Determinants and Prevalence of Impotence among Diabetic Patients in Northwestern Hospitals of Nefasit, Eretria

Abstract

Background Impotence incidence in patients with elevated glycemic index valuesis 30%–69.01%. While impotence is very prevalent among diabetic men, the condition is mostly left unaddressed and needs assessment and care. Impotence can influence the quality of social, mental, leisure, and sexual life, and can contribute to broken relationships, depression, and reduced self-esteem. The goal of the present work was to research the commonness and determinants of impotence among diabetic patients in hospitals in the northwestern region of Nefasit . Methods A cross-sectional hospital analysis was done of 239 patients with diabetes mellitusin five of six hospitals in Nefasit by means of systemic random sampling. methods. Data were collected for 2 months from Februaryto April 2019. Results The mean age of participants was 43.32 years and mean duration of diabetes 8.7 years. Impotence prevalence was found to be 74.2%: 36.1% mild, 34.2% moderate, and 5.8% serious sexual dysfunction. Statistical analysis showed that impotence was considerably associated with being elderly (AOR 14.21, 95% CI 3.22–70.00), prolonged diabetes (AOR 4.1, 95% CI 1.22–11.16), and lower monthly income (AOR0.279, 95% CI 0.133–0.614). There was no association found with BMI, comorbidity, sugar control, or intake of alcohol. Conclusion The prevalence of impotence in the present study was quite high. Very few patients (5.1%) had been screened for impotence. Care of impotent patients in hospitals for diabetes should be a regular health protocol during follow-up care.

Magnitude of erectile dysfunction and associated factors among adult diabetic men on follow-up at Goba and Robe hospitals, Bale Zone, South East Ethiopia: hospital-based cross-sectional study

“…The factors associated with erectile dysfunction in this study are age ≥ 45, inadequate physical activities (< 600 MET), and being rich. This study showed that being older (≥ 45 years) is 12.39 times more likely to develop erectile dysfunction which is in line with most studies [ 51 , 53 , 54 , 56 , 65 ]. This can be due to age-related physiological changes like decreased testosterone production in older men [ 66 ].…”

“…This finding is in line with research conducted in the Amhara region of Ethiopia 85.5% [ 41 ], in Ghana 81.8% [ 52 ] and Indonesia 84.4% [ 53 ]. Moreover, this study found a higher prevalence compared to researches done in most areas of Ethiopia(54.3-69.9%) [ 19 , 39 , 54 , 55 ], Eritrea 74.2% [ 56 ] ,Tanzania 55.1% [ 50 ], recent systematic review done in Africa 71.45% [ 57 ], Western Asia 62.2% [ 58 ], China 64.2% [ 40 ], South America 74.6% [ 59 ], Bangladesh(45.3-60.2%) [ 35 , 60 ], Sri Lanka 62.9% [ 51 ], Pakistan 21.1% [ 31 ], Nepal 76.8% [ 61 ], India 68.5% [ 27 ] and Europe 67.4% [ 62 ]. This might be due to the study participants characteristics like older age and higher fasting blood sugar.…”