Prevalence and risk factors for erectile dysfunction in the US
Prevalence and risk factors for erectile dysfunction in the US
复制标题
DOI：
10.1016/j.amjmed.2006.06.010
复制
发表时间：
2007-02-01
影响因子：
5.9
通讯作者：
Platz, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Selvin, Elizabeth;Burnett, Arthur L.;Platz, Elizabeth A.
目的：评估美国成年男性勃起功能障碍的患病率，并量化可能的危险因素与勃起功能障碍之间的关系。方法：对2001-2002年全国健康与营养检查调查（NHANES）中2126名成年男性参与者的数据进行横断面分析。在电脑辅助的自我访谈中，通过一个问题来评估勃起功能障碍。这些数据是美国非收容成年男性人口的全国代表性数据。结果：20岁男性勃起功能障碍的总体患病率为18.4%(95%置信区间[CI]， 16.2-20.7)，表明在美国，勃起功能障碍影响1800万男性（95% CI, 16-20）。勃起功能障碍的患病率与年龄高度正相关，但在有一种或多种心血管危险因素的男性、高血压患者和有心血管疾病史的男性中，甚至在调整年龄后，勃起功能障碍的患病率也特别高。在男性糖尿病患者中，勃起功能障碍的粗患病率为51.3% （95% CI, 41.9-60.7）。在多变量分析中，勃起功能障碍与糖尿病、低受教育程度和缺乏体育活动显著且独立相关。结论：男性糖尿病和高血压患者中勃起功能障碍的高患病率表明，对这些患者进行勃起功能障碍筛查可能是有必要的。体育活动和其他预防心血管疾病和糖尿病的措施可以防止勃起功能下降。(c) 2007爱思唯尔公司版权所有。
PURPOSE: To assess the prevalence of erectile dysfunction and to quantify associations between putative risk factors and erectile dysfunction in the US adult male population.METHODS: Cross-sectional analysis of data from 2126 adult male participants in the 2001-2002 National Health and Nutrition Examination Survey (NHANES). Erectile dysfunction assessed by a single question during a self-paced, computer-assisted self-interview. These data are nationally representative of the noninstitutionalized adult male population in the US.RESULTS: The overall prevalence of erectile dysfunction in men aged >= 20 years was 18.4% (95% confidence interval [CI], 16.2-20.7), suggesting that erectile dysfunction affects 18 million men (95% CI, 16-20) in the US. The prevalence of erectile dysfunction was highly positively related to age but was also particularly high among men with one or more cardiovascular risk factors, men with hypertension, and men with a history of cardiovascular disease, even after age adjustment. Among men with diabetes, the crude prevalence of erectile dysfunction was 51.3% (95% CI, 41.9-60.7). In multivariable analyses, erectile dysfunction was significantly and independently associated with diabetes, lower attained education, and lack of physical activity.CONCLUSIONS: The high prevalence of erectile dysfunction among men with diabetes and hypertension suggests that screening for erectile dysfunction in these patients may be warranted. Physical activity and other measures for the prevention of cardiovascular disease and diabetes may prevent decrease in erectile function. (c) 2007 Elsevier Inc. All rights reserved.