Universidade Federal da Bahia, Faculdade de Medicina, Programa de Pós Graduação em Medicina e Saúde, Salvador, BA, Brazil; Universidade Federal da Bahia, Complexo Hospitalar Universitário professor Edgard Santos, Laboratório de Pesquisa em Infectologia (LAPI), Bahia, BA, Brazil.
Universidade Federal da Bahia, Faculdade de Medicina, Programa de Pós Graduação em Medicina e Saúde, Salvador, BA, Brazil; Universidade Federal da Bahia, Complexo Hospitalar Universitário professor Edgard Santos, Laboratório de Pesquisa em Infectologia (LAPI), Bahia, BA, Brazil.
Braz J Infect Dis. 2019 Nov-Dec;23(6):464-467. doi: 10.1016/j.bjid.2019.08.006. Epub 2019 Sep 20.
Effective antiretroviral therapy (ART) has increased life expectancy for HIV patients to levels close to that observed for general population. Comorbidities are also increasing, due to ageing of such population. Erectile dysfunction (ED) has been a frequent finding in men living with HIV.
The goals of the present study were to define the prevalence of ED and associated factors in HIV-infected men, in a referral center of Salvador city, Brazil.
HIV-infected men ≥18 years of age, receiving care at the AIDS Clinics of Complexo Hospitalar Professor Edgard Santos (C-HUPES), Universidade Federal da Bahia were consecutively included in the study until the estimated sample size (N=134) was reached. Patients filled a structured questionnaire on clinical-epidemiological characteristics, as well as the International Index on Erectile Function to assess ED.
Most (55%) were black and single (79%), mean age 44.8 years. ED was detected in 29 (21.6%) patients; 86% of ED cases were classified as severe. The only factors associated with ED were low income (p=0.02) and unemployment (p=0.01). No association was found between ED and frequency of comorbidities, age, or ART used by patients.
In a referral center in Salvador city, socio-economic problems were the main factors associated with ED. Psychological impact of poor social conditions should be routinely assessed in patients with ED to implement preventive measures for ED.
有效的抗逆转录病毒疗法（ART）已将艾滋病毒患者的预期寿命延长到接近普通人群的水平。由于该人群的老龄化，合并症也在增加。勃起功能障碍（ED）在艾滋病毒感染者中较为常见。
本研究的目的是在巴西萨尔瓦多市的一个转诊中心确定感染艾滋病毒的男性中 ED 的患病率和相关因素。
年龄在 18 岁及以上、在巴伊亚联邦大学复杂医院教授埃德加·桑托斯艾滋病诊所（C-HUPES）接受护理的艾滋病毒感染男性连续纳入研究，直到达到估计的样本量（N=134）。患者填写了一份关于临床流行病学特征的结构化问卷，以及国际勃起功能指数，以评估 ED。
大多数（55%）为黑人且单身（79%），平均年龄为 44.8 岁。29 名（21.6%）患者检测出 ED；86%的 ED 病例被归类为严重。唯一与 ED 相关的因素是低收入（p=0.02）和失业（p=0.01）。ED 与合并症的频率、年龄或患者使用的 ART 之间没有关联。
在萨尔瓦多市的一个转诊中心，社会经济问题是 ED 相关的主要因素。应常规评估 ED 患者不良社会状况的心理影响，以实施 ED 的预防措施。
