Measurement of erectile dysfunction in population-based studies: the use of a single question self-assessment in the Massachusetts Male Aging Study

Measurement of erectile dysfunction in population-based studies: the use of a single question self-assessment in the Massachusetts Male Aging Study
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DOI:
10.1038/sj.ijir.3900542
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发表时间:
2000-08-01
影响因子:
2.6
通讯作者:
McKinlay, JB
McKinlay, JB
中科院分区:
医学3区
文献类型:
--
作者:
Derby, CA;Araujo, AB;McKinlay, JB

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需要一种简洁、可靠的方法来评估勃起功能障碍(艾德)的大型、多学科人群研究。在马萨诸塞州男性老龄化研究(MR IAS)的人群样本中,对自我评估的艾德进行了单一、直接的问题评估。在1995- 1997年MMAS随访评估的1156名受访者中,随机选择505人完成国际勃起功能指数(IIEF)(n = 254)或简明男性性功能量表(BMSFI)(n = 251),以及单问题自我评估。因数据缺失而无法分类的比例为MMAS-9%,BMSFI-8%,IIEF-18%。单项问题与其他指标相关良好(r = 0.71-0.78,P < 0.001)。患病率与基于IIEF的患病率相似,一致性为中度(kappa = 0.56-0.58),并且与先前确定的风险因素的相关性对于每个分类都相似。因此,MMAS单一问题可能是基于人群的研究的实用工具,其中详细的艾德临床测量是不切实际的。
A concise, reliable means of assessing erectile dysfunction (ED) in large, multidisciplinary population-based studies is needed. A single, direct question for self-assessed ED was assessed in the population-based sample of the Massachusetts Male Aging Study (MR IAS). Of the 1156 respondents to the 1995-97 MMAS follow-up evaluation, 505 were randomly selected to complete either the International Index of Erectile Function (IIEF) (n = 254), or the Brief Male Sexual Function Inventory (BMSFI) (n = 251), in addition to the single question self-assessment. The proportion not classified due to missing data was MMAS -9%, BMSFI-8%, and IIEF-18%, The single question correlated well with these other measures (r = 0.71-0.78, P < 0.001). Prevalence was similar to that based on the IIEF, agreement was moderate (kappa = 0.56-0.58), and associations with previously identified risk factors were similar for each classification. Thus, the MMAS single question may he a practical tool for population-based studies where detailed clinical measures of ED are impractical.