Rajih Emad Sabri, Shaht Khalid Abdul Hameed
General and Specialized Surgery Department, College of Medicine, Taibah University, Saudi Arabia.
Woman and Child Health Department, College of Medicine, Taibah University, Saudi Arabia.
J Int Med Res. 2025 Sep;53(9):3000605251370327. doi: 10.1177/03000605251370327. Epub 2025 Sep 5.
ObjectiveThis study aimed to assess the prevalence and associated factors of male sexual dysfunction in a population of young men using validated tools to evaluate erectile function and its contributing factors.MethodsA community-based cross-sectional study was conducted between April 2023 and August 2024 among married men aged ≤40 years in Saudi Arabia. Participants were randomly selected from public gatherings across five regions and interviewed using the International Index of Erectile Function and Sexual Health Inventory for Men. Sociodemographic and clinical data were collected, including comorbidities, body mass index, physical activity, income, educational level, job, and depression screening result. Statistical analyses included descriptive statistics, nonparametric tests, and multivariable linear regression to identify factors associated with erectile dysfunction.ResultsA total of 196 men participated in the study. Of these, 77 (39.2%) were diagnosed with erectile dysfunction. According to the Sexual Health Inventory for Men score categories, 119 (60.7%) men had no significant erectile dysfunction, 29 (14.8%) had mild erectile dysfunction, 19 (9.7%) had mild-to-moderate erectile dysfunction, 15 (7.6%) had moderate erectile dysfunction, and 14 (7.14%) had severe erectile dysfunction. Multivariable linear regression analysis revealed several significant associated factors for better erectile function (based on the International Index of Erectile Function score), namely, higher income and an initial negative screening result for depression. The International Index of Erectile Function score was 12.65 points (95% confidence interval: -17.37 to -7.92; p < 0.0001) lower in participants with an initial positive screening result for depression than in those with an initial negative screening result for depression.ConclusionsThese results suggest that sexual dysfunction in younger men is not only influenced by physical health but also closely linked to psychosocial factors such as low income and depression. Further longitudinal research and multidisciplinary approaches are required to develop comprehensive targeted interventions for sexual dysfunction in young men, with an emphasis on mental health and socioeconomic conditions.
目的
本研究旨在使用经过验证的工具评估勃起功能及其影响因素，以评估年轻男性群体中男性性功能障碍的患病率及相关因素。
方法
2023年4月至2024年8月期间，在沙特阿拉伯对年龄≤40岁的已婚男性进行了一项基于社区的横断面研究。参与者从五个地区的公共集会中随机选取，并使用国际勃起功能指数和男性性健康量表进行访谈。收集了社会人口学和临床数据，包括合并症、体重指数、身体活动、收入、教育水平、工作和抑郁筛查结果。统计分析包括描述性统计、非参数检验和多变量线性回归，以确定与勃起功能障碍相关的因素。
结果
共有196名男性参与了该研究。其中，77人（39.2%）被诊断为勃起功能障碍。根据男性性健康量表评分类别，119人（60.7%）无明显勃起功能障碍，29人（14.8%）有轻度勃起功能障碍，19人（9.7%）有轻度至中度勃起功能障碍，15人（7.6%）有中度勃起功能障碍，14人（7.14%）有重度勃起功能障碍。多变量线性回归分析显示，一些因素与更好的勃起功能（基于国际勃起功能指数评分）显著相关，即较高的收入和抑郁筛查初筛结果为阴性。抑郁筛查初筛结果为阳性的参与者的国际勃起功能指数评分比抑郁筛查初筛结果为阴性的参与者低12.65分（95%置信区间：-17.37至-7.92；p < 0.0001）。
结论
这些结果表明，年轻男性的性功能障碍不仅受身体健康影响，还与低收入和抑郁等心理社会因素密切相关。需要进一步开展纵向研究并采用多学科方法，以制定针对年轻男性性功能障碍的全面针对性干预措施，重点关注心理健康和社会经济状况。
