Abstract

Erectile dysfunction is one of the common sexual dysfunctions, but it is generally misunderstood as it is not a condition that threatens life. It affects an individual's physical as well as psychosocial health and has a significant impact on sufferers and their families' quality of life. No data are suggesting the prevalence of erectile dysfunction at the population level in Ethiopia. This research aimed to assess the prevalence and associated factors of erectile dysfunction among the male population. We employed a community based cross-sectional study among 802 study participants. A two-stage random sampling method was used for enrolling study participants. Including the International Index of Erectile Function Questionnaire-5 (IIEF-5) for erectile dysfunction, data were collected using pretested and a structured questionnaire administered by an interviewer. Binary logistic regression was performed to identify factors associated with erectile dysfunction. Out of the total of 802 individuals, 25.4%(95% CI:(22.4, 28.3%)) (n = 204) reported erectile dysfunction. The mean age of the participants was 34.3 ± 9.6 years. Age of 40years and above [AOR = 10.74, 95% CI: (7.07, 16.35)], physical inactivity [AOR = 3.62, 95% CI: (2.40, 5.45)], depression [AOR = 4.01, 95% CI: (2.22, 7.21)], poor quality of life [AOR = 1.59, 95% CI: (1.07, 2.36)] were significantly associated with erectile dysfunction. In this study, the prevalence of erectile dysfunction was high. Therefore, it is recommended that erectile dysfunction treatment be integrated into the health care system that focuses on educating and inspiring people on healthy eating, physical activity, and behavior enhancing wellbeing.

Highlights

  • Erectile dysfunction (ED)has historically been known as impotence [1]

  • Including the International Index of Erectile Function Questionnaire-5 (IIEF-5) for erectile dysfunction, data were collected using pretested and a structured questionnaire administered by an interviewer

  • Age of 40years and above [adjusted odds ratios (AOR) = 10.74, 95% confidence interval (CI): (7.07, 16.35)], physical inactivity [AOR = 3.62, 95% CI: (2.40, 5.45)], depression [AOR = 4.01, 95% CI: (2.22, 7.21)], poor quality of life [AOR = 1.59, 95% CI: (1.07, 2.36)] were significantly associated with erectile dysfunction

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Summary

Introduction

Erectile dysfunction (ED)has historically been known as impotence [1]. The National Institutes of Health Consensus Conference defined erectile dysfunction as the “consistent inability to achieve or maintain a penile erection, or both, sufficient for an adequate sexual relationship” [2]. Worldwide estimates of the prevalence of erectile dysfunction rates range from 2 percent among men younger than 40 years to 86% among men 80 years of age or older [6]. Whereas in men aged 30 to 80 years in the urban district Cologne study, the prevalence of erectile dysfunction was 19.2% ranging from 2.3% to 53.4% [8]. Erectile dysfunction is one of the common sexual dysfunctions, but it is generally misunderstood as it is not a condition that threatens life. It affects an individual’s physical as well as psychosocial health and has a significant impact on sufferers and their families’ quality of life. This research aimed to assess the prevalence and associated factors of erectile dysfunction among the male population

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