Sexual activity, erectile dysfunction and their correlates among 1,566 older Chinese men in Southern China
Abstract
INTRODUCTION: Few studies on sexuality and its correlates in adults have been conducted in Asia; most studies in Asia have focused instead on erectile dysfunction in men rather than sexuality or sexual activities. AIM: This study was conducted to evaluate the prevalence and factors associated with sexual activity and erectile dysfunction in elderly Chinese men aged 65 years and above. MAIN OUTCOME MEASURES: Sexual activity and sexual functions were assessed using the International Index of Erectile Function-5. Depressive symptoms were measured by the Chinese version of the Geriatric Depression Scale. Lower urinary tract symptoms (LUTS) were measured by the International Prostatic Symptom Score. METHODS: Cross-sectional data from a large prospective cohort study of Chinese elderly men were used in this study. A questionnaire that included demographic, lifestyle, and medical risk factors and physical examination were administered to 1566 Chinese men aged between 65 to 92 years in Hong Kong. RESULTS: Only 30.7% of men were sexually active in the previous 6 months in this sample and among those who were sexually active, 88% had some form of erectile dysfunction. Being sexually inactive in the previous 6 months was associated with being older (odds ratio [OR] = 1.80; confidence interval [CI]: 1.56-2.09), single (OR = 1.87; CI = 1.19-2.94) and the presence of peripheral arterial disease (OR = 2.43; CI: 1.25-4.71). In multiple multinomial logistic regression, having clinically relevant depressive symptoms (OR = 3.37; CI: 1.31-8.70) and having moderate to severe LUTS (OR = 1.63; CI: 1.01-2.64) were independently associated with increased risk of having erectile dysfunction. CONCLUSION: We showed that a large proportion of elderly men were not sexually active in Hong Kong. For those who were sexually active, most suffered from some degree of erectile dysfunction. Having clinically relevant depressive symptoms and LUTS were independently associated with increased risk of erectile dysfunction.
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In the Chinese study, only 30.7% of 1,566 men 65 to 92 years old in Hong Kong were sexually active.
“In the Chinese study, only 30.7% of 1,566 men 65 to 92 years old in Hong Kong were sexually active.”
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 [46]
In the Chinese study, of the sexually active men, the overall prevalence of erectile dysfunction was 88%, with 4% having mild erectile dysfunction, 7.4% having moderate erectile dysfunction, and 77% having severe erectile dysfunction.
“Of the sexually active men, the overall prevalence of ED was 88%, with 4% having mild ED, 7.4% having moderate ED, and 77% having severe ED.”
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 [46]
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- Authors
- Wong, S. Y. S., Leung, J. C. S., & Woo, J.
- Affiliations
- Chinese University of Hong Kong (HK)
- Corresponding author
- Wong, Samuel Yeung Shan
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-01-01
- Volume
- 6
- Issue
- 1
- Pages
- 74-80
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W1996657318
- Cited by
- 35
- References
- 35
- Citations by year
- 2024: 2 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 2 · 2012: 4
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Keywords
- erectile dysfunction, sexual activity, older men, depressive symptoms, lower urinary tract symptoms, peripheral arterial disease, sexual inactivity, Hong Kong, Chinese men
- MeSH terms
- Aged, Aged, 80 and over, Catchment Area, Health, Depression, Hong Kong, Humans, Erectile Dysfunction, Male, Surveys and Questionnaires, Sexual Behavior, Prevalence, Asian People
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