Abstract
BackgroundErectile dysfunction (ED) has a negative impact on ones’ relationships with poor quality of life as inevitable result. The effects of ED maybe worse in developing countries setting like Tanzania because men’s sexual health has been forgotten. Men’s sexual and reproductive health needs are not in the national reproductive health strategic. This study aimed to determine the prevalence and factors associated with erectile dysfunction among adult men in Moshi municipality, northern Tanzania.ResultsThe mean age of the 381 men was 39.6 (SD ±16.8) years. The overall prevalence of ED on this study was 29.7%. The severity of ED among study participants was; 13.4% (51), 9.7% (37), 3.7% (14), 2.9% (11) had mild, mild to moderate, moderate and severe erectile dysfunction respectively. Age 40–54 years (Adjusted OR 5.0, 95% CI 2.5–9.9), > 55 years (aOR 11.7, 95% CI 5.8–23.7) and hypertension (aOR 2.6, 95% CI 1.1–6.4) were independent predictors of ED respectively.ConclusionThe prevalence of ED is high among men in Moshi municipal as 1 out of 3 men have ED. Age and hypertension were independent predictors of ED. These results point to the need of community awareness and education programs to raise awareness among men about existence of ED problem, its consequence and where they can get advice and care in this setting. Further, health providers taking care of hypertensive and men with DM should be equipped with knowledge and skills on early detection for ED and how to counsel and where to refer patients for help.
Highlights
Erectile dysfunction (ED) has a negative impact on ones’ relationships with poor quality of life as inevitable result
ED has been found to be more prevalent among aged population [2], smokers [3] and in population with comorbidities like diabetes mellitus [4], peripheral vascular disorders, coronary artery disease [5] and among individuals with hypertension [6]
In Nigeria the prevalence of ED ranged from 43.8–58.9% in a community-based setting [2, 10], without much difference (41.5–65.8%) with ED prevalence among men attending hospitals for diabetic, hypertension or outpatient care [6, 11]
Summary
Erectile dysfunction (ED) has a negative impact on ones’ relationships with poor quality of life as inevitable result. This study aimed to determine the prevalence and factors associated with erectile dysfunction among adult men in Moshi municipality, northern Tanzania. Studies of ED in Africa have been done both at community and hospital settings. In Nigeria the prevalence of ED ranged from 43.8–58.9% in a community-based setting [2, 10], without much difference (41.5–65.8%) with ED prevalence among men attending hospitals for diabetic, hypertension or outpatient care [6, 11]. In Tanzania a study in Dar es Salaam, showed ED prevalence of 24 and 55% among men in a community-setting and those attending at diabetic care respectively [4, 12]
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