The Association between Interpersonal Relationship and Erectile Dysfunction of Middle-Aged and Elderly Men in a Rural Area of Zhejiang, China
Qun-Feng Liang1, Xiao-Hua Yu2, Shu-Cheng Zhang3, Jian-Hui Li2, Jing Zhao4, Jun-Biao Zheng2, Yi-Hua Gu5, Wei-Jin Zhou5, Guo-Qing Liang6, Qian-Xi Zhu5
1 Department of Epidemiology, School of Public Health; Department of Reproductive Epidemiology and Social Science, Key Laboratory of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai 200030, China
2 Department of Urology, The First People's Hospital of Jiashan, Jiaxing, Zhejiang 314000, China
3 Department of Cell Biology, National Research Institute of Family Planning, Beijing 100191, China
4 Department of Reproductive Epidemiology and Social Science, Key Laboratory of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai 200030; Department of Cardiology, The Key Laboratory of Cardiovascular Disease, The First Hospital of Lanzhou University, Lanzhou 730050, China
5 Department of Reproductive Epidemiology and Social Science, Key Laboratory of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai 200030, China
6 Department of Andrology, The Seventh People's Hospital of Shanghai University of TCM, Shanghai 200120, China
Shanghai Institute of Planned Parenthood Research, 779 Old Humin Road, Shanghai 200237
Department of Urology, The First People's Hospital of Jiashan, 1218 South Tiyu Road, Luoxing Street, Jiashan, Jiaxing, Zhejiang 314100
Source of Support: None, Conflict of Interest: None
Objective: To explore the association between interpersonal relationship and erectile dysfunction (ED) of middle-aged and elderly men.
Methods: A population-based cross-sectional research was conducted in the rural area of Jiashan County, Zhejiang Province, in 2016. Middle-aged and elderly men (aged 40–80) were selected as study participants. The face-to-face questionnaire was collected, including basic information, lifestyles, interpersonal relationship, and sexual function. The interpersonal relationship was evaluated based on marital relationship, neighborhood relationship, and relatives/friends relationship. According to the International index of erectile function, the study participants were divided into ED group (mild ED, moderate-to-severe ED), and non-ED group. Correlations were evaluated between interpersonal relationship indices and the prevalence or the severity of ED. Potential confounders were adjusted by the logistical regression model.
Results: There were 674 study participants with average age of 60.4 ± 8.5 years, and 489 ED patients with prevalence of 72.6%. With age increasing, the prevalence and the severity of ED increased significantly. The men who could get help from spouse when an emergency occurred or who were more cared about by their neighbors had lower ED risk, and odds ratios (ORs) (95% confidence intervals [CIs]) were 0.23 (0.13–0.42) and 0.58 (0.46–0.75), respectively. After the adjustment of the covariates (age, education degree, household income, smoking, and drinking), the ORs (95% CIs) were 0.29 (0.14–0.60) and 0.54 (0.39–0.74), respectively. Good marital relationship and good neighborhood relationship were associated with a less severity of ED.
Conclusions: The risk of ED was negatively correlated with marital relationship and neighborhood relationship.