Tags

Type your tag names separated by a space and hit enter

Drivers and barriers to seeking treatment for erectile dysfunction: a comparison of six countries.
BJU Int. 2004 Nov; 94(7):1055-65.BI

Abstract

OBJECTIVE

To identify predictors of treatment-seeking behaviour in men with erectile dysfunction (ED) and the predictors (correlates) of individual drivers and barriers to seeking treatment. Although the prevalence and epidemiology of ED have been reviewed, there is little information about the treatment-seeking behaviour of men with this disorder.

SUBJECTS AND METHODS

Data from the Cross-National Survey on Male Health Issues conducted between March and September 2000 were assessed by multivariate analysis. A cohort of 32 644 men aged 20-75 years was recruited during visits to their physicians. The men completed a short screening questionnaire, covering their overall health, and prostate, urinary and erectile problems. Men identified as having ED completed a detailed follow-up questionnaire. Logistic regression methods were used to identify predictors of treatment-seeking behaviour, and individual drivers and barriers to seeking treatment.

RESULTS

Most men with ED had not sought treatment. The analyses suggested that ED, in conjunction with a desire to have sex, was necessary for men to seek treatment. Men seeking treatment commonly identified themselves as self-motivated or that they were influenced by a spouse or sex partner. The youngest group (20-39 years) was least likely to seek treatment. Among those who did not seek treatment, younger men were likely to believe that their ED would resolve spontaneously, whereas older men resisted seeking treatment because they felt that ED was a natural part of ageing.

CONCLUSIONS

The data from this survey of men using the healthcare system confirmed other population-based reports that a minority of men with ED seek treatment. Subset analyses showed that treatment-seeking behaviour tended to be driven primarily by the man or by his sex partner. Common barriers to seeking treatment included the belief that ED would resolve spontaneously (younger men) and that ED was a normal part of ageing (older men).

Authors+Show Affiliations

Department of Urology, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA. RS66@columbia.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15541128

Citation

Shabsigh, Ridwan, et al. "Drivers and Barriers to Seeking Treatment for Erectile Dysfunction: a Comparison of Six Countries." BJU International, vol. 94, no. 7, 2004, pp. 1055-65.
Shabsigh R, Perelman MA, Laumann EO, et al. Drivers and barriers to seeking treatment for erectile dysfunction: a comparison of six countries. BJU Int. 2004;94(7):1055-65.
Shabsigh, R., Perelman, M. A., Laumann, E. O., & Lockhart, D. C. (2004). Drivers and barriers to seeking treatment for erectile dysfunction: a comparison of six countries. BJU International, 94(7), 1055-65.
Shabsigh R, et al. Drivers and Barriers to Seeking Treatment for Erectile Dysfunction: a Comparison of Six Countries. BJU Int. 2004;94(7):1055-65. PubMed PMID: 15541128.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Drivers and barriers to seeking treatment for erectile dysfunction: a comparison of six countries. AU - Shabsigh,Ridwan, AU - Perelman,Michael A, AU - Laumann,Edward O, AU - Lockhart,Daniel C, PY - 2004/11/16/pubmed PY - 2004/12/16/medline PY - 2004/11/16/entrez SP - 1055 EP - 65 JF - BJU international JO - BJU Int VL - 94 IS - 7 N2 - OBJECTIVE: To identify predictors of treatment-seeking behaviour in men with erectile dysfunction (ED) and the predictors (correlates) of individual drivers and barriers to seeking treatment. Although the prevalence and epidemiology of ED have been reviewed, there is little information about the treatment-seeking behaviour of men with this disorder. SUBJECTS AND METHODS: Data from the Cross-National Survey on Male Health Issues conducted between March and September 2000 were assessed by multivariate analysis. A cohort of 32 644 men aged 20-75 years was recruited during visits to their physicians. The men completed a short screening questionnaire, covering their overall health, and prostate, urinary and erectile problems. Men identified as having ED completed a detailed follow-up questionnaire. Logistic regression methods were used to identify predictors of treatment-seeking behaviour, and individual drivers and barriers to seeking treatment. RESULTS: Most men with ED had not sought treatment. The analyses suggested that ED, in conjunction with a desire to have sex, was necessary for men to seek treatment. Men seeking treatment commonly identified themselves as self-motivated or that they were influenced by a spouse or sex partner. The youngest group (20-39 years) was least likely to seek treatment. Among those who did not seek treatment, younger men were likely to believe that their ED would resolve spontaneously, whereas older men resisted seeking treatment because they felt that ED was a natural part of ageing. CONCLUSIONS: The data from this survey of men using the healthcare system confirmed other population-based reports that a minority of men with ED seek treatment. Subset analyses showed that treatment-seeking behaviour tended to be driven primarily by the man or by his sex partner. Common barriers to seeking treatment included the belief that ED would resolve spontaneously (younger men) and that ED was a normal part of ageing (older men). SN - 1464-4096 UR - https://www.unboundmedicine.com/medline/citation/15541128/Drivers_and_barriers_to_seeking_treatment_for_erectile_dysfunction:_a_comparison_of_six_countries_ L2 - https://doi.org/10.1111/j.1464-410X.2004.05104.x DB - PRIME DP - Unbound Medicine ER -