Stulhofer Aleksandar, Bajić Zarko
Department of Sociology, Zagreb University Faculty of Humanities and Social Sciences, Zagreb, Croatia.
Croat Med J. 2006 Feb;47(1):114-24.
To determine the prevalence and risk factors of erectile difficulties and rapid ejaculation in men in Croatia.
We surveyed 615 of 888 contacted men aged 35-84 years. The mean age of participants was 54-/+12 years. College-educated respondents and the respondents from large cities were slightly overrepresented in the sample. Structured face-to-face interviews were conducted in June and July 2004 by 63 trained interviewers. The questionnaire used in interviews was created for commercial purposes and had not been validated before.
Out of 615 men who were sexually active in the preceding month and gave the valid answers to the questions on erectile difficulties and rapid ejaculation, 130 suffered from erectile or ejaculatory difficulties. Men who had been sexually active the month before the interview and gave the valid answers to the questions on sexual difficulties reported having erectile difficulties more often (77 out of 615) than rapid ejaculation (57 out of 601). Additional 26.8% (165 out of 615) and 26.3% (158 out of 601) men were classified as being at risk for erectile difficulties and rapid ejaculation, respectively. The prevalence of erectile difficulties varied from 5.8% in the 35-39 age group to 30% in the 70-79 age group. The association between age and rapid ejaculation was curvilinear, ie, U-shaped. Rates of rapid ejaculation were highest in the youngest (15.7%) and the oldest (12.5%) age groups. Older age (odds ratios [OR], 6.2-10.3), overweight (OR, 3.3-4.2), alcohol (OR, 0.3-0.4), intense physical activity (OR, 0.3), traditional attitudes about sexuality (OR, 2.8), and discussing sex with one's partner (OR, 0.1-0.3) were associated with erectile difficulties. Education (OR, 0.1-0.3), being overweight (OR, 22.0) or obese (OR, 20.1), alcohol consumption (OR, 0.2-0.3), stress and anxiety (OR, 10.8-12.5), holding traditional attitudes (OR, 2.8) and moderate physical activity (OR, 0.1) were factors associated with rapid ejaculation.
The prevalence of erectile difficulties was higher than the prevalence of rapid ejaculation in men in Croatia. The odds of having these sexual difficulties increased with older age, overweight, traditional attitudes toward sex, and higher level of stress and anxiety.
确定克罗地亚男性勃起功能障碍和早泄的患病率及风险因素。
我们对联系到的888名年龄在35 - 84岁的男性中的615人进行了调查。参与者的平均年龄为54±12岁。样本中受过大学教育的受访者以及来自大城市的受访者比例略高。2004年6月和7月,由63名经过培训的访谈员进行了结构化面对面访谈。访谈中使用的问卷是为商业目的创建的,之前未经验证。
在615名前一个月有性活动且对勃起功能障碍和早泄问题给出有效答案的男性中,130人患有勃起或射精功能障碍。在访谈前一个月有性活动且对性困难问题给出有效答案的男性中,报告有勃起功能障碍的(615人中的77人)比早泄的(601人中的57人)更常见。另外,分别有26.8%(615人中的165人)和26.3%(601人中的158人)的男性被归类为有勃起功能障碍和早泄的风险。勃起功能障碍的患病率从35 - 39岁年龄组的5.8%到70 - 79岁年龄组的30%不等。年龄与早泄之间的关联呈曲线关系,即U形。早泄发生率在最年轻(15.7%)和最年长(12.5%)年龄组中最高。年龄较大(比值比[OR],6.2 - 10.3)、超重(OR,3.3 - 4.2)、饮酒(OR,0.3 - 0.4)、剧烈体育活动(OR,0.3)、对性的传统态度(OR,2.8)以及与伴侣讨论性(OR,0.1 - 0.3)与勃起功能障碍有关。受教育程度(OR,0.1 - 0.3)、超重(OR,22.0)或肥胖(OR,20.1)、饮酒(OR,0.2 - 0.3)、压力和焦虑(OR,10.8 - 12.5)、持有传统态度(OR,2.8)以及适度体育活动(OR,0.1)是与早泄相关的因素。
克罗地亚男性中勃起功能障碍的患病率高于早泄的患病率。出现这些性困难的几率随着年龄增长、超重、对性的传统态度以及更高水平的压力和焦虑而增加。