Original Article Prevalence and Predictors of Erectile ...

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Original Article

Prevalence and Predictors of Erectile Dysfunctions among Men on Antiretroviral Therapy in Southwestern Nigeria

Adebimpe WO, Omobuwa O, Adeoye OA1

Department of Community Medicine, College of Health Sciences, Osun State University, Osogbo, 1Department of Community Medicine, LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria

Address for correspondence: Dr. Oluwatosin Adediran Adeoye, Department of Community Medicine, LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria. Email: tosinadeoye2002@

Abstract

Background: Erectile dysfunctions (EDs) are common presentations among men on antiretroviral therapy, many of who had a course to discontinue antiretroviral drugs or search for alternative treatments. Aim: This study assessed the prevalence and predictors of ED among men on antiretro viral therapies (ART) in a Nigerian population. Subjects and Methods: It was a descriptive crosssectional survey among 234 HIVpositive men on antiretroviral therapy selected using stratified sampling method after excluding for comorbidities. Research instrument was semistructured interviewer administered questionnaire, and data were analyzed using the SPSS software version 17.0 (Chicago IL, USA), while binary logistic regression and Chisquare test were used to demonstrate association between selected categorical variable. Results: Mean age of respondents was 37.1 (1.6) years, 85.6% have not missed their medications, selfreported adherence was reported as good among 213 [(90.8%) 213/234], though calculated adherence was 90% among as many as 201 [(85.6%) 201/234]. Pattern of EDs revealed weak erection among 42 [(37.8%) 42/111], 15 [(13.5%) 15/111] said they could no longer achieve erection, 33 [(29.7%) 33/111] said they could not maintain erections, while 27 [(24.3%) 27/111] presented with loss of libido. Delayed and premature ejaculations were reported among 24 [(21.6%) 24/111] and 8 [(7.2%) 8/111] respectively. About 14% (33/234) of respondents said that antiretroviral drugs could have caused their ED while 78% (183/234) said it should not. A statistically significant association exists between having weak erections and age above 65 years and calculated the adherence ................
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