Prevalence of erectile dysfunction and its associated factors among patients with diabetes in Ethiopia: a systematic review and meta-analysis

Weldesenbet, Adisu Birhanu; Kebede, Sewnet Adem; Tusa, Biruk Shalmeno

doi:10.1177/0300060521993318

Cited by 8 publications

(6 citation statements)

References 24 publications

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“…The prevalence of ED in males with DM varies in different populations and areas. In the systematic review and meta-analysis by Weldesenbet AB et al, the pooled prevalence of ED among patients with DM in Ethiopia was 54.3% (95% CI: 28.2-80.5%) [27]. In the meta-analysis by Kouidrat Y et al, 145 studies were included representing 88,577 males with DM around the world, and they found that the prevalence of ED in males with ED was 52.5% (95% CI, 48.8-56.2%) [28].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of erectile dysfunction and its associated risk factors among Chinese males with diabetes mellitus: a meta-analysis

Tang

Zhang²,

Zhu³

2023

Preprint

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Epidemiological statistics showed that the proportion of erectile dysfunction in diabetic men was significantly higher than that in non diabetic men. In recent years, some studies have reported the prevalence of ED among people with diabetes in China, however, most of these studies are limited to certain area, small sample size, or specific age period. Therefore, it is particularly important to obtain national prevalence and related factors, which can help to improve health awareness and formulate appropriate public health policies. We searched China national knowledge internet (CNKI), Wanfang database, Pubmed, and Embase database until November 11, 2022. Pooled prevalence estimates are presented visually using forest plots. For analysis of relevant risk factors, the fixed-effect model was used to combine these ORs to obtain an overall OR when there was no significant heterogeneity between studies. Otherwise, the random effects model was applied. Finally, we found that the overall prevalence of ED among Chinese males with DM was 67.2% (95% CI: 62.0-72.4%). Sensitivity analysis indicated that there was no significant variation in pooled prevalence by excluding any of the study, confirming the stability of present results. In the present meta-analysis, we also evaluated the risk factors of ED among Chinese males with DM. We found that patients’ age (OR=1.06, 95% CI [1.03-1.10]) and DM duration (OR=1.32, 95% CI [1.18-1.47]) significantly affected the risk of ED among Chinese males with DM. In conclusions, the present meta-analysis has shown an alarmingly high prevalence of ED among Chinese males with DM. Patients’ age, and the duration of DM were significantly associated with ED risk. Therefore, it is essential to inform policy and practice to reduce the current and future burden of ED among Chinese males with DM.

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Section: Discussionmentioning

confidence: 99%

Prevalence of erectile dysfunction and its associated risk factors among Chinese males with diabetes mellitus: a meta-analysis

Tang

Zhang²,

Zhu³

2023

Preprint

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“…ED was an IIEF-5 score ≤ 20. It was labelled mild (score [16][17][18][19][20], moderate (score [11][12][13][14][15], severe (score 5-10) or uninterpretable (score < 5) [19].…”

Section: Data Collection Proceduresmentioning

confidence: 99%

“…Studies in sub-Saharan Africa estimated the prevalence of erectile dysfunction to amount to 24% in the general population and up to 54.3% among diabetic patients [11][12][13]. Population aging and, among diabetic patients, physical inactivity and comorbities appear to be the main factors associated with ED condition.…”

Section: Introductionmentioning

confidence: 99%

Correlates of Erectile Dysfunction among Diabetic Patients Attending Kinshasa Hospitals, the Democratic Republic of the Congo

Bayauli¹,

Atantama²,

Lepira³

et al. 2023

J Biomed Res Environ Sci

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Objective: We assessed the frequency of erectile dysfunction and associated risk factors among diabetic patients attending Kinshasa hospitals. Methods: We enrolled 205 male diabetic patients (mean age: 53 ± 11 years) from three public hospitals at Kinshasa to assess erectile dysfunction defined by a score of 6 to 20 on International Index of Erectile Function (IIEF-5). Logistic regression model was applied to identify determinants of erectile dysfunction. A p-value ≤ 0.05 was considered significant. Results: Erectile dysfunction was observed in 59% (95% CI: 52.2 - 66%) of diabetic patients; it was mild, moderate and severe in respectively 68.6%, 25.6% and 7.5%. It commonly affected older patients (55 ± 11 years vs. 51 ± 12 years, p = 0.004) with a longer duration of diabetes (11 ± 6 years vs. 9 ± 6years, p = 0.045), abdominal obesity (p < 0.001) and diabetic retinopathy (p < 0.001). In the logistic model the odds for erectile dysfunction increased with abdominal obesity (OR: 12.9 and 95%CI [5.39-30.91]; p < 0.001), age (For age > 50 ans: 7.9 [2.62-23.74]; p < 0.001), uncontrolled diabetes (7.1 [2.43-20.62]; p < 0.001), hypertension (2.8 [1.13-6.87]; p = 0.027) and chronic kidney disease (2.5 [1.05-5.93]; p = 0.038). Conclusion: The magnitude of erectile dysfunction among diabetic patients requires early detection and precocious prevention through control of diabetes, hypertension and underlying obesity.

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“…In Africa, its general prevalence among patients with DM was 71.45% ( 22 ). Different studies on the prevalence of ED among patients with DM in some parts Ethiopia were carried out, and the prevalence was from 6.8% to 85.5% ( 8 , 11 , 19 , 21 , 23 – 25 ).…”

Section: Introductionmentioning

confidence: 99%

Erectile dysfunction and associated factors among patients with diabetes attending follow-up at a public hospital, Harar, Eastern Ethiopia. A cross-sectional study design

Gobena,

Abdosh,

Dheresa

et al. 2023

Front. Endocrinol.

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BackgroundThe global prevalence of erectile dysfunction among patients with diabetes is high. It is the most underestimated problem but has a great physical, psychological, and social impact on the individual with the disease, family, and society in general. Thus, this study aimed to assess the magnitude of erectile dysfunction and associated factors among patients with diabetes attending follow-up at a public hospital, Harar, Eastern Ethiopia.MethodsFacility-based cross-sectional study was conducted on selected 210 adult male patients with diabetes attending follow-up at a public hospital, Harar, Eastern Ethiopia, from 1 February to 30 March 2020. Simple random sampling was used to select study participants. A pre-tested interviewer-administered structured questionnaire was used to collect the data. The data were entered to EpiData version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariable binary logistic regression were carried out, and a P-value of <0.05 was taken as statistically significant.ResultA total of 210 adult male patients with diabetes participated in the study. The overall magnitude of erectile dysfunction was 83.8%, with 26.7% suffering from mild, 37.5% mild to moderate, 29% moderate, and 6.8% severe erectile dysfunctions. Age 46–59 years [adjusted odds ratio (AOR): 2.560; 95% confidence interval (CI) (1.73, 6.53)], age ≥ 60 years [AOR: 2.9; 95% CI (1.48, 5.67)], and poor glycemic control [AOR: 2.140; 95% CI (1.9, 7.44)] were significantly associated with erectile dysfunction among patients with diabetes.ConclusionThe present study revealed a high magnitude of erectile dysfunction among population with diabetes. The age categories of 46–59 and ≥60 and having poor glycemic control were the only variables significantly associated with erectile dysfunction. Thus, routine screening and management for erectile dysfunction in patients with diabetes should be part of routine medical care particularly for adult male patients and those with poor glycemic control.

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Prevalence of erectile dysfunction and its associated factors among patients with diabetes in Ethiopia: a systematic review and meta-analysis

Cited by 8 publications

References 24 publications

Prevalence of erectile dysfunction and its associated risk factors among Chinese males with diabetes mellitus: a meta-analysis

Prevalence of erectile dysfunction and its associated risk factors among Chinese males with diabetes mellitus: a meta-analysis

Correlates of Erectile Dysfunction among Diabetic Patients Attending Kinshasa Hospitals, the Democratic Republic of the Congo

Erectile dysfunction and associated factors among patients with diabetes attending follow-up at a public hospital, Harar, Eastern Ethiopia. A cross-sectional study design

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