| Prevalence of Erectile Dysfunction and Utilization of Sexual Counseling in Community Family Medicine Clinics. |
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Yu Jang Cho, Hwan Sik Hwang, Hoon Ki Park, Jae Ghil Jeong |
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Department of Family Medicine, Hanyang University College of Medicine, Seoul, Korea. fmhwang@hanyang.ac.kr |
| 가정의학과 의원 방문환자의 발기부전 유병률 및 성상담 진료 이용 현황과 관련 요소 |
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조유장, 황환식, 박훈기, 정재길 |
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한양대학교 의과대학 가정의학교실 |
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| Abstract |
Background
Sexual dysfunction such as erectile dysfunction (ED) may be a hidden agenda, but, it should be dealt with by family physicians in primary care. We investigated the prevalence of ED and utilization of sexual consultation practice among community family physicians. Methods: We analyzed the subjects who were males aged over 30 and married who visited 10 community family clinics around Seoul, Korea and completed questionnaires related to erectile function and utilization of sexual consultation service from May 9 to 28 2009. ED was designated if the 5-item version of international index of erectile dysfunction (IIEF-5) scores were less than 17. Results: The average age of the responders was 45.6 years. The prevalence of ED was 43.3% and increased according to age, chronic disease, low educational history and low family income. Almost all of the mild ED patients answered that they needed sexual consultation. But, half of them had no plan to have a sexual consultation. Odds ratios (ORs) with 95% confi dence intervals (CIs) for having a sexual consultation or not according to variables were calculated with logistic regression. More severe ED (OR = 0.875; 95% CI, 0.827 to 0.926), existence of chronic disease (OR = 1.828; 95% CI, 1.026 to 3.260), inferior education (OR = 0.395; 95% CI, 0.196 to 0.796), and lower income (OR = 0.326; 95% CI, 0.124 to 0.857) were the factors which infl uenced to have a sexual consultation with a family physician.Conclusion: The prevalence of ED in family clinic was over 40%, but the utilization of sexual consultations was under 50%. We need to develop intervention strategies for more sexual counseling practice according to educational history, family incomes and status of ED in community family medicine clinics. |
| Key Words:
Erectile Dysfunction; IIEF-5; Sex Counseling |
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