PDF(Pubmed)
Abstract：
This study compares the rate of selected types of mental illnesses (stress, anxiety, depression) and sleep disorders (insomnia, sleep apnea) according to the status of eight male genital problems. Analyses utilize medical claims data for male employees aged 18 to 64 years of a large corporation, 2017 to 2021. Approximately 1,076 (7.3%) men per year have one or more genital problems. The most common being benign prostatic hyperplasia (BPH; 3.8%) and then erectile dysfunction (ED; 1.7%). For BPH patients, the rate experiencing stress, anxiety, depression, or a combination of these is 0.96%, 6.2%, 5.3%, and 5.1%, respectively. Corresponding rates for ED are 1.5%, 7.2%, 5.9%, and 7.5%. For BPH patients, the rate experiencing insomnia, sleep apnea, or both is 3.1%, 22.7%, and 2.0%, respectively. Corresponding rates for ED are 1.2%, 20.6%, and 2.2%. Male genital problems positively associate with having one or more mental illnesses (stress, anxiety, depression), except for hydrocele, with ED and penis disorder having the strongest associations. Male genital problems also positively associate with having insomnia and/or sleep apnea, except for infertility and orchitis, with BPH and ED having the strongest associations. The positive associations involving BPH and ED with mental illnesses are each more pronounced in the younger age group (18-49 vs. 50-64). Similar results are seen in the models involving sleep disorders. Thus, comorbid male genital problems, mental illnesses, and sleep disorders exist, with the strength of associations unique to the male genital problem and sometimes modified by age.
摘要：
这项研究比较了选定类型的精神疾病(压力，焦虑,抑郁症)和睡眠障碍(失眠，睡眠呼吸暂停）根据八个男性生殖器问题的状况。分析利用了一家大公司18至64岁男性员工的医疗索赔数据，2017年至2021年。每年约有1,076名（7.3％）男性患有一种或多种生殖器问题。最常见的是良性前列腺增生（BPH;3.8％），然后是勃起功能障碍（ED;1.7％）。对于BPH患者，经历压力的比率，焦虑,抑郁症,或者这些的组合是0.96%，6.2%,5.3%,和5.1%，分别。相应的ED率为1.5%，7.2%,5.9%，和7.5%。对于BPH患者，经历失眠的比率，睡眠呼吸暂停,或者两者都是3.1%，22.7%,和2.0%，分别。相应的ED率为1.2%，20.6%,和2.2%。男性生殖器问题与患有一种或多种精神疾病(压力，焦虑,抑郁症)，除了鞘膜积液,ED和阴茎疾病有最强的关联。男性生殖器问题也与失眠和/或睡眠呼吸暂停有关，除了不孕症和睾丸炎,BPH和ED具有最强的关联。BPH和ED与精神疾病的正相关在年轻年龄组中更为明显（18-49岁vs.50-64).在涉及睡眠障碍的模型中可以看到类似的结果。因此，男性生殖器问题并存,精神疾病,睡眠障碍存在，具有男性生殖器问题特有的关联强度，有时会随年龄而改变。
