Prevalence and risk factors for erectile dysfunction in HIV-infected patients in Salvador, Brazil

Gomes, T.; Brites, Carlos

doi:10.1016/j.bjid.2019.08.006

Cited by 6 publications

(10 citation statements)

References 18 publications

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“…Regarding severity grading of ED among respondents, of the 171 subjects with ED in our study, 111(64.9%) were mild ED, 41 (24%) were mild to moderate ED, 14 (8.2%) were moderate ED and 5(2.9%) had severe ED. This pattern was similarly reported by Gustavo Romero-Velez et al in Mexico where mild, moderate, and severe ED were found in 48 (67.6%), 9 (12.67%) and 14 (19.71%) patients, respectively [9] In Brazil however, Tacila Veras Gomes and Carlos Brites found that only 13.7% of participants had a mild presentation of ED, while the remaining 86.3% of the study subjects presented with severe ED [11]. Also, in a study done by Enoma and colleagues in Malaysia, ED was almost evenly distributed across all severity grades with severe (24.1%), moderate (19.1%), mild to moderate (20.9%), and mild (18.3%) [20].…”

Section: Discussionsupporting

confidence: 83%

“…While Adebimpe et al used a semi-structured questionnaire to asses ED in their study, structured and validated IIEF was used in the index study. Our finding is also significantly higher than the 21.6% rate earlier reported by Tacila Veras Gomes and Carlos Brites in Brazil [11] despite the similarity in the operational definition of ED in both studies. This could be related to sociocultural, geographical differences and perhaps the relatively smaller sample size compared with the index study.…”

Section: Discussioncontrasting

confidence: 76%

“…ED was mild in 30.1%, mild to moderate in 19.5%, moderate in 6.1%, and severe in 2.5% [10]. In Brazil however, 21.6% of the sample had ED and out of this, 86% reported the severe form [11]. In Benin, West Africa, Albert et al reported a prevalence of 52.4% among which 41% had the severe form of erectile dysfunction [12].…”

Section: Introductionmentioning

confidence: 97%

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Prevalence and Pattern of Erectile Dysfunction among People Living with HIV/AIDS in a Tertiary Hospital in North-central Nigeria

Falade

Kofoworade²,

Ojedokun³

et al. 2023

IJTDH

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Background: The incidence of erectile dysfunction among men with HIV/AIDS is twice compared with the general population and this remains a major concern because of its negative impact on the quality of life of sufferers. While researchers have documented varying prevalence rates of ED among diverse population of men, there is paucity of data on this subject among PLWHA in Nigeria and most especially in the North central part of the country. This study aimed to determine the prevalence and pattern of erectile dysfunction as well as its association with certain socio-demographic factors among HIV/AIDS subjects attending a tertiary hospital in North-central Nigeria. Methods: This was a hospital-based cross-sectional study conducted among 300 adult HIV-positive male patients. A semi-structured questionnaire was adapted to obtain information on socio-demographic data of the study subjects. The erectile dysfunction was assessed using the International Index for Erectile Function-5 which was interviewer-administered. The systematic sampling method was used to recruit study participants following informed consent. Data obtained were analyzed using SPSS version 21. Confidence interval of 95% was used and p-value of less than .05 was considered statistically significant. Results: The prevalence of erectile dysfunction among the respondents was 57%; of which 64.9% of them had mild form and 2.9% had severe form. There was a significant association between higher prevalence of ED and low educational status of the study subjects (p-value=.01). Conclusion: There is a high prevalence of erectile dysfunction among men living with HIV/AIDS in North-central Nigeria and those with lower educational qualifications are particularly vulnerable. We recommend routine screening at HIV clinics for early detection, management as well as timely referral.

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Section: Discussionsupporting

confidence: 83%

Section: Discussioncontrasting

confidence: 76%

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Prevalence and Pattern of Erectile Dysfunction among People Living with HIV/AIDS in a Tertiary Hospital in North-central Nigeria

Falade

Kofoworade²,

Ojedokun³

et al. 2023

IJTDH

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“…However, only a few works have provided clinical studies with control group of non-HIV populations. Overall, the ED prevalence in HIV ranges from 13% to 86% [11,45,69,73,75,79,[87][88][89][90][91][92][93][94][95][96][97][98][99][100][101]. Studies conducted without the IEEF questionnaire [70][71][72][102][103][104] were excluded from the appraisal in order to expose more homogeneous data.…”

Section: Erectile Dysfunction In Men Living With Hiv Prevalence Of Ermentioning

confidence: 99%

“…Since the 1990s, several studies have found a link between ED and this class of drugs, although ED was investigated without using IEEF questionnaires [7,67,73,102,104], apart for two studies [91,97]. Other studies did not find an association between ED and use of protease inhibitors, using the IEEF questionnaire [69,88,89,99], or its adapted version [95]. A more recent study demonstrates that a protease inhibitor-containing regimen is a risk factor for ED in univariate models but not in multivariate models [97].…”

Section: Pathogenesis Of Erectile Dysfunction (Ed) In Human Immunodefmentioning

confidence: 99%

HIV and Sexual Dysfunction in Men

Vincentis

Tartaro

Rochira

et al. 2021

JCM

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Sexual issues tend to go unaddressed in human immunodeficiency virus (HIV) management, although overt sexual dysfunctions are more prevalent in people living with HIV than uninfected people. Erectile dysfunction is the most frequent sexual problem, with a prevalence of 30–50% even in men <40 years of age, but other issues such as loss of libido and ejaculatory disorders should not be overlooked. Peculiar factors related to HIV infection (e.g., fear of virus transmission, changes in body image, HIV-related comorbidities, HIV distress and stigma), alongside classical factors non-related to HIV, should be considered when approaching sexual problems in HIV patients. For this reason, the diagnostic and therapeutic workout of sexual dysfunction in the context of HIV requires a multidisciplinary approach, involving specialists in both infectious diseases and sexual medicine. This narrative review presents an overview of current knowledge on sexual dysfunction in HIV men, deepening the factors driving and taking part in these issues, providing advice for the clinical approach, and underlining the importance of caring for sexual health to improve the quality of life of HIV patients.

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Psychosocial risk factors of erectile dysfunction among heterosexual men living with HIV

2022

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Prevalence and risk factors for erectile dysfunction in HIV-infected patients in Salvador, Brazil

Cited by 6 publications

References 18 publications

Prevalence and Pattern of Erectile Dysfunction among People Living with HIV/AIDS in a Tertiary Hospital in North-central Nigeria

Prevalence and Pattern of Erectile Dysfunction among People Living with HIV/AIDS in a Tertiary Hospital in North-central Nigeria

HIV and Sexual Dysfunction in Men

Psychosocial risk factors of erectile dysfunction among heterosexual men living with HIV

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