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KMID : 0384320040250080603
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Korean Journal of Family Medicine
2004 Volume.25 No. 8 p.603 ~ p.609
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Erectile Dysfunction and Risk Factors
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Lee Se-Hoon
Song Hong-Ji
Cho Jung-Jin
Yoon Jong-Lull
Hong Se-Ra
Park Kyung-Hee
Ju Young-Su
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Abstract
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Background: Erectile dysfunction (ED) has been presented as a predictor of cardiovascular diseases. Earlier studies had revealed risk factors for erectile dysfunction, but the results are variable. We conducted this study to evaluate the association between various factors and ED.
Methods: The subjects were 403 men, over 20 years old, who visited a university hospital health promotion center from February to May 2003. They responded to ´the Korean version of 5-item International Index of Erectile Function (IIEF-5)´. The subjects were divided into ED group and normal group according to ´IIEF-5´ score. We studied the association between ED and sociodemographic factors, smoking, exercise, depression, diabetes, hypertension, dyslipidemia and analysed stress and job stress in a subgroup who responded to the questionnaires.
Results: The mean age of subjects was 45.6⁑8.9 and 34.2% of the subjects had ED. The risk of ED increased 1.09 times per year (P＜0.01). Statistically significant association between ED and education level, income, occupation, smoking (P＜0.01), DM, and exercise (P＜0.05) was shown by univariate analysis, but not by multivariate analysis. By multivariate analysis, the risk of ED increased significantly in older age, lower educational group and severe depression (P＜0.01). Among 251 subjects who completed the Psychiatric Wellbeing Inventory- Short form, high risk of stress group wsa associated with high risk of ED by univariate analysis (P＜0.01) but this association did not exist in multivariate analysis. We could not find the association between ED and job stress.
Conclusion: The prevalence of ED was 34.2% among the subjects over 20 year-old and the risk of ED increased significantly in older age, lower educational group, and in subjects who had moderate to severe depression. (J Korean Acad Fam Med 2004;25:603-609)
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KEYWORD
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erectile dysfunction, risk factors, age, pression, educational status
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