Erectile Dysfunction, Prevalence and Associated Factors, in Men with Type 2 Diabetes, in the Coffee Region, Colombia, 2016-2019

Abstract

Objective to determine the prevalence of erectile dysfunction and the risk factors among men with type 2 diabetes, in the Coffee Region. Methods ?observational study. Non-probability convenience sampling was carried out, incorporating 372 participants. Men older than 18 years, more than a year of diagnosis of type 2 diabetes and in periodic treatment of their disease, belonging to the chronic diseases program in the outpatient clinic were included; between 2016 and 2019, in three leading university institutions located in the Coffee Region, Colombia. Illiterate women, urological diseases and those who did not want to participate were excluded. The evaluation of sexual health was made with the abbreviated international index of erectile function (IIFE-5). Variables measured: Socio-demographic, clinical and biochemical. Descriptive statistics were applied. Results ?The mean age was 57.59 ± 8.73 years. The prevalence of erectile dysfunction was 85.48% (n = 318/372). The mild to moderate and severe forms predominate, in 27.33% and 26.69%, respectively. The prevalence of erectile dysfunction was higher among smokers (OR = 10.14; 95% CI: 3.36-31.56), hypothyroid (OR = 5.55; 95% CI: 2.76-8.19), (p = 0.001) and diagnosis of diabetes ≥ 15 years (OR = 3.27; 95% CI: 1.77-5.82). Conclusions ?erectile dysfunction represents a common complication, with a high prevalence among men with type 2 diabetes; which is higher among smokers, hypothyroid and longer suffering from diabetes, where the highest severity is observed.