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THE VALIDITY OF USING A SINGLE-QUESTION SELF-REPORT OF  ERECTILE DYSFUNCTION AS A SCREENING TOOL AMONG MEN WITH TYPE 2 DIABETES MELLITUS

  • Mohammed A. Batais1
  • Muhammad Hussain Mujammami2,3
  • Khaled K. ldossari4
  • Talal S. Alghamdi5
  • Turki A. Binmoammar6
  • Mashael M. Al-Enzi7
  • Turky H. Almigbal1

1Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia

2Endocrinology and Metabolism Unit, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia

3University Diabetes Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia

4Department of Family and Community Medicine, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia

5Department of Family Medicine, College of Medicine, Majmaah University, Almajmaah, Saudi Arabia

6Department of Family and Community Medicine, Medical City, King Saud University, Riyadh, Saudi Arabia

7Alfarabi College of Medicine, Riyadh, Saudi Arabia

DOI: 10.31083/jomh.v16i4.286 Vol.16,Issue 4,October 2020 pp.18-27

Published: 01 October 2020

*Corresponding Author(s): Mohammed A. Batais E-mail: drmohammed34@gmail.com

Abstract

Background and objective

This study aimed to determine the validity of using a single-question self-report of erectile dysfunction (ED) as a screening tool among Saudi men with type 2 diabetes mellitus (T2DM).

Materials and methods

A cross-sectional study was conducted using a single-question self-report questionnaire to determine the association between the risk of ED and poor glycemic control among men with T2DM. The study was conducted in a hospital-based diabetes clinic in Riyadh, Saudi Arabia. Married adults (aged >18 years) suffering from T2DM for at least 1 year were included in the study. All statistical analyses were performed using SAS version 9.2 and R software (Foundation for Statistical Computing, Vienna, Austria).

Results

With 86% response rate, 293 participants were included in this study. Over half (53.9%) of the partic-ipants were below 60 years of age. More than half (55.3%) were suffering from uncontrolled diabetes (i.e., HbA1c > 7%). There was significant correlation between the International Index of Erectile Function (IIEF) and self-reported question in terms of duration of T2DM (p < 0.001), type of treatment (p = 0.004), income of the participants (p = 0.005), age (p < 0.001), education level (p = 0.032), and occupation (p < 0.001). However, there was no significant correlation between IIEF and self-reported question in terms of body mass index (p = 743) and smoking. Regarding overall diagnostic accuracy of IIEF score to predict self-reported ED, receiver operating characteristic curve showed area under curve as 89.4%, which is sta-tistically significant.

Conclusion

Single-question self-report of ED is a valid and reliable tool to screen diabetic patients suffering from sex-ual problems. Such tool may help to identify ED in diabetic patients and warrant early management.

Keywords

diabetes; erectile dysfunction; glycemic control; Saudi Arabia; sexual dysfunction

Cite and Share

Mohammed A. Batais,Muhammad Hussain Mujammami,Khaled K. ldossari,Talal S. Alghamdi,Turki A. Binmoammar,Mashael M. Al-Enzi,Turky H. Almigbal. THE VALIDITY OF USING A SINGLE-QUESTION SELF-REPORT OF ERECTILE DYSFUNCTION AS A SCREENING TOOL AMONG MEN WITH TYPE 2 DIABETES MELLITUS. Journal of Men's Health. 2020. 16(4);18-27.

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