Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

THE PREVALENCE OF ERECTILE DYSFUNCTION (ED) AND THE ASSOCIATED FACTORS THAT MAY IMPAIR ERECTION AMONG HYPERTENSIVE MALAYSIAN MEN

Author

Mohd Ariff Fadzil 1 , Nik Ruzyanei Nik Jaafar 2 , Hatta Sidi 2 , Nor Aini Mohd Noor 1

Institution

1 Population Health and Preventive Medicine, Universiti Teknologi MARA, Selayang, Malaysia
2 Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), 56000 Cheras, Kuala Lumpur Malaysia

Abstract

Objectives: To estimate the prevalence of ED among Malaysian hypertensive patients and the associated socio-demographic and health factors.

Methods: A cross-sectional study involving 264 hypertensive patients who attended outpatient clinics were conducted. The socio-demographic and health characteristics were recorded. ED was assessed using the International Index of Erectile Function-5(IIEF-5).

Results: The prevalence of ED was 71.8% among hypertensive patients. The rate increased significantly with increasing age (p<0.001), among the Chinese (90.6%) compared to the Malays (73.1%) and Indians (75.8%), (p=0.032), on diuretics (88.3%), (p=0.006). Patients on angiotensin receptor blocker (ARB) had significantly lower prevalence of ED (20%), (p=0.014). Using multiple logistic regression analysis, being older (50-59 years old, adjusted odds ratio [adj. OR]=3.80; 95% confidence interval [CI]: 1.37-10.55), 60-69 years old (adj. OR=6.11; CI: 2.11-17.13), =70 years old (adj. OR=39.96; CI: 6.64, 240.51]), Chinese ethnicity (adj. OR=3.04; CI: 1.05- 8.78), having diabetes mellitus (adj. OR=2.78; CI:1.22-6.34) and taking diuretics (adj. OR=2.95; CI: 1.09-7.95) were significant factors for ED. But patients on ARB therapy, the adj. OR=0.041, (CI: 0.003, 0.52).

Conclusion: The prevalence of ED among Malaysian hypertensive patients was high. ED was associated with increasing age, Chinese ethnicity, diabetes mellitus and diuretics therapy. Health care providers should consider these factors when managing hypertensive patients.