关键词: erectile dysfunction homosexuality men who have sex with men premature ejaculation

来  源:   DOI:10.1093/sexmed/qfae013   PDF(Pubmed)

Abstract:
UNASSIGNED: While there is literature on erectile dysfunction (ED) and premature ejaculation (PE) in men, conclusive evidence regarding these sexual health issues and potential associated factors in the young, single men who have sex with men (MSM) population is lacking.
UNASSIGNED: The study sought to determine the prevalence and factors associated with PE and ED in young single MSM in the capital of Peru.
UNASSIGNED: This was an analytical cross-sectional study in MSM using an online questionnaire. The presence of ED and PE was assessed using the 5-item International Index of Erectile Function and 5-item Premature Ejaculation Diagnostic Tool questionnaires, respectively. In addition, their association with personal, physical health, and sexual behavior variables was evaluated. Prevalence ratios (PRs) were estimated through regression models.
UNASSIGNED: Premature ejaculation and Erectile dysfunction in MSM.
UNASSIGNED: Of 315 participants, most were between 20 to 29 years of age (71.8%), 43.5% identified as homosexual, 59.1% had between 2 and 5 sexual partners, and 40.6% reported that the duration of their sexual relationship was between 1 and 12 months. The prevalence of ED was 53.3% (95% confidence interval [CI], 47.66%-58.95%), and PE was present in 8.3% (95% CI, 5.46%-11.86%). Factors associated with a higher prevalence of ED were having between 6 and 9 sexual partners (PR, 1.48; 95% CI, 1.05-2.11) and having a sexual relationship lasting 13 to 24 months (PR, 0.70; 95% CI, 0.50-0.98). Furthermore, for each additional year from the onset of the first sexual encounter with another man, the prevalence of PE increased by 7% (PR, 1.07; 95% CI, 1.02-1.13).
UNASSIGNED: These findings suggest that there is a relationship between an increased number of sexual partners and a higher prevalence of ED. It also suggests that relationships that last for some time may have a protective effect against ED.
UNASSIGNED: Strengths include the use of validated instruments, adequate sample size, robust multivariate analysis, and being one of the few studies in Latin America assessing PE and ED in the MSM population. Limitations include the cross-sectional design, nonprobability sampling, and access to participants.
UNASSIGNED: Having more sexual partners is associated with increased ED, while relationships lasting 13 to 24 months are associated with decreased ED. Each additional year from the onset of the first sexual relationship increases the prevalence of PE. These findings can guide the design of health policies and programs tailored to the MSM community to enhance their well-being and sexual quality of life.
摘要:
虽然有关于男性勃起功能障碍(ED)和早泄(PE)的文献,关于年轻人的这些性健康问题和潜在相关因素的确凿证据,与男性发生性关系的单身男性(MSM)人口缺乏。
该研究旨在确定秘鲁首都年轻单身MSM中与PE和ED相关的患病率和因素。
这是一项针对MSM的分析性横断面研究,使用在线问卷。使用5项国际勃起功能指数和5项早泄诊断工具问卷评估ED和PE的存在,分别。此外,他们与个人的联系,身体健康,并对性行为变量进行了评估。通过回归模型估计患病率比率(PRs)。
MSM早泄和勃起功能障碍。
在315名参与者中,大多数人年龄在20至29岁之间(71.8%),43.5%被认定为同性恋,59.1%有2至5个性伴侣,40.6%的人报告他们的性关系持续时间在1至12个月之间。ED的患病率为53.3%(95%置信区间[CI],47.66%-58.95%),PE为8.3%(95%CI,5.46%-11.86%)。与ED患病率较高相关的因素是有6至9个性伴侣(PR,1.48;95%CI,1.05-2.11),并且有持续13至24个月的性关系(PR,0.70;95%CI,0.50-0.98)。此外,从与另一个男人第一次性接触开始的每一年,PE的患病率增加了7%(PR,1.07;95%CI,1.02-1.13)。
这些发现表明,性伴侣数量的增加与ED患病率的增加之间存在关系。这也表明,持续一段时间的关系可能对ED有保护作用。
优势包括使用经过验证的仪器,足够的样本量,稳健的多变量分析,是拉丁美洲为数不多的评估MSM人群PE和ED的研究之一。限制包括横截面设计,非概率抽样,和参与者的访问。
拥有更多的性伴侣与ED增加有关,而持续13至24个月的关系与ED降低有关。从第一次性关系开始的每一年增加PE的患病率。这些发现可以指导为MSM社区量身定制的卫生政策和计划的设计,以提高他们的福祉和性生活质量。
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