection firm enough to have satisfying sexual intercourse
Factors associated with erectile dysfunction (ED) The bivariate logistic analysis of socio demographic characteristics with ED revealed that all sociodemographic characteristics, age (AOR = 3.2, 95%CI = 1.32–4.34, p = 0.04), Alcohol (AOR = 3.23, 95%CI = 1.03–10.44, p = 0.049), FBS (AOR = 10.3, 95%CI = 3.92– 27.44, p = 0.00) and Diabetic duration (AOR = 17.7, 95%CI = 6.57–48.01, p = 0.001) showed a significant association
The odds of having erectile dysfunction among diabetic patients having an age group of above 55 years was 3.2 times [Adjusted odds ratio (AOR) = 3.2, 95%CI = 1.32–4.34, p = 0.04)] more likely developing erectile dysfunction compared to age less than 25 years
Summary
Erectile dysfunction is an inability to initiate and have a persistent erection firm enough to have satisfying sexual intercourse. The prevalence of erectile dysfunction in diabetic men is considerably high, but it is often underdiagnosed and under-managed. According to the national institute of health statement of consensus, erectile dysfunction is defined as an inability to achieve or maintain an erection sufficient for satisfactory sexual performance [1]. Some studies have shown that the impact of erectile dysfunction among men is both psychological and social effects such as lose of confidence in lifestyle, anxiety, depression, lose of a personal relationship, marked effects on their self-esteem, and lose of social and work activity [5]. Erectile Dysfunction impairs the quality of life and is associated with depression, increased anxiety, and poor self-esteem in affected patients [6]. The prevalence estimates of ED in cross-sectional studies of diabetic populations range from 35 to 71% this year [4, 7]
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