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Prevalence and correlates of erectile dysfunction in Turkey: a population-based study
Emre Akkus1, Ates Kadioglu, Adil Esen
1Department of Urology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, 34303, Turkey. emreak@istanbul.edu.tr
European Urology
|August 16, 2002
Summary
Erectile dysfunction (ED) affects nearly 70% of Turkish men over 40, increasing with age. Moderate to severe ED is linked to health issues and lower socioeconomic factors.
Area of Science:
- Urology
- Andrology
- Public Health
Background:
- Erectile dysfunction (ED) is a global health concern.
- Limited data exists on ED prevalence in Turkey.
Purpose of the Study:
- Determine the prevalence of ED in Turkish men aged 40 and above.
- Identify sociodemographic, medical, and lifestyle factors associated with ED in this population.
Main Methods:
- Physician-conducted interviews using a validated questionnaire.
- Stratified random sample of 1982 men aged 40+.
- Self-rated ED severity (none, minimal, moderate, severe) with bivariate and multivariate analyses.
Main Results:
- Age-adjusted overall ED prevalence was 69.2% (mild 33.2%, moderate 27.5%, severe 8.5%).
- Prevalence of moderate to severe ED was 36%.
- Associated factors included older age, eastern residence, low education, unemployment, diabetes, hypertension, depression, and prostate/urinary issues. Southern residence, alcohol, physical activity, and higher income showed inverse correlation.
Conclusions:
- ED is highly prevalent in Turkish men aged 40 and older.
- ED prevalence and severity increase with age.
- ED is associated with significant medical conditions and demographic factors in Turkey.