Akkus Emre, Kadioglu Ates, Esen Adil, Doran Saban, Ergen Ali, Anafarta Kadri, Hattat Halim
Department of Urology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, 34303, Turkey.
Eur Urol. 2002 Mar;41(3):298-304. doi: 10.1016/s0302-2838(02)00027-1.
Epidemiologic data indicate that erectile dysfunction (ED) is a significant problem among men worldwide. However, data do not exist for Turkish men. This study was conducted to determine the prevalence and sociodemographic, medical, and lifestyle correlates of ED in Turkey.
Information was gathered via physician-conducted interviews using a validated questionnaire. Respondents self-rated their ED as "none," "minimal," "moderate," or "severe". Bivariate and multivariate analyses were performed on data from a stratified random sample of 1982 men aged > or = 40 years to quantify the associations between ED and potential covariates.
The age-adjusted overall prevalence of ED in Turkey was 69.2% (mild 33.2%, moderate 27.5%, severe 8.5%) and increased with age, as did severity of ED. When we consider moderate + severe ED cases, the prevalence is 36%. In a multivariate model, increased prevalence of moderate or severe ED was significantly associated with age, residence in eastern Turkey; low educational level; unemployment; or underlying diabetes, hypertension, depression, prostate problems or lower urinary tract symptoms. Conversely, residence in southern Turkey, alcohol consumption, physical activity, and higher income were significantly associated with decreased prevalence.
ED affects a high proportion of Turkish men aged > or = 40 years, is correlated with a number of serious medical conditions and the frequency increases with age.
流行病学数据表明，勃起功能障碍（ED）是全球男性中的一个重要问题。然而，土耳其男性的相关数据尚不存在。本研究旨在确定土耳其勃起功能障碍的患病率及其社会人口统计学、医学和生活方式方面的相关因素。
通过医生使用经过验证的问卷进行访谈来收集信息。受访者将自己的勃起功能障碍自评分为“无”“轻微”“中度”或“重度”。对来自1982名年龄≥40岁男性的分层随机样本的数据进行双变量和多变量分析，以量化勃起功能障碍与潜在协变量之间的关联。
土耳其勃起功能障碍的年龄调整后总体患病率为69.2%（轻度33.2%，中度27.5%，重度8.5%），且随年龄增长而增加，勃起功能障碍的严重程度也随年龄增长而增加。当我们考虑中度+重度勃起功能障碍病例时，患病率为36%。在多变量模型中，中度或重度勃起功能障碍患病率的增加与年龄、居住在土耳其东部、低教育水平、失业、或潜在的糖尿病、高血压、抑郁症、前列腺问题或下尿路症状显著相关。相反，居住在土耳其南部、饮酒、体育活动和较高收入与患病率降低显著相关。
勃起功能障碍影响了很大比例的年龄≥40岁的土耳其男性，与许多严重的医疗状况相关，且发病率随年龄增长而增加。
