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12.03.2024 | Original Article

Association between erectile dysfunction and subjective well-being in primary care patients with type 2 diabetes

verfasst von: Hazem A. Sayed Ahmed, Ehaab Mahmoud Abdallah, Mohamed Abd Elwahed Mohamed, Tamis Mohamed Aboelfotoh, Hebatallah Nour-Eldein, Ahmed Mahmoud Fouad

Erschienen in: Diabetology International

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Abstract

Objectives

To assess the association between erectile dysfunction and subjective well-being among primary care patients with type 2 diabetes mellitus.

Methods

This cross-sectional study included 340 men with type 2 diabetes treated in primary health care settings in the Ismailia governorate between April 2021 and April 2022. A multistage random cluster sampling technique was used. Sociodemographic data, disease characteristics, lifestyle, surgical and sexual history, and the Arabic translations of the abridged 5-item version of the International Index of Erectile Function (IIEF-5) Questionnaire, and the 5-item World Health Organization Well-Being Index (WHO-5) were gathered.

Results

Erectile dysfunction was identified in 72.94% of diabetic patients, with 55% mild or mild-to-moderate (ED I), and 17.9% moderate or severe (ED II). Twenty percent had Poor subjective well-being, with a mean WHO-5 index of 63.4 (± 15.4). Binary logistic regression analysis showed that education, diabetes duration, insufficient income, dyslipidemia, benign prostate hyperplasia, and IIEF-5 score were significantly associated with poor subjective well-being. Increasing IIEF-5 score was significantly associated with a 22% decrease in the odds of poor subjective well-being (OR: 0.78; 95% CI 0.66–0.93). Multinomial regression analysis showed that increasing score of the WHO-5 well-being index was associated with a 11% and 14% reduction in the odds of ED I and II, respectively (OR: 0.89 (95% CI 0.86–0.93), and 0.86 (95% CI 0.81–0.92), respectively).

Conclusion

Erectile dysfunction and subjective well-being were interrelated. Early detection of erectile dysfunction is essential for improving the positive mental health of men with type 2 diabetes in primary care.

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Titel: Association between erectile dysfunction and subjective well-being in primary care patients with type 2 diabetes
verfasst von: Hazem A. Sayed Ahmed
Ehaab Mahmoud Abdallah
Mohamed Abd Elwahed Mohamed
Tamis Mohamed Aboelfotoh
Hebatallah Nour-Eldein
Ahmed Mahmoud Fouad
Publikationsdatum: 12.03.2024
Verlag: Springer Nature Singapore
Erschienen in: Diabetology International
Print ISSN: 2190-1678
Elektronische ISSN: 2190-1686
DOI: https://doi.org/10.1007/s13340-024-00699-5

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