Shabsigh Ridwan, Perelman Michael A, Laumann Edward O, Lockhart Daniel C
Department of Urology, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
BJU Int. 2004 Nov;94(7):1055-65. doi: 10.1111/j.1464-410X.2004.05104.x.
To identify predictors of treatment-seeking behaviour in men with erectile dysfunction (ED) and the predictors (correlates) of individual drivers and barriers to seeking treatment. Although the prevalence and epidemiology of ED have been reviewed, there is little information about the treatment-seeking behaviour of men with this disorder.
Data from the Cross-National Survey on Male Health Issues conducted between March and September 2000 were assessed by multivariate analysis. A cohort of 32 644 men aged 20-75 years was recruited during visits to their physicians. The men completed a short screening questionnaire, covering their overall health, and prostate, urinary and erectile problems. Men identified as having ED completed a detailed follow-up questionnaire. Logistic regression methods were used to identify predictors of treatment-seeking behaviour, and individual drivers and barriers to seeking treatment.
Most men with ED had not sought treatment. The analyses suggested that ED, in conjunction with a desire to have sex, was necessary for men to seek treatment. Men seeking treatment commonly identified themselves as self-motivated or that they were influenced by a spouse or sex partner. The youngest group (20-39 years) was least likely to seek treatment. Among those who did not seek treatment, younger men were likely to believe that their ED would resolve spontaneously, whereas older men resisted seeking treatment because they felt that ED was a natural part of ageing.
The data from this survey of men using the healthcare system confirmed other population-based reports that a minority of men with ED seek treatment. Subset analyses showed that treatment-seeking behaviour tended to be driven primarily by the man or by his sex partner. Common barriers to seeking treatment included the belief that ED would resolve spontaneously (younger men) and that ED was a normal part of ageing (older men).
确定勃起功能障碍（ED）男性寻求治疗行为的预测因素，以及个体驱动因素和寻求治疗障碍的预测因素（相关因素）。尽管已对ED的患病率和流行病学进行了综述，但关于患有这种疾病的男性寻求治疗行为的信息却很少。
对2000年3月至9月进行的男性健康问题跨国调查的数据进行多变量分析。在男性就诊期间招募了32644名年龄在20 - 75岁之间的男性队列。这些男性完成了一份简短的筛查问卷，内容涵盖他们的整体健康状况以及前列腺、泌尿和勃起问题。被确定患有ED的男性完成了一份详细的随访问卷。采用逻辑回归方法确定寻求治疗行为的预测因素，以及个体驱动因素和寻求治疗的障碍。
大多数患有ED的男性未寻求治疗。分析表明，ED加上有性行为的欲望是男性寻求治疗的必要条件。寻求治疗的男性通常认为自己是出于自身动机，或者是受到配偶或性伴侣的影响。最年轻的组（20 - 39岁）寻求治疗的可能性最小。在未寻求治疗的人群中，年轻男性可能认为他们的ED会自行缓解，而年长男性则拒绝寻求治疗，因为他们觉得ED是衰老的自然组成部分。
这项对使用医疗保健系统的男性进行的调查数据证实了其他基于人群的报告，即少数患有ED的男性寻求治疗。亚组分析表明，寻求治疗行为往往主要由男性本人或其性伴侣驱动。寻求治疗的常见障碍包括认为ED会自行缓解（年轻男性）以及认为ED是衰老的正常组成部分（年长男性）。
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