Background: The prevalence of erectile dysfunction among diabetic men varies between 35ââ?¬â??90%. Although\nerectile dysfunction is widespread among men with diabetes, the condition often remains undiagnosed and\ndemands appropriate assessment and prompt treatment. Erectile dysfunction can affect all aspects of a patientââ?¬â?¢s\nlife including physical, emotional, social, sexual, and relationships. The main aim of this study is to determine the\nprevalence and determinants of erectile dysfunction among diabetic patients attending hospitals in the Central\nand Northwest zone of Tigray, Ethiopia.\nMethods: A hospital based cross-sectional study was conducted on 249 male diabetic patients attending five\nhospitals in the Central and Northwestern Zone of Tigray, Ethiopia using systematic random sampling. The data was\ncollected from January 1 ââ?¬â?? February 30, 2016 and was entered and analyzed using SPSS version 20. Correlation and\nmultivariate logistic regression was employed to test associations between independent and outcome variables.\nResults: The mean age of study participants was 43.39 years and the mean duration of diabetes diagnosis was 6.\n22 years. The overall prevalence of erectile dysfunction was 69.9%, with 32.9% suffering from mild, 31.7% moderate,\nand 5.2% severe erectile dysfunction. Multivariate logistic regression revealed that erective dysfunction was\nsignificantly predicted by old age (Adjusted Odds Ratio [AOR] =15.013, CI:3.212ââ?¬â??70.166), longer duration of diabetes\n(AOR = 3.77, CI:1.291ââ?¬â??11.051), and lower monthly income (AOR = 0.285, CI:0.132ââ?¬â??0.615). No association was found\nwith body mass index, co-morbidity, glycemic control, and alcohol consumption.\nConclusion: The prevalence of erective dysfunction in this study population was very high. Age, income, and\nduration of diabetes were the independent predictors of erectile dysfunction. Nearly all of the patients in the\nsample (97%) had not been screened or treated for erectile dysfunction. Assessment and management of erectile\ndysfunction in the diabetic clinic should be part of routine medical care during follow-up visits with diabetic\npatients. Healthcare providers should put an emphasis on screening and treating older patients and those who had\na diabetes diagnosis for a longer duration.
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