Influence of socioeconomic factors on the presence and intensity of erectile dysfunction in men with coronary artery disease
Kalka, D1; Womperski, M2; Gebala, J3; Smolinski, R4; Depko, A5; Dulanowska, A6; Stolarczyk, K6; Dulanowski, J7; Rusiecki, L1
1: Cardiosexuology Unit, Department of Pathophysiology, Wroclaw Medical University, Wroclaw, Poland; 2: M Womperski, 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
Objectives: The assessment of the influence of social environmental dysfunction (SED) on the presence as well as intensity of erectile dysfunction (ED) in a group of patients suffering from coronary artery disease (CAD).
Materials and Methods: 808 patients at the mean age of 59,61±9,43 with recognized coronary artery disease took part in the study. An own questionnaire as well as the IIEF5 questionnaire 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).
Results: In the assessed group ED was present in 76.49% of male patients. 23.14% had severe dysfunction, 13.11% reported mid-severe dysfunction, in 32.20% dysfunction was average and in 31.55% mild. Among the analyzed socioeconomic factors the only factor which showed statistical significance with the presence of ED in patients was education (p=0.0047). ED was present in 88.46% men with basic education, in 77.16% with vocational education, in 78.69% with secondary education and in 67.08% of men with higher education. Education is also the only statistically significant factor for the intensity of ED (R= 0.0923, p=0.0086). The average score from the IIEF5 questionnaire in patients with basic education was 12.15±6.65, with vocational 15.77±6.11, with secondary 15.53±6,47 and with higher education it was 16.42±6.74. Taking the age into account in the analysis of the two parameters did not influence the results significantly, which were still substantially connected to levels of education.
Conclusion: Among the analyzed socioeconomic factors only education had a substantial influence on the presence and intensity of erectile dysfunction in the assessed group of patients with coronary artery disease.
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