Prevalence and predictors of erectile dysfunction in adult male outpatient clinic attendees in Johor, Malaysia.

Rusli Bin Nordin; Trived Soni; Amrina Kaur; Kean Por Loh; Shashi Miranda

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Prevalence and predictors of erectile dysfunction in adult male outpatient clinic attendees in Johor, Malaysia.

Author: Rusli Bin NORDIN ¹ ; Trived SONI ¹ ; Amrina KAUR ¹ ; Kean Por LOH ¹ ; Shashi MIRANDA ¹
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1. Clinical School Johor Bahru, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Johor Bahru, Johor, Malaysia.
Publication Type:Journal Article
Keywords: Johor; erectile dysfunction; outpatient clinic; predictors; prevalence
MeSH: Adolescent; Adult; Aged; Comorbidity; Cross-Sectional Studies; Depression; complications; Educational Status; Erectile Dysfunction; diagnosis; epidemiology; Humans; Malaysia; epidemiology; Male; Middle Aged; Prevalence; Regression Analysis; Risk Factors; Severity of Illness Index; Social Class; Young Adult
From:Singapore medical journal 2019;60(1):40-47
CountrySingapore
Language:English
Abstract: INTRODUCTION:Erectile dysfunction (ED) is a serious global burden that affects men as well as their partners. This study aimed to determine the prevalence and predictors of ED among male outpatient clinic attendees in Johor, Malaysia.
METHODS:We conducted a cross-sectional study of Malaysian men aged ≥ 18 years attending two major outpatient clinics in Johor Bahru and Segamat in Johor, Malaysia, between 1 January 2016 and 31 March 2016. Subjects were chosen via simple random sampling and 400 patients were recruited. The study instrument was a survey form that consisted of three sections: sociodemographic and comorbid profile, validated English and Malay versions of the 15-item International Index of Erectile Function, and the 21-item Depression Anxiety Stress Scale.
RESULTS:The overall prevalence of self-reported ED was 81.5%. The prevalence of ED according to severity was as follows: mild (17.0%), mild to moderate (23.8%), moderate (11.3%) and severe (29.5%). Multivariate analysis showed that ED was associated with increasing age (odds ratio [OR] 4.023, 95% confidence interval [CI] 1.633-9.913), Indian as compared to Malay ethnicity (OR 3.252, 95% CI 1.280-8.262), secondary as compared to tertiary education (OR 2.171, 95% CI 1.203-3.919), single as compared to married status (OR 6.119, 95% CI 2.542-14.734) and stress (OR 4.259, 95% CI 1.793-10.114).
CONCLUSION:ED has significant prevalence and severity among adult male outpatient clinic attendees in Johor. Increasing age, Indian ethnicity, lower educational level, singlehood and stress were significant predictors of ED.