Measurement of erectile dysfunction in population-based studies: the use of a single question self-assessment in the Massachusetts Male Aging Study
Abstract
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 (MMAS). 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 be a practical tool for population-based studies where detailed clinical measures of ED are impractical.
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Prevalence of erectile dysfunction was similar to that determined on the IIEF, agreement was moderate (0.56-0.58), and association with previously identified risk factors was similar for each classification.
“Prevalence was similar to that determined on the IIEF, agreement was moderate (0.56 e 0.58), and association with previously identi fi ed risk factors was similar for each classi fi cation.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [51]
The single question correlated well with these other measures (r = 0.71 to 0.78, P < .001).
“The single question correlated well with these other measures (r ¼ 0.71 to 0.78, P < .001).”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [51]
The incidence of subjects not classified because of missing data was 9% on the MMAS single question, 8% on the BMSFI, and 18% on the IIEF.
“However, the incidence of subjects not classi fi ed because of missing data was 9% on the MMAS single question, 8% on the BMSFI, and 18% on the IIEF.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [51]
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References 21 · Cited by 190
- Authors
- Derby, C., Araujo, A., Johannes, C., Feldman, H., & McKinlay, J.
- Affiliations
- New England Research Institutes (US)
- Corresponding author
- Derby, CA
- Venue
- International Journal of Impotence Research
- Published
- 2000-08
- Volume
- 12
- Issue
- 4
- Pages
- 197-204
- ISSN
- 0955-9930 (ISSN-L)
- 1476-5489
- OpenAlex
- W2033842599
- Cited by
- 190
- References
- 21
- Citations by year
- 2026: 3 · 2025: 12 · 2024: 19 · 2023: 7 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 7 · 2018: 2 · 2017: 4 · 2016: 9 · 2015: 2 · 2014: 3 · 2013: 8 · 2012: 6
- FWCI
- 6.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Impotence Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7p01ag004673-05)
- National Institute on Aging (AG 04673)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK044995, DK 44995-02)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- erectile dysfunction, International Index of Erectile Function, measurement agreement, prevalence, risk factors, Massachusetts Male Aging Study, male sexual function
- MeSH terms
- Adult, Age Factors, Aged, Epidemiologic Methods, Humans, Erectile Dysfunction, Male, Massachusetts, Middle Aged, Population, Self-Assessment
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