Andrology Unit, Department of Clinical Physiopathology, University of Florence, Florence, Italy.
J Sex Med. 2010 Apr;7(4 Pt 1):1362-80. doi: 10.1111/j.1743-6109.2009.01601.x. Epub 2009 Nov 19.
Limited information is available concerning the general and sexual health status of European men.
To investigate the age-related changes in general and sexual health in middle-aged and older men from different countries of the European Union.
This is a cross-sectional multicenter survey performed on a sample of 3,369 community-dwelling men aged 40-79 years old (mean 60 + or - 11 years). Subjects were randomly selected from eight European centers including centers from nontransitional (Florence [Italy], Leuven [Belgium], Malmö[Sweden], Manchester [United Kingdom], Santiago de Compostela [Spain]) and transitional countries (Lodz [Poland], Szeged [Hungary], Tartu [Estonia]).
Different parameters were evaluated including the Beck's Depression Inventory for the quantification of depressive symptoms, the Short Form-36 Health Survey for the assessment of the quality of life (QoL), the International Prostate Symptom Score for the evaluation of lower urinary tract symptoms, and the European Male Ageing Study sexual function questionnaire for the study of sexual function.
More than 50% of subjects reported the presence of one or more common morbidities. Overall, hypertension (29%), obesity (24%), and heart diseases (16%) were the most prevalent conditions. Around 30% of men reported erectile dysfunction (ED) and 6% reported severe orgasmic impairment, both of which were closely associated with age and concomitant morbidities. Only 38% of men reporting ED were concerned about it. Furthermore, concern about ED increased with age, peaking in the 50-59 years age band, but decreased thereafter. Men in transitional countries reported a higher prevalence of morbidities and impairment of sexual function as well as a lower QoL.
Sexual health declined while concomitant morbidities increased in European men as a function of age. The burden of general and sexual health is higher in transitional countries, emphasizing the need to develop more effective strategies to promote healthy aging for men in these countries.
有关欧洲男性的一般健康和性健康状况的信息有限。
调查来自不同欧盟国家的中年和老年男性的一般和性健康随年龄的变化。
这是一项横断面多中心调查，对 3369 名年龄在 40-79 岁（平均 60+/-11 岁）的社区居住男性进行了抽样调查。受试者随机选自来自 8 个欧洲中心的样本，包括来自非转型（佛罗伦萨[意大利]、鲁汶[比利时]、马尔默[瑞典]、曼彻斯特[英国]、圣地亚哥德孔波斯特拉[西班牙]）和转型国家（罗兹[波兰]、塞格德[匈牙利]、塔尔图[爱沙尼亚]）的中心。
评估了不同的参数，包括贝克抑郁量表（BDI）用于量化抑郁症状、36 项简短健康调查（SF-36）用于评估生活质量（QoL）、国际前列腺症状评分（IPSS）用于评估下尿路症状，以及欧洲男性衰老研究性功能问卷用于研究性功能。
超过 50%的受试者报告存在一种或多种常见的合并症。总体而言，高血压（29%）、肥胖（24%）和心脏病（16%）是最常见的疾病。约 30%的男性报告勃起功能障碍（ED），6%报告严重的性高潮障碍，两者都与年龄和并存的合并症密切相关。只有 38%报告 ED 的男性对此感到担忧。此外，对 ED 的担忧随年龄增长而增加，在 50-59 岁年龄组达到峰值，但此后下降。来自转型国家的男性报告了更高的合并症患病率和性功能障碍以及更低的 QoL。
随着年龄的增长，欧洲男性的性健康下降，同时并存的合并症增加。转型国家的一般和性健康负担更高，强调需要制定更有效的策略，以促进这些国家男性的健康老龄化。
