title: Prevalence of Sexual Dysfunction and Associated Risk Factors in Middle-Aged and Elderly Korean Men in Primary Care.
abstract: Although several studies have individually investigated the risk factors for erectile dysfunction (ED), premature ejaculation (PE), and late-onset hypogonadism (LOH), few studies have considered ED, PE, and LOH as categories of sexual dysfunction (SD) within the same population. We therefore aimed to investigate the prevalence of SD and its associated risk factors among men in primary care. Study participants were enrolled by 18 family physicians from 15 hospital-based family practices in Korea between August 2010 and May 2011. Participants answered a questionnaire regarding their demographic characteristics and lifestyle factors as well as the Korean versions of the Androgen Deficiency in the Aging Male, the International Index of Erectile Function, and the Premature Ejaculation Diagnostic Tool questionnaires. SD prevalence was 64.9% among study participants who were ≥ 40 years of age. ED prevalence was 43.7%, PE prevalence was 38.6%, and LOH prevalence was 16.8%. SD prevalence was significantly associated with increased age, overweight, hypertension, diabetes, and depression. These findings highlight the importance of screening questions for SD in primary care, especially among older male patients with the identified risk factors.
authors.affiliation: a Department of Family Medicine, Asan Medical Center , University of Ulsan College of Medicine.
authors.forename: Seo Young
authors.initials: SY
authors.lastname: Kang
authors.affiliation: a Department of Family Medicine, Asan Medical Center , University of Ulsan College of Medicine.
authors.forename: Jung Ah
authors.initials: JA
authors.lastname: Lee
authors.affiliation: a Department of Family Medicine, Asan Medical Center , University of Ulsan College of Medicine.
authors.forename: Sung
authors.initials: S
authors.lastname: Sunwoo
authors.affiliation: b Department of Family Medicine , Konyang University Hospital, Konyang University College of Medicine.
authors.forename: Byung-Yeon
authors.initials: BY
authors.lastname: Yu
authors.affiliation: c Department of Family Medicine , Inje University Ilsan Paik Hospital, Inje University College of Medicine.
authors.forename: Jun Hyung
authors.initials: JH
authors.lastname: Lee
authors.affiliation: d Department of Family Medicine , Jeonju Jesus Hospital.
authors.forename: Chung Hwan
authors.initials: CH
authors.lastname: Cho
authors.affiliation: e Department of Family Medicine , Soonchunhyang University Hospital Seoul, Soonchunhyang University College of Medicine.
authors.forename: Byung-Wook
authors.initials: BW
authors.lastname: Yoo
authors.affiliation: f Department of Family Medicine , Central Veterans Hospital.
authors.forename: Tae Hee
authors.initials: TH
authors.lastname: Jeon
authors.affiliation: g Department of Family Medicine , Hanyang University Hospital, Hanyang University College of Medicine.
authors.forename: Hoon Ki
authors.initials: HK
authors.lastname: Park
authors.affiliation: a Department of Family Medicine, Asan Medical Center , University of Ulsan College of Medicine.
authors.forename: Young Sik
authors.initials: YS
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D015897:Comorbidity; D007172:Erectile Dysfunction / Q000453:epidemiology*; D006801:Humans; D007006:Hypogonadism / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D061686:Premature Ejaculation / Q000453:epidemiology*; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors