Psychosocial Factors Associated with Erectile Dysfunction in the Niger Delta Region of Nigeria

Abstract

Introduction: Erectile dysfunction (ED) is a major psychosocial problem resulting in profound distress in men. Objectives: The objectives of this study were to determine the prevalence as well as psychosocial factors associated with erectile dysfunction in the Niger Delta Region of Nigeria. Method: A cross-sectional study involving 400 respondents attending the general outpatient clinic of University Of Uyo Teaching Hospital (UUTH) between January and March 2009 were randomly assessed for ED as well as psychosocial factors associated with it, using abridged version of international index of erectile function (IIEF-5) and the twelve-item version of general health questionnaire (GHQ-12). Results: The prevalence of erectile dysfunction in this study was 41.5%, the prevalence was higher among respondents aged 50 and 70 years of age (38.3%). Respondents who reside in the rural areas had higher prevalence of ED (22.0%) compared to those in the urban areas (19.5%). Respondents with ED scored high on GHQ-12 indicating significant psychopathology. Thirty seven (9.2%) respondents believed ED can be caused by stress, excessive thinking or hard work; 7.3% believed that ED can be caused by demonic attack, stepping on charms or sexual infidelity; 12.2% believed that ED can result from such medical conditions as hypertension, diabetes mellitus; 19.5% thought that ED can be treated with orthodox medicine while 22.0% believed that ED can be treated using a combination of orthodox and spiritual care; 15.0% respondents believed that ED can result in reduced work ability, income, social life and sex; while 12.5% respondents believed that ED can result in permanent incapacitation for the sufferer. Conclusion: Findings from this study show that ED affects men both physically and psychosocially.Health care providers must realize and be sensitive to the fact that sexuality is an essential part of our lives.