Abstract

Sexuality is an essential part of life; however, erectile dysfunction (ED) has been one of the most common complaints among men with sexual health issues all over the world. ED includes dysfunction in erection and penile erectile pain. In Vietnam, ED is a subject a not readily discussed. Thus, relatively little is known about ED among Vietnamese men. To identify the prevalence of ED and its associated variables and the need for treatment of ED among married men in Vietnam. This was a cross-sectional study. A total sample size included 746 married men, aged 20-60 years, living in four representative wards of the Hue City and randomly selected by systematic sampling methods. Respondents completed a self-reported questionnaire. The International Index of Erectile Function (IIEF-5) scale was used to determine ED severity, and the Depression Anxiety Stress Scales (DASS-21) was used to measure depression, anxiety, and stress. Quality of life was assessed using the WHO Quality of Life score (WHOQoL). A multivariate logistic regression model was used to determine the relationships between independent variables and ED. Mean age of married men was 44.3 ± 8.7. Two-thirds (66.9%) of respondents experienced ED symptoms. In terms of severity, 40.8% reported mild ED; 20.3% mild-moderate ED; 5.0% moderate ED; and 0.8% severe ED. Depression, anxiety, and stress problems were 5.0, 3.6, and 2.8%, respectively. One-third (33.1%) of the respondents reported having low quality of life, and 32.6% reported having medium quality of life. The vast majority (86.9%) had consensual sex with their wives/partners. Variables associated with increased IIEF-5 score were increased WHOQoL score, increased body mass index (BMI), religion, and no consumption of alcohol. Increasing age, disease history, increased anxiety, and no consensual sex with their wife/partner were associated with a lower IIEF-5 score. If experiencing ED, 55.5% would seek help from medical doctors, 55.1% discussed it with their wives/partners, and 23.1% turned to their friends for help. The prevalence of ED was high, although only 5.8% experienced moderate to severe ED. The key factors associated with ED were age, religion, disease history, BMI, alcohol consumption, anxiety, quality of life, and consensual sex with their wives/partners. Sexual health education should be more specifically targeted for men, including the provision of local sexual health-care services for men.

Highlights

  • Sexuality is an essential part of life, erectile dysfunction (ED) has been one of the most common complaints among men with sexual health issues [1]

  • Respondents were asked about smoking, alcohol consumption, and exercise

  • 60% (58.4%) reported smoking and 24.3% as heavy smokers who smoked more than 10 cigarettes per day

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Summary

Introduction

Sexuality is an essential part of life, erectile dysfunction (ED) has been one of the most common complaints among men with sexual health issues [1]. The Massachusetts Male Aging Research Study (MMAS) on ED prevalence, conducted in 1999, suggested that ED may affect 152 million men worldwide and estimated that this figure would increase to 322 million by 2025 [2]. Other research, such as Selvin et al [3] in the USA, showed the proportion of people over 20 years of age with ED to be 18.4%. Sexuality is an essential part of life; erectile dysfunction (ED) has been one of the most common complaints among men with sexual health issues all over the world.

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