埃塞俄比亚东部哈拉里地区公立医院糖尿病患者的勃起功能障碍及其相关因素：修正泊松回归模型
Erectile dysfunction and associated factors among patients with diabetes in Public hospitals of Harari region, Eastern Ethiopia: modified poisson regression model.
作者信息
Seyoum Abebe, Motuma Aboma, Hawulte Behailu, Getachew Tamirat, Debella Adera, Eyeberu Addis
机构信息
Psychiatry Outpatients Department, Jugal General Hospital, Harar, Ethiopia.
Schools of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
出版信息
BMC Endocr Disord. 2024 Dec 21;24(1):275. doi: 10.1186/s12902-024-01815-x.
BACKGROUND
Erectile dysfunction is a common problem among patients with diabetes, often going undiagnosed and having a significant negative impact on their health. This condition necessitates accurate evaluation and early intervention. However, there is an inconsistent explanation of factors and limited evidence on the prevalence of erectile dysfunction among patients with diabetes in eastern Ethiopia. Thus, this study aimed to determine the prevalence of erectile dysfunction and its associated factors among patients with diabetes in public hospitals in the Harari Region, eastern Ethiopia.
METHODS
A cross-sectional study was conducted involving 339 randomly selected participants. Data were collected using the Kobo Toolbox with standardized questionnaires administered by interviewers, along with a review of the patients' medical records. Data analysis was performed using Stata version 14. The Poisson regression model with robust variance estimate was fitted to examine the association of the independent variables and erectile dysfunction. An adjusted prevalence ratio (APR) with 95% confidence intervals was reported. Statistical significance was declared at the p-value < 0.05.
RESULT
The prevalence of erectile dysfunction was 78.28% (95% CI 73-83). Age 35-45 years [APR = 1.38; 95% CI: 1.03-1.84], and > 45 years [APR = 1.58; 95% CI 1.17-2.13], depression [APR = 1.41; 95% CI 1.06-1.86], current khat use [APR = 1.14; 95% CI 1.00-1.28], low social support [APR = 1.70; 95% CI 1.09-2.65] and medium social support [APR = 1.79; 95% CI 1.16-2.78] were factors significantly associated with erectile dysfunction.
CONCLUSIONS
More than three-fourths of the participants had erectile dysfunction. Significant factors associated with erectile dysfunction included age 35 years and above, depression, current hat use, and low and medium social support level. The management of erectile dysfunction should be integrated into routine medical care in diabetic follow-up clinics, with special attention for those participants aged 35 years and above, who have depression, currently use Khat, and have low-level social support.
背景
勃起功能障碍是糖尿病患者中的常见问题，常常未被诊断出来，且对他们的健康有重大负面影响。这种情况需要准确评估和早期干预。然而，对于埃塞俄比亚东部糖尿病患者勃起功能障碍的影响因素解释并不一致，且关于其患病率的证据有限。因此，本研究旨在确定埃塞俄比亚东部哈勒尔地区公立医院糖尿病患者勃起功能障碍的患病率及其相关因素。
方法
开展了一项横断面研究，纳入339名随机选取的参与者。通过采访者使用Kobo Toolbox以标准化问卷收集数据，并查阅患者的病历。使用Stata 14版进行数据分析。采用具有稳健方差估计的泊松回归模型来检验自变量与勃起功能障碍之间的关联。报告调整患病率比（APR）及其95%置信区间。p值<0.05时具有统计学意义。
结果
勃起功能障碍的患病率为78.28%（95%CI 73 - 83）。年龄35 - 45岁[APR = 1.38；95%CI：1.03 - 1.84]以及>45岁[APR = 1.58；95%CI 1.17 - 2.13]、抑郁[APR = 1.41；95%CI 1.06 - 1.86]、当前使用恰特草[APR = 1.14；95%CI 1.00 - 1.28]、社会支持低[APR = 1.70；95%CI 1.09 - 2.65]和社会支持中等[APR = 1.79；95%CI 1.16 - 2.78]是与勃起功能障碍显著相关的因素。
结论
超过四分之三的参与者患有勃起功能障碍。与勃起功能障碍相关的显著因素包括35岁及以上年龄、抑郁、当前使用恰特草以及社会支持水平低和中等。勃起功能障碍的管理应纳入糖尿病随访诊所的常规医疗护理中，尤其要关注那些35岁及以上、患有抑郁症、当前使用恰特草且社会支持水平低的参与者。
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