School of Medicine, Universidad Ricardo Palma, Lima, Peru.
South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, Peru.
Front Public Health. 2023 Feb 1;11:932718. doi: 10.3389/fpubh.2023.932718. eCollection 2023.
We aimed to evaluate the association between sleep quality and erectile dysfunction in young university students.
A cross-sectional survey was conducted in men aged 18-30 years from Universidad Ricardo Palma, Lima, Peru. The survey comprised the International Index of Erectile Function, Pittsburgh Sleep Quality Index, Berlin questionnaire, and questions related to sociodemographic data. Prevalence ratios were estimated with generalized linear models.
Of 381 participants, the median age was 23 years. Half of the students (50.9%) had poor sleep quality, of which 72.7% had mild erectile dysfunction and 20.6% mild to moderate dysfunction. Prevalence of erectile dysfunction was significantly higher in students with poor sleep quality than in students with good sleep quality (aPR = 6.48; 95% CI: 4.58-9.17) after adjusting for age, academic year, nutritional status, and sleep apnea. In a subsequent exploratory analysis, sleep apnea was associated with a higher prevalence of erectile dysfunction (aPR = 1.19; 95% CI: 1.01-1.39), while overweight (aPR = 0.85; 95% CI: 0.76-0.95) and obesity (aPR = 0.65; 95% CI: 0.52-0.82) were associated with a lower prevalence of this condition.
Poor sleep quality was independently associated with erectile dysfunction in young university students. This finding suggests that male students are at risk for sexual problems due to possible academic demands and relationship issues.
评估年轻大学生睡眠质量与勃起功能障碍之间的关系。
对秘鲁利马里卡多帕尔马大学 18-30 岁男性进行横断面调查。调查问卷包括国际勃起功能指数、匹兹堡睡眠质量指数、柏林问卷以及与社会人口学数据相关的问题。采用广义线性模型估计患病率比。
在 381 名参与者中，中位数年龄为 23 岁。半数学生（50.9%）睡眠质量较差，其中 72.7%有轻度勃起功能障碍，20.6%为轻度至中度功能障碍。调整年龄、学年、营养状况和睡眠呼吸暂停后，睡眠质量差的学生勃起功能障碍的患病率明显高于睡眠质量好的学生（调整后患病率比[aPR] = 6.48；95%置信区间[CI]：4.58-9.17）。在随后的探索性分析中，睡眠呼吸暂停与勃起功能障碍的较高患病率相关（aPR = 1.19；95%CI：1.01-1.39），而超重（aPR = 0.85；95%CI：0.76-0.95）和肥胖（aPR = 0.65；95%CI：0.52-0.82）与较低的勃起功能障碍患病率相关。
年轻大学生睡眠质量差与勃起功能障碍独立相关。这一发现表明，由于可能的学业要求和人际关系问题，男学生存在性问题的风险。
