The impact of psychosocial factors on the risk of erectile dysfunction and inhibition of sexual desire in a sample of the Brazilian population.

Autor:	Abdo CH; Department and Institute of Psychiatry, Universidade de São Paulo, Medical School, São Paulo, Brazil. carmita.abdo@uol.com.br, Oliveira Júnior WM, Moreira Júnior E, Abdo JA, Fittipaldi JA
Jazyk:	angličtina
Zdroj:	Sao Paulo medical journal = Revista paulista de medicina [Sao Paulo Med J] 2005 Jan 02; Vol. 123 (1), pp. 11-4. Date of Electronic Publication: 2005 Mar 31.
DOI:	10.1590/s1516-31802005000100003
Abstrakt:	Context: Sexual dysfunctions can have origins in physical, psychological and psychosocial factors. Objective: To describe the frequency of erectile dysfunction (ED) and female inhibition of sexual desire (ISD) in a Brazilian sample, and to estimate the risks of these dysfunctions. Type of Study: Non-random survey. Setting: Ten Brazilian cities. Methods: 2,835 subjects (53% women) aged over 18 years answered a questionnaire about their general health and sex life. The chi-squared test and multivariate logistic regression were used. Values of p < or = 0.05 were considered significant. Results: The women's average age was 36.6 years (+/- 13.3) and the men's was 39.5 (+/- 13.3). 14.7% of men presented moderate/complete ED and 34.6% of women presented ISD. Depression was mentioned by 16.8% of men and 29.7% of women. The chances of having ED and ISD were higher for subjects who had had lower school attainment. Lack of a job and depression gave rise to 1.5 times (95% CI: 1.0 - 2.3) and 1.9 times (95% CI: 1.2 - 3.0) greater chances of ED respectively. Compared with men aged up to 25 years, those aged 41-60 had 1.9 times (95% CI: 1.0 - 3.4) and those aged 61 and over had 5.4 times (95% CI: 2.3 - 12.6) greater risk of ED. For women, lack of a job gave rise to 1.5 times (95% CI: 1.1 - 1.9) greater chance of ISD; depression was not associated with higher risk. Compared with women aged up to 25 years, those aged 41-60 and 61 or over had, respectively, 2.9 times (95% CI: 2.0 - 4.1) and 7.5 times (95% CI: 3.0 -18.6) greater risk of ISD. Discussion: Increasing unemployment has affected the whole population, but especially those with lower levels of school attainment. Such levels are positively linked with presence of sexual dysfunctions. Conclusion: Lack of jobs, age and low school attainment are risks for the sexual dysfunctions studied. Depression increased the risk of ED but not female ISD.
Databáze:	MEDLINE
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