Prevalence and factors associated with erectile dysfunction among males with human immunodeficiency virus in a tertiary teaching hospital in Malaysia
Erectile dysfunction (ED) has been associated with the treatment of human immunodeficiency virus (HIV) and some other chronic diseases. Study on ED is still scanty in Malaysia, particularly among male HIV patients and, ED appears to be under-reported. The aim of this study is to determine the pre...
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| フォーマット: | 学位論文 |
| 言語: | English |
| 出版事項: |
2016
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| オンライン･アクセス: | http://psasir.upm.edu.my/id/eprint/66899/1/FPSK%28m%29%202016%2050%20IR.pdf http://psasir.upm.edu.my/id/eprint/66899/ |
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| 要約: | Erectile dysfunction (ED) has been associated with the treatment of human
immunodeficiency virus (HIV) and some other chronic diseases. Study on ED is still
scanty in Malaysia, particularly among male HIV patients and, ED appears to be
under-reported. The aim of this study is to determine the prevalence and factors
associated with ED among male HIV patients in University Malaya Medical Centre.
A cross sectional study was conducted among male HIV patient on highly active
anti-retroviral therapy (HAART) attending the outpatient clinic of a teaching
hospital in West Malaysia. A systematic random sampling method was employed for
the selection of respondents, participants were interviewed using a structured
questionnaire to obtain socio-demographic data, medical history and sexual
functioning.
Sexual function was measure and determine using Malay version of international
index of erectile function (MVIIEF) while the ED domain of questionnaire was used
to determine the presence and severity of ED. ED was defined based on validated
MVIIEF, which states that participant is considered to have ED if ED domain of the
MVIIEF score is <25. A total of 220 male participated in the study with a mean age
of 37.87±9.85 years. The prevalence of erectile dysfunction among HIV patients was
82.3%. The severity of erectile dysfunction was further categorized into severe
(24.1%), moderate (19.1%), mild to moderate (20.9%) and mild (18.3%). In
multivariate logistic regression analysis, patients with lower educational background
were more likely to be associated with erectile dysfunction (adjusted odds ratio [OR]
=2.62, 95% confidence interval [CI] 1.02-6.72). This study reports that erectile
dysfunction was prevalent among men on highly HAART. Among adult male HIV
patients on HAART regimen, those come from lower education background are
associated with higher odds of developing erectile dysfunction. Hence, in managing
patients with HIV, physicians should be more alert, and to identify patients with lower education background as such patients are more likely to develop erectile
dysfunction. |
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