Do socioeconomic factors influence the pathogenesis of erectile dysfunction through modifiable risk factors?
Kalka, D1; Womperski, M2; Gebala, J3; Smolinski, R4; Depko, A5; Dulanowska, A6; Stolarczyk, K6; Dulanowski, J7; Womperski, K8; Rusiecki, L1
1: Cardiosexuology Unit, Department of Pathophysiology, Wroclaw Medical University, Wroclaw, Poland; 2: Lower Silesian Center for Mental Health, Wroclaw, Poland; 3: Cardiosexology Students’ Scientific Club, Wroclaw Medical University, Wroclaw, Poland ; 4: University Hospital of Wroclaw Medical University, Wroclaw, Poland; 5: Regional Mental Health Facilities in Warsaw. Sexual Health Clinic, Warsaw, Poland; 6: Cardiosexuology Students’ Scientific Club, Wroclaw Medical University, Wroclaw, Poland; 7: Cardiosexuology Students’ Scientific Club, Wroclaw Medical University, Wroclaw, Poland ; 8: Department of Cardiac Rehabilitation, Hospital of the Ministry of Interior, Glucholazy, Poland
Objectives: Analysis of the connection of socioeconomic status (SES) and modifiable risk factors for erectile dysfunction (ED) as well as the evaluation of their influence on the presence of ED in patients with coronary artery disease (CAD).
Materials and Methods: 808 patients with the mean age of 59,61±9,43 and recognized CAD were recruited for the study. An own questionnaire as well as the IIEF5 were used for assessment. The own questionnaire included questions about the socioeconomic situation such as marital status (married, single), education (basic, vocational, secondary, higher), net income per capita in family per month – as percentage of the mean pension in industry in the year 2015 (<34,7%, >34,7% <69,41%, >69,41% <104,12%, >104,12%)and the character of work (physical, intellectual, decision-making position –managing). Furthermore the questionnaire included questions regarding the presence of modifiable risk factors for erectile dysfunction. The analysis of the presence of modifiable risk factors for erectile dysfunction included tobacco smoking, hypertension, dyslipidemia, diabetes, inadequate body weight (overweight and obesity) as well as a sedentary lifestyle (low intensity of health-promoting physical activity).
Results: Modifiable risk factors were present in the following percentages of patients: hypertension 53,02%, diabetes 29,70%, tobacco smoking 75,99%, dyslipidemia 48,76%, overweight and obesity 80,32% and a sedentary lifestyle 83,79%. Among the analyzed modifiable risk factors only dyslipidemia (p=0.0086) and tobacco smoking (p=0.0020) were statistically relevant with the patients´ level of education. In the analyzed group of men erectile dysfunction was present in 76.49%. Both dyslipidemia as well as tobacco smoking did not show statistical significance with the presence of ED in the analyzed group of patients with CAD.
Conclusion: The educational status is substantially connected to the presence of dyslipidemia and tobacco smoking, however the presence of those factors does not influence the presence of ED in the group of patients with CAD.
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