秘鲁一所大学医学生的肠易激综合征与勃起功能障碍：一项分析性横断面研究
Irritable bowel syndrome and erectile dysfunction in medical students at a Peruvian university: an analytical cross-sectional analysis.
作者信息
Valladares-Garrido Mario J, Zapata-Castro Luis E, Quiroga-Castañeda Pedro P, Berrios-Villegas Iván, Vera-Ponce Víctor J, León-Figueroa Darwin A, Pereira-Victorio César J, Valladares-Garrido Danai
机构信息
Escuela de Medicina, Universidad Cesar Vallejo, Piura, 20001, Peru.
Oficina de Epidemiología, Hospital Regional Lambayeque, Chiclayo, 14012, Peru.
出版信息
Sex Med. 2024 May 7;12(2):qfae021. doi: 10.1093/sexmed/qfae021. eCollection 2024 Apr.
BACKGROUND
There is inconclusive evidence regarding the role of irritable bowel syndrome (IBS) in the development of erectile dysfunction (ED), especially among medical students due to high academic stress.
AIM
To determine the association between IBS and ED in medical students from a Peruvian university in 2022.
METHODS
An analytical cross-sectional study was conducted with secondary data analysis on 133 medical students from a university in northern Peru during the 2021-II academic semester. The dependent variable was ED as measured with the 5-item International Index of Erectile Function, and the exposure variable was IBS as assessed with the Rome IV-Bristol questionnaire.
OUTCOMES
The results were the prevalence rates of IBS and ED and the association of these variables.
RESULTS
Of the 133 medical students surveyed, the median age was 22 years (IQR, 19-24). The median score on the 5-item International Index of Erectile Function was 21 (IQR, 10-24). The prevalence of ED was 38.4% (95% CI, 30.05%-47.17%). Among the medical students 3% and 9% displayed moderate and severe ED, respectively, and 24.8%, 13.5%, and 24.1% showed moderate depressive, anxious, and severe symptoms. An overall 10.5% had IBS. Medical students with IBS had a 108% higher prevalence of ED than those without the syndrome (prevalence ratio, 2.08; 95% CI, 1.06-4.06). Other confounding variables were not significantly associated ( > .05).
CLINICAL IMPLICATIONS
The results underline the importance of comprehensive sexual and mental health assessment, with an emphasis on the relationship between IBS and ED in medical students.
STRENGTHS AND LIMITATIONS
Strengths include the use of validated and reliable instruments and rigorous biostatistical methods, and this is the first Peruvian investigation to explain the association between IBS and ED in medical students. Limitations include the cross-sectional design and nonprobability sampling, and there may be bias in applying the instruments.
CONCLUSION
This study reveals a significant association between IBS and a higher prevalence of ED in these students.
背景
关于肠易激综合征（IBS）在勃起功能障碍（ED）发生中的作用，证据尚无定论，尤其是在学业压力大的医学生中。
目的
确定2022年秘鲁一所大学的医学生中IBS与ED之间的关联。
方法
进行了一项分析性横断面研究，对秘鲁北部一所大学的133名医学生在2021 - II学年第二学期的数据进行二次分析。因变量是用5项国际勃起功能指数测量的ED，暴露变量是用罗马IV - 布里斯托问卷评估的IBS。
结果
结果是IBS和ED的患病率以及这些变量之间的关联。
结果
在接受调查的133名医学生中，中位年龄为22岁（四分位间距，19 - 24岁）。5项国际勃起功能指数的中位得分为21分（四分位间距，10 - 24分）。ED的患病率为38.4%（95%置信区间，30.05% - 47.17%）。在医学生中，分别有3%和9%表现为中度和重度ED，24.8%、13.5%和24.1%表现出中度抑郁、焦虑和重度症状。总体10.5%的人患有IBS。患有IBS的医学生ED患病率比没有该综合征的学生高108%（患病率比，2.08；95%置信区间，1.06 - 4.06）。其他混杂变量无显著关联（P>0.05）。
临床意义
结果强调了全面性和心理健康评估的重要性，重点是医学生中IBS与ED之间的关系。
优点和局限性
优点包括使用了经过验证且可靠的工具和严格的生物统计学方法，这是秘鲁首次解释医学生中IBS与ED之间关联的调查。局限性包括横断面设计和非概率抽样，应用这些工具时可能存在偏差。
结论
本研究揭示了IBS与这些学生中较高的ED患病率之间存在显著关联。
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