This cross-sectional study was conducted using data from men, aged 45-69 years, without a diagnosis of prostate cancer (N = 78,445), who completed questionnaires as part of the California Men's Health Study, a large multi-ethnic cohort study with detailed demographic, medical and, socio-economic data.
Erectile dysfunction measured by a previously validated four-level response question.
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relative to white men, Hispanic (OR 1.05, 95% CI 0.99, 1.12), Asian (OR 1.1, 95% CI 1.02, 1.19), and other men (OR 1.13, 95% CI 1.06, 1.1.21) had increased odds of moderate-severe ED, while black men were less likely to report moderate to severe ED (OR 0.86, 95% CI 0.81, 0.92). Black (OR 0.54, 95% CI 0.48, 0.61) and Asian men (OR 0.91, 95% CI 0.80, 1.04) were less likely to have severe ED after adjustment for age, socio-economic status, medical co-morbidities, and lifestyle characteristics.
These data demonstrate that the prevalence of ED among different racial and ethnic groups is likely the result of complex phenomena and depends upon the interplay of socio-economic, demographic, medical, cultural, and lifestyle characteristics. After accounting for these factors, these data suggest that Asian and black men are less likely to have severe ED relative to white men. SOURCE
Written by: Smith JF, Caan BJ, Sternfeld B, Haque R, Quesenberry CP Jr, Quinn VP, Shan J, Walsh TJ, Lue TF, Jacobsen SJ, Van Den Eeden SK.
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