| TITLE: | Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. | ||||||
|---|---|---|---|---|---|---|---|
| AUTHORS: | Feldman HA; Goldstein I; Hatzichristou DG; Krane RJ; McKinlay JB | ||||||
| AUTHOR AFFILIATION: | New England Research Institute, Watertown, Massachusetts 02172. | ||||||
| SOURCE: | J Urol 1994 Jan;151(1):54-61 | ||||||
| CITATION IDS: | PMID: 8254833 UI: 94076524 | ||||||
| ABSTRACT: | We provide current, normative data on the prevalence of impotence, and its physiological and psychosocial correlates in a general population using results from the Massachusetts Male Aging Study. The Massachusetts Male Aging Study was a community based, random sample observational survey of noninstitutionalized men 40 to 70 years old conducted from 1987 to 1989 in cities and towns near Boston, Massachusetts. Blood samples, physiological measures, socio-demographic variables, psychological indexes, and information on health status, medications, smoking and lifestyle were collected by trained interviewers in the subject's home. A self-administered sexual activity questionnaire was used to characterize erectile potency. The combined prevalence of minimal, moderate and complete impotence was 52%. The prevalence of complete impotence tripled from 5 to 15% between subject ages 40 and 70 years. Subject age was the variable most strongly associated with impotence. After adjustment for age, a higher probability of impotence was directly correlated with heart disease, hypertension, diabetes, associated medications, and indexes of anger and depression, and inversely correlated with serum dehydroepiandrosterone, high density lipoprotein cholesterol and an index of dominant personality. Cigarette smoking was associated with a greater probability of complete impotence in men with heart disease and hypertension. We conclude that impotence is a major health concern in light of the high prevalence, is strongly associated with age, has multiple determinants, including some risk factors for vascular disease, and may be due partly to modifiable para-aging phenomena. | ||||||
| MAIN MESH HEADINGS: | Impotence/*epidemiology | ||||||
| ADDITIONAL MESH HEADINGS: |
Adult Age Factors Aged Cross-Sectional Studies Hormones/blood Human Impotence/blood Impotence/complications Impotence/etiology Impotence/psychology Life Style Linear Models Lipids/blood Male Massachusetts/epidemiology Middle Age Multivariate Analysis Prevalence Questionnaires Risk Factors Sampling Studies Smoking/adverse effects Socioeconomic Factors | ||||||
| PUBLICATION TYPES: | JOURNAL ARTICLE | ||||||
| CAS REGISTRY NUMBERS: |
0 (Hormones) 0 (Lipids) | ||||||
| LANGUAGES: | Eng | ||||||
