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美国成年人中病毒暴露与勃起功能障碍之间的关联。

Association between virus exposure and erectile dysfunction in US adults.

作者信息

Lian Juan, Xie Li, Diao Jianjun, Chen Lin, Wu Bo

机构信息

Department of Urology, The 3rd Affiliated Hospital of Chengdu Medical College, Pidu District People's Hospital, Chengdu, China.

Department of Urology, Affiliated Hospital of Chengdu University, Chengdu, China.

出版信息

Medicine (Baltimore). 2025 Feb 14;104(7):e41355. doi: 10.1097/MD.0000000000041355.

Abstract

This research aims to investigate the relationship between virus seropositivity and the occurrence of erectile dysfunction (ED). We obtained data from the U.S. Centers for Disease Control and Prevention's National health and nutrition examination survey regarding ED, hepatitis A, herpes simplex virus type 1, herpes simplex virus type 2, and cytomegalovirus, along with sociodemographic variables. We then evaluated the associations between ED and viral exposure using adjusted multivariable models. A total of 3184 participants were included in the subsequent analysis. In this study, males with ED were found to have lower levels of education, were married or living with partner, belonged to a lower socio-economic status, had a less physically active lifestyle, were smokers, and also had diabetes (all with a significance of P < .05). Our study investigating the relationship between Hepatitis A seropositivity and ED found that patients with Hepatitis A seropositivity had a higher likelihood of experiencing ED. This link remained statistically significant even when accounting for various other factors (odds ratio [OR] = 1.98; 95% confidence interval [CI] = 1.65-2.36; P < .0001). Additionally, we found that exposure to cytomegalovirus (CMV), determined by the presence of anti-CMV IgG antibodies, was also associated with ED (OR = 1.47; 95% CI = 1.14-2.25; P = .0329). This relationship remained significant after accounting for various covariates. In contrast, no associations were found between ED and seropositivity for herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2) in the sample (all P values < 0.05). This study found that seropositivity for Hepatitis A or CMV is associated with ED.

摘要

本研究旨在调查病毒血清阳性与勃起功能障碍(ED)发生之间的关系。我们从美国疾病控制与预防中心的国家健康与营养检查调查中获取了有关ED、甲型肝炎、1型单纯疱疹病毒、2型单纯疱疹病毒和巨细胞病毒的数据,以及社会人口统计学变量。然后,我们使用校正后的多变量模型评估了ED与病毒暴露之间的关联。后续分析共纳入3184名参与者。在本研究中,发现患有ED的男性受教育程度较低、已婚或与伴侣同居、社会经济地位较低、身体活动较少、吸烟,且患有糖尿病(所有P值均<0.05)。我们研究甲型肝炎血清阳性与ED之间关系的结果发现,甲型肝炎血清阳性患者发生ED的可能性更高。即使考虑了各种其他因素,这种关联在统计学上仍具有显著性(比值比[OR]=1.98;95%置信区间[CI]=1.65 - 2.36;P<0.0001)。此外,我们发现,通过抗巨细胞病毒IgG抗体的存在确定的巨细胞病毒(CMV)暴露也与ED相关(OR = 1.47;95% CI = 1.14 - 2.25;P = 0.0329)。在考虑各种协变量后,这种关系仍然显著。相比之下,在样本中未发现ED与1型单纯疱疹病毒(HSV-1)或2型单纯疱疹病毒(HSV-2)血清阳性之间存在关联(所有P值<0.05)。本研究发现,甲型肝炎或巨细胞病毒血清阳性与ED相关。

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