Health issues of men: prevalence and correlates of erectile dysfunction
Abstract
PURPOSE: The Cross-National Survey on Men's Health Issues was a population based, international survey of men using the health care systems of participating countries. The prevalence of erectile dysfunction (ED) and its correlation with patient age, overall health and comorbidities were assessed. MATERIALS AND METHODS: Men who were 20 to 75 years old in the United States, Germany, United Kingdom, France, Italy and Spain were recruited to participate in the study. During visits to physician offices participants completed a screening questionnaire about their overall health, and problems with prostate, urination and penile erection. Men who reported ED completed a followup questionnaire. RESULTS: A cohort of 28,691 men completed the screening questionnaire and provided their age. Respondents in the oldest age group (70 to 75 years) were at 14-fold higher relative risk for ED than respondents in the youngest age group (20 to 29 years). ED correlated positively with poor overall health, and prostate and urinary problems. The prevalence of comorbid conditions increased with ED severity. Only a small percent of men with ED (2% to 8%) were using nitrates for comorbid cardiac disorders. Approximately 10% to 20% of men were on beta-blockers. CONCLUSIONS: The results of this survey are consistent with those of other population based reports showing a high correlation between ED prevalence and patient age, and ED and lower urinary tract symptoms. The prevalence of comorbidities, such as vascular conditions, increased with ED severity, which may indicate that ED is a prognostic marker of overall health and an important medical condition.
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In Shabsigh et al, rates for France, Italy, and Spain were similar at 12% or 13%, whereas those for the United Kingdom, Germany, and the United States were higher at 19%, 22%, and 25%, respectively.
“The rates for France, Italy, and Spain were similar at 12% or 13%, whereas those for the United Kingdom, Germany, and the United States were higher at 19%, 22%, and 25%, respectively.”
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 [44]
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- Authors
- SHABSIGH, R., PERELMAN, M. A., LOCKHART, D. C., LUE, T. F., & BRODERICK, G. A.
- Affiliations
- Mayo Clinic (US)
- Venue
- Journal of Urology
- Published
- 2005-08
- Volume
- 174
- Issue
- 2
- Pages
- 662-667
- ISSN
- 0022-5347 (ISSN-L)
- 1527-3792
- OpenAlex
- W2030051826
- Cited by
- 126
- References
- 18
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 2 · 2020: 2 · 2019: 5 · 2018: 4 · 2017: 2 · 2016: 10 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 3
- FWCI
- 8.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Keywords
- erectile dysfunction, prevalence, men's health, age, comorbidities, lower urinary tract symptoms, prostate diseases, cardiovascular disease, beta-blockers, nitrate, prognostic factors, cross-national comparison
- MeSH terms
- Adult, Aged, France, Germany, United Kingdom, Humans, Erectile Dysfunction, Italy, Male, Middle Aged, Spain, United States, Comorbidity, Prevalence
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